OB FINAL EXAM NEWEST 2 LATEST VERSIONS 2024 (VERSION A AND B) COMPLETE QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)

The nurse is caring for a client in labor and is monitoring the fetal heart rate patterns. The nurse notes the presence of episodic accelerations on the electronic fetal monitor tracing. Which action is most appropriate? - ANSWERS,Document the findings and tell the mother that the pattern on the monitor indicates fetal wellbeing. The nurse is admitting a pregnant client to the labor room and attaches an external electronic fetal monitor to the client's abdomen. After attachment of the monitor, what is the next nursing action? - ANSWERS,Assess the baseline fetal heart rate. The nurse is reviewing true and false labor signs with a multiparous client. the nurse determines that the client UNDERSTANDS the signs of true labor if she makes which statement? - ANSWERS,"My contractions will increase in duration and intensity." Which assessment finding after an amniotomy should be conducted first? - ANSWERS,Fetal heart rate patterns The nurse has been working with a laboring client and notes that she has been pushing effectively for 1 hour. What is the client's PRIMARY physiological need at this time? - ANSWERS,Rest between contractions. The nurse is assisting a client undergoing induction of labor (IOL) at 41 weeks gestation. The client's contractions are moderate and occurring every 2-3 minutes, with a duration of 60 seconds. An internal fetal heart rate monitor is in place. The baseline FHR has been 120-122 beats per minute for the past hour. What is the PRIORITY nursing action? - ANSWERS,Discontinue the infusion of oxytocin. *Oxytocin can cause forceful uterine contractions and decrease oxygenation to the placenta, resulting in decreased variability ( 5 bpm) The nurse is performing an assessment on a client who has just been told that a pregnancy test is positive. Which assessment finding indicates that the client is at risk for preterm labor? - ANSWERS,The client has a history of cardiac disease. The nurse is monitoring a client who is in the active stage of labor. The nurse documents that the client is experiencing labor dystocia. The nurse determines which risk factors in the client's history placed her at risk for this complication? - ANSWERS,1. Agee 54 years 2. Body mass index of 28 3. Previous difficulty with fertility A nurse in a birthing room is monitoring a client with dysfunctional labor for signs of fetal or maternal compromise. Which assessment finding should alert the nurse to a compromise? - ANSWERS,Persistent non-reassuring fetal heart rate The nurse in a labor room is preparing to care for a client with hypertonic uterine coontractions. The unrse is told that the client is experiencing uncoordinated contractions that are erratic in their frequency, duration, and intensity. What is the PRIORITY nursing action? - ANSWERS,Provide pain relief measures. The nurse is reviewing the primary health care provider's (PHCP's) prescriptions for a client admitted for premature rupture of the membranes (PROM). Gestational age of the fetus is determined to be 37 weeks. Which prescription should the nurse question? - ANSWERS,Perform a vaginal examination every shift *Continuous FHR monitoring, frequent assessment of maternal VS, and antibiotics per protocol are not questionable prescriptions The nurse has created a plan of care for a client experiencing dystocia and includes several nursing actions in the plan of care. What is the PRIORITY NURSING ACTION? - ANSWERS,Monitoring the fetal heart rate. Fetal distress is occurring with a laboring client. As the nurse prepares the client for a cesarean birth, what is the MOST IMPORTANT nursing action? - ANSWERS,Administer oxygen, 8-10L/min, via face mask The nurse in a labor room is performing a vaginal assessment on a pregnant client in labor. The nurse notes the presence fo the umbilical cord protruding from the vagina. What is the FIRST nursing action with this finding - ANSWERS,Place the client in Trendelenburg's position. *Prompt actions must be taken to improve fetal oxygenation in the event of cord prolapse The nurse is monitoring a client in the immediate postpartum period for signs of hemorrhage. Which sign, if noted, would be an early sign of excessive blood loss? - ANSWERS,An increase in the pulse rate from 88 to 102 beats per minute. The nurse is preparing a list of self-care instructions for a postpartum client who was diagnosed with mastitis. Which instructions should be included on the list? Select all that apply. - ANSWERS,1. Wear a supportive bra 2. Rest during the acute phase 3. Maintain a fluid intake of at least 3,000 mL/day 4. Continue to breastfeed if the breasts are not too sore The nurse is providing instructions about measures to prevent postpartum mastitis to a client who is breastfeeding her newborn. Which statement would indicate a need for further instruction? - ANSWERS,"I should wash my nipples daily with soap and water." The postpartum nurse is assessing a client who delivered a healthy infant by cesarean section for signs and symptoms of superficial venous thrombosis. Which sign should the nurse note if superficial venous thrombosis were present? - ANSWERS,Enlarged, hardened veins The nurse suspects a pulmonary embolism (postpartum). Which is the initial nursing action? - ANSWERS,Administer 8-10L oxygen by face mas