N201 OB: Pregnancy, Labor, Childbirth, Postpartum-
Uncomplicated Questions With Complete Solutions
A 14-year-old emancipated minor at 22 weeks' gestation comes
in for her second prenatal examination. As she enters the
examination room with her mother, she tells the nurse that she
does not want her mother present for the examination. How
should the nurse respond? Correct Answers Tell the mother,
"I'm sorry, but I need to ask you to stay in the waiting area.
A 16-year-old adolescent at 24 weeks' gestation visits the
prenatal clinic for the first time. After the physical examination
she tells the nurse, "I can't believe how big I am. Will I get much
bigger?" What information about adolescent growth and
development does the nurse need to understand before
responding? Correct Answers Body image is very important to
adolescents; therefore pregnant teenagers are overly concerned
about body size
A 42-year-old client at 39 weeks' gestation has a reactive
nonstress test (NST). What should the nurse explain to the client
about the positive result? Correct Answers This is the desired
response at this stage of gestation
A client arrives in the birthing room with the fetal head
crowning. Birth is imminent. What should the nurse instruct the
client to do? Correct Answers Use the pant-breathing pattern.
A client at 10 weeks' gestation calls the clinic and tells a nurse
that she has morning sickness and cannot control it. What should
,the nurse suggest to promote relief? Correct Answers Eat dry
crackers in the morning
A client at 10 weeks' gestation tells the nurse in the maternity
clinic that she is worried because she is voiding frequently. How
should the nurse respond? Correct Answers Explain why this is
expected in early pregnancy
A client at 11 weeks' gestation reports having to urinate more
often. The nurse explains that urinary frequency often occurs
because bladder capacity during pregnancy is diminished by
what? Correct Answers Compression by the enlarging uterus
A client at 28 weeks' gestation who has gained 13 lb (5.9 kg)
tells the nurse in the prenatal clinic that she is glad that she has
not gained as much weight as her sister did during her
pregnancy. How should the nurse respond? Correct Answers
"Tell me what you've been eating lately."
A client at 35 weeks' gestation asks the nurse why her breathing
has become more difficult. How should the nurse respond?
Correct Answers "Your diaphragm has been displaced upward."
A client at 40 weeks' gestation is admitted to the birthing unit,
and an amniotomy is performed to facilitate labor. Once the
nurse determines that the umbilical cord has not prolapsed, what
is her next action?
Correct 1 Correct Answers Assessing the fetal heart rate
A client at 8 weeks' gestation tells the nurse that since becoming
pregnant, she has not felt like making love with her husband.
, She is concerned that her husband does not understand. What is
the most appropriate response by the nurse? Correct Answers
A decrease in libido is common during the first trimester of
pregnancy."
A client had a fourth-degree perineal laceration during the birth
of her neonate. What should the nurse recommend to protect the
area from additional trauma? Correct Answers "Eat a high-
fiber diet with increased fluid intake."
A client in active labor has requested epidural anesthesia for
pain management. The anesthetist has completed an evaluation,
and the nurse has initiated an intravenous fluid bolus. The
client's partner asks why this is necessary. What is the best
explanation? Correct Answers There is a risk of hypotension,
and the large amount of IV fluid reduces this risk.
A client in active labor is admitted to the birthing room. A
vaginal examination reveals the cervix to be dilated to 7 cm. On
the basis of this finding, what does the nurse expect the client to
exhibit? Correct Answers Strong contractions several minutes
apart
A client in labor begins to experience contractions 2 to 3
minutes apart and lasting about 45 seconds. Between
contractions the nurse identifies a fetal heart rate (FHR) of 100
beats/min on the internal fetal monitor. What is the priority
nursing action? Correct Answers Notify the health care
provider supposed to be higher than 110 bpm
Uncomplicated Questions With Complete Solutions
A 14-year-old emancipated minor at 22 weeks' gestation comes
in for her second prenatal examination. As she enters the
examination room with her mother, she tells the nurse that she
does not want her mother present for the examination. How
should the nurse respond? Correct Answers Tell the mother,
"I'm sorry, but I need to ask you to stay in the waiting area.
A 16-year-old adolescent at 24 weeks' gestation visits the
prenatal clinic for the first time. After the physical examination
she tells the nurse, "I can't believe how big I am. Will I get much
bigger?" What information about adolescent growth and
development does the nurse need to understand before
responding? Correct Answers Body image is very important to
adolescents; therefore pregnant teenagers are overly concerned
about body size
A 42-year-old client at 39 weeks' gestation has a reactive
nonstress test (NST). What should the nurse explain to the client
about the positive result? Correct Answers This is the desired
response at this stage of gestation
A client arrives in the birthing room with the fetal head
crowning. Birth is imminent. What should the nurse instruct the
client to do? Correct Answers Use the pant-breathing pattern.
A client at 10 weeks' gestation calls the clinic and tells a nurse
that she has morning sickness and cannot control it. What should
,the nurse suggest to promote relief? Correct Answers Eat dry
crackers in the morning
A client at 10 weeks' gestation tells the nurse in the maternity
clinic that she is worried because she is voiding frequently. How
should the nurse respond? Correct Answers Explain why this is
expected in early pregnancy
A client at 11 weeks' gestation reports having to urinate more
often. The nurse explains that urinary frequency often occurs
because bladder capacity during pregnancy is diminished by
what? Correct Answers Compression by the enlarging uterus
A client at 28 weeks' gestation who has gained 13 lb (5.9 kg)
tells the nurse in the prenatal clinic that she is glad that she has
not gained as much weight as her sister did during her
pregnancy. How should the nurse respond? Correct Answers
"Tell me what you've been eating lately."
A client at 35 weeks' gestation asks the nurse why her breathing
has become more difficult. How should the nurse respond?
Correct Answers "Your diaphragm has been displaced upward."
A client at 40 weeks' gestation is admitted to the birthing unit,
and an amniotomy is performed to facilitate labor. Once the
nurse determines that the umbilical cord has not prolapsed, what
is her next action?
Correct 1 Correct Answers Assessing the fetal heart rate
A client at 8 weeks' gestation tells the nurse that since becoming
pregnant, she has not felt like making love with her husband.
, She is concerned that her husband does not understand. What is
the most appropriate response by the nurse? Correct Answers
A decrease in libido is common during the first trimester of
pregnancy."
A client had a fourth-degree perineal laceration during the birth
of her neonate. What should the nurse recommend to protect the
area from additional trauma? Correct Answers "Eat a high-
fiber diet with increased fluid intake."
A client in active labor has requested epidural anesthesia for
pain management. The anesthetist has completed an evaluation,
and the nurse has initiated an intravenous fluid bolus. The
client's partner asks why this is necessary. What is the best
explanation? Correct Answers There is a risk of hypotension,
and the large amount of IV fluid reduces this risk.
A client in active labor is admitted to the birthing room. A
vaginal examination reveals the cervix to be dilated to 7 cm. On
the basis of this finding, what does the nurse expect the client to
exhibit? Correct Answers Strong contractions several minutes
apart
A client in labor begins to experience contractions 2 to 3
minutes apart and lasting about 45 seconds. Between
contractions the nurse identifies a fetal heart rate (FHR) of 100
beats/min on the internal fetal monitor. What is the priority
nursing action? Correct Answers Notify the health care
provider supposed to be higher than 110 bpm
