N201 OB: Pregnancy, Labor, Childbirth, Postpartum- Uncomplica
And Correct Answers
A cclient cwhose cweight cwas caverage cfor cher cheight cbefore cbecoming cpregnant cis cconcerned cb
c(6.8 ckg) cafter conly c23 cweeks cof cpregnancy. cWhat cis cthe cnurse's cmost cappropriate cresponse?
cweight cis cexpected cfor csomeone cat c23 cweeks' cgestation. cContinue cyour ccurrent cdiet."
[pt.s cshould cgain c2.2-5.5 clbs cduring cfirst c12 cweeks cthen c1 cpound ceach cweek]
Which cinformation cshould cthe cnurse cinclude cin cthe cdischarge cteaching cof ca cpostpartum cclient?
cprenatal cKegel ctightening cexercises cshould cbe ccontinued
The cpostpartum cnurse cis cdelegating ctasks cto can cunlicensed chealth ccare cworker. cWhich ctask cs
cCORRECT cANS✔✔Vital csigns con ca cclient c4 chours cafter cdelivery
A cprimigravid cclient cwho cis cat c38 cweeks' cgestation cis cundergoing ca cnonstress ctest. cThe cnurse
cfetal cheart crate cis c130 cto c140 cbeats cper cminute. cIt crises cto c160 con ctwo coccasions cand c157 c
cperiod. cEach cof cthe cepisodes cin cwhich cthe cheart crate cis cincreased clasts c20 cseconds. cWhich
c- cCORRECT cANS✔✔Discontinuing cthe ctest cbecause cthe cpattern cis cwithin cthe cnormal crange
A cclient cis cscheduled cfor ca cnonstress ctest cin cthe c37th cweek cof cgestation. cThe cnurse cexplains
cstatement cdemonstrates cthat cthe cclient cunderstands cthe cteaching? c- cCORRECT cANS✔✔"If cth
cshould cdo cOK cwhen cI cgive cbirth."
A cclient cwho cexpected cto cuse cthe cLamaze ctechnique cthroughout clabor chas can cemergency cce
cthe cclient cis cfound ccrying cand ctells cthe cnurse cthat cshe cis cextremely cdisappointed cbecause ca
cnecessary. cShe casks cthe cnurse cwhy cthis chappened cto cher. cThe cnurse canswers cbased cupon
cCORRECT cANS✔✔An cemergency ccesarean cbirth cis ctraumatic cpsychologically cbecause cof cthe
cexperience
Which cstatement cmade cby ca cpregnant cclient cto ca cnurse cindicates cthat cthe cclient cdoes cnot cun
cregarding cfetal cgrowth cand cdevelopment? c- cCORRECT cANS✔✔"The cbaby cgets cfood cfrom cthe
While cmonitoring cthe cfetal cheart crate c(FHR) cof ca cclient cin clabor, cthe cnurse cidentifies can cincre
cthe cbaseline crate cof c135 cbeats cper cminute cthat clasts c15 cseconds. cHow cshould cthe cnurse cdo
cCORRECT cANS✔✔An cacceleration
A c16-year-old cadolescent cat c24 cweeks' cgestation cvisits cthe cprenatal cclinic cfor cthe cfirst ctime. cA
cshe ctells cthe cnurse, c"I ccan't cbelieve chow cbig cI cam. cWill cI cget cmuch cbigger?" cWhat cinformatio
cand cdevelopment cdoes cthe cnurse cneed cto cunderstand cbefore cresponding? c- cCORRECT cANS
cimportant cto cadolescents; ctherefore cpregnant cteenagers care coverly cconcerned cabout cbody csiz
The cnurse cinstructs ca cpregnant cclient cregarding cfetal cgrowth cand cdevelopment. cWhich cstatem
crequires cfurther cteaching? c- cCORRECT cANS✔✔"The cfetus cgets cnutrients cfrom cthe camniotic cf
, What cis cthe coptimal cnursing cintervention cto cminimize cperineal cedema cafter can cepisiotomy? c- cC
cicepacks c
[causes cvasoconstriction]
A cclient ctells cthe cnurse cthat cthe cfirst cday cof cher clast cmenstrual cperiod cwas cJuly c22. cWhat cis c
c(EDB)? c- cCORRECT cANS✔✔April c29th
A cprimigravida cwho cis cat c40 cweeks' cgestation carrives cat cthe cbirthing ccenter cwith cabdominal cc
cHer cmembranes cruptured c30 cminutes cbefore carrival. cA cvaginal cexamination creveals c1 ccm cof c
cpart cat c-1 cstation. cAfter cobtaining cthe cfetal cheart crate cand cmaternal cvital csigns, cwhat cshould c
cbe? c- cCORRECT cANS✔✔Provide cthe cclient cwith ccomfort cmeasures cused cfor cwomen cin clabo
The cnurse cis cteaching cparticipants cin ca cprenatal cclass cregarding cbreastfeeding cversus cformula
cis cthe cprimary cadvantage cof cbreastfeeding?" cWhich cresponse cis cmost cappropriate? c- cCORRE
chave cfewer cinfections."
How cdoes cthe cnurse cdetermine cwhen ctrue clabor cand cnot cfalse clabor cis cpresent? c- cCORRECT
cevident.
A cclient cin clabor cbegins cto cexperience ccontractions c2 cto c3 cminutes capart cand clasting cabout c4
ccontractions cthe cnurse cidentifies ca cfetal cheart crate c(FHR) cof c100 cbeats/min con cthe cinternal cfe
cpriority cnursing caction? c- cCORRECT cANS✔✔Notify cthe chealth ccare cprovider csupposed cto cbe
A c42-year-old cclient cat c39 cweeks' cgestation chas ca creactive cnonstress ctest c(NST). cWhat cshoul
cclient cabout cthe cpositive cresult? c- cCORRECT cANS✔✔This cis cthe cdesired cresponse cat cthis cst
A cclient cin cactive clabor chas crequested cepidural canesthesia cfor cpain cmanagement. cThe canesth
cevaluation, cand cthe cnurse chas cinitiated can cintravenous cfluid cbolus. cThe cclient's cpartner casks c
cis cthe cbest cexplanation? c- cCORRECT cANS✔✔There cis ca crisk cof chypotension, cand cthe clarge
cthis crisk.
A cclient cat c10 cweeks' cgestation ccalls cthe cclinic cand ctells ca cnurse cthat cshe chas cmorning csickn
cWhat cshould cthe cnurse csuggest cto cpromote crelief? c- cCORRECT cANS✔✔Eat cdry ccrackers cin
A cclient cis cbleeding cexcessively cafter cthe cbirth cof cher cnewborn. cThe chealthcare cprovider cpresc
cIV cinfusion ccontaining c10 cunits cof coxytocin cat ca crate cof c100 cmL/hr. cThe cnurse's cevaluation co
cthese cinterventions creveals ca cblood cpressure cof c135/90 cmm cHg, ca cboggy cuterus c3 ccm cabov
cto cthe cright, cand ca cperineal cpad csaturated cwith cbright-red clochia. cWhat cis cthe cnurse's cnext ca
cANS✔✔Checking cfor ca cdistended cbladder c[if cuterus cis cboggy cafter cfundal cmassage cthe cbladd
What ctype cof clochia cshould cthe cvisiting cnurse cexpect cto cobserve con ca cclient's cpad con cthe cfou
cdelivery? c- cCORRECT cANS✔✔Moderate crubra
While cthe cnurse cis ccaring cfor ca cclient cin cactive clabor cwhose cfetus cis cat cstation c0, cthe cclient's
cspontaneously. cThe cnurse cdetermines cthat cthe cfluid cis cclear cand codorless. cWhat cshould cthe c
cANS✔✔Assess cthe cfetal cheart crate c
[reflects chow cwell cthe cfetus ctolerates cthe cmembrane]
What cstatement cby ca cbreast-feeding cmother cindicates cthat cthe cnurse's cteaching cregarding cstim
chas cbeen csuccessful? c- cCORRECT cANS✔✔"I cwill capply cwarm cpacks cand cmassage cmy cbrea
During clabor ca cclient cbegins cto cexperience cdizziness cand ctingling cof cher chands. cWhat cshould
cto cdo? c- cCORRECT cANS✔✔Breathe cinto cher ccupped chands
A cnonstress ctest c(NST) cis cscheduled cfor ca cclient cwith cmild cpreeclampsia. cDuring cthe ctest, cthe
And Correct Answers
A cclient cwhose cweight cwas caverage cfor cher cheight cbefore cbecoming cpregnant cis cconcerned cb
c(6.8 ckg) cafter conly c23 cweeks cof cpregnancy. cWhat cis cthe cnurse's cmost cappropriate cresponse?
cweight cis cexpected cfor csomeone cat c23 cweeks' cgestation. cContinue cyour ccurrent cdiet."
[pt.s cshould cgain c2.2-5.5 clbs cduring cfirst c12 cweeks cthen c1 cpound ceach cweek]
Which cinformation cshould cthe cnurse cinclude cin cthe cdischarge cteaching cof ca cpostpartum cclient?
cprenatal cKegel ctightening cexercises cshould cbe ccontinued
The cpostpartum cnurse cis cdelegating ctasks cto can cunlicensed chealth ccare cworker. cWhich ctask cs
cCORRECT cANS✔✔Vital csigns con ca cclient c4 chours cafter cdelivery
A cprimigravid cclient cwho cis cat c38 cweeks' cgestation cis cundergoing ca cnonstress ctest. cThe cnurse
cfetal cheart crate cis c130 cto c140 cbeats cper cminute. cIt crises cto c160 con ctwo coccasions cand c157 c
cperiod. cEach cof cthe cepisodes cin cwhich cthe cheart crate cis cincreased clasts c20 cseconds. cWhich
c- cCORRECT cANS✔✔Discontinuing cthe ctest cbecause cthe cpattern cis cwithin cthe cnormal crange
A cclient cis cscheduled cfor ca cnonstress ctest cin cthe c37th cweek cof cgestation. cThe cnurse cexplains
cstatement cdemonstrates cthat cthe cclient cunderstands cthe cteaching? c- cCORRECT cANS✔✔"If cth
cshould cdo cOK cwhen cI cgive cbirth."
A cclient cwho cexpected cto cuse cthe cLamaze ctechnique cthroughout clabor chas can cemergency cce
cthe cclient cis cfound ccrying cand ctells cthe cnurse cthat cshe cis cextremely cdisappointed cbecause ca
cnecessary. cShe casks cthe cnurse cwhy cthis chappened cto cher. cThe cnurse canswers cbased cupon
cCORRECT cANS✔✔An cemergency ccesarean cbirth cis ctraumatic cpsychologically cbecause cof cthe
cexperience
Which cstatement cmade cby ca cpregnant cclient cto ca cnurse cindicates cthat cthe cclient cdoes cnot cun
cregarding cfetal cgrowth cand cdevelopment? c- cCORRECT cANS✔✔"The cbaby cgets cfood cfrom cthe
While cmonitoring cthe cfetal cheart crate c(FHR) cof ca cclient cin clabor, cthe cnurse cidentifies can cincre
cthe cbaseline crate cof c135 cbeats cper cminute cthat clasts c15 cseconds. cHow cshould cthe cnurse cdo
cCORRECT cANS✔✔An cacceleration
A c16-year-old cadolescent cat c24 cweeks' cgestation cvisits cthe cprenatal cclinic cfor cthe cfirst ctime. cA
cshe ctells cthe cnurse, c"I ccan't cbelieve chow cbig cI cam. cWill cI cget cmuch cbigger?" cWhat cinformatio
cand cdevelopment cdoes cthe cnurse cneed cto cunderstand cbefore cresponding? c- cCORRECT cANS
cimportant cto cadolescents; ctherefore cpregnant cteenagers care coverly cconcerned cabout cbody csiz
The cnurse cinstructs ca cpregnant cclient cregarding cfetal cgrowth cand cdevelopment. cWhich cstatem
crequires cfurther cteaching? c- cCORRECT cANS✔✔"The cfetus cgets cnutrients cfrom cthe camniotic cf
, What cis cthe coptimal cnursing cintervention cto cminimize cperineal cedema cafter can cepisiotomy? c- cC
cicepacks c
[causes cvasoconstriction]
A cclient ctells cthe cnurse cthat cthe cfirst cday cof cher clast cmenstrual cperiod cwas cJuly c22. cWhat cis c
c(EDB)? c- cCORRECT cANS✔✔April c29th
A cprimigravida cwho cis cat c40 cweeks' cgestation carrives cat cthe cbirthing ccenter cwith cabdominal cc
cHer cmembranes cruptured c30 cminutes cbefore carrival. cA cvaginal cexamination creveals c1 ccm cof c
cpart cat c-1 cstation. cAfter cobtaining cthe cfetal cheart crate cand cmaternal cvital csigns, cwhat cshould c
cbe? c- cCORRECT cANS✔✔Provide cthe cclient cwith ccomfort cmeasures cused cfor cwomen cin clabo
The cnurse cis cteaching cparticipants cin ca cprenatal cclass cregarding cbreastfeeding cversus cformula
cis cthe cprimary cadvantage cof cbreastfeeding?" cWhich cresponse cis cmost cappropriate? c- cCORRE
chave cfewer cinfections."
How cdoes cthe cnurse cdetermine cwhen ctrue clabor cand cnot cfalse clabor cis cpresent? c- cCORRECT
cevident.
A cclient cin clabor cbegins cto cexperience ccontractions c2 cto c3 cminutes capart cand clasting cabout c4
ccontractions cthe cnurse cidentifies ca cfetal cheart crate c(FHR) cof c100 cbeats/min con cthe cinternal cfe
cpriority cnursing caction? c- cCORRECT cANS✔✔Notify cthe chealth ccare cprovider csupposed cto cbe
A c42-year-old cclient cat c39 cweeks' cgestation chas ca creactive cnonstress ctest c(NST). cWhat cshoul
cclient cabout cthe cpositive cresult? c- cCORRECT cANS✔✔This cis cthe cdesired cresponse cat cthis cst
A cclient cin cactive clabor chas crequested cepidural canesthesia cfor cpain cmanagement. cThe canesth
cevaluation, cand cthe cnurse chas cinitiated can cintravenous cfluid cbolus. cThe cclient's cpartner casks c
cis cthe cbest cexplanation? c- cCORRECT cANS✔✔There cis ca crisk cof chypotension, cand cthe clarge
cthis crisk.
A cclient cat c10 cweeks' cgestation ccalls cthe cclinic cand ctells ca cnurse cthat cshe chas cmorning csickn
cWhat cshould cthe cnurse csuggest cto cpromote crelief? c- cCORRECT cANS✔✔Eat cdry ccrackers cin
A cclient cis cbleeding cexcessively cafter cthe cbirth cof cher cnewborn. cThe chealthcare cprovider cpresc
cIV cinfusion ccontaining c10 cunits cof coxytocin cat ca crate cof c100 cmL/hr. cThe cnurse's cevaluation co
cthese cinterventions creveals ca cblood cpressure cof c135/90 cmm cHg, ca cboggy cuterus c3 ccm cabov
cto cthe cright, cand ca cperineal cpad csaturated cwith cbright-red clochia. cWhat cis cthe cnurse's cnext ca
cANS✔✔Checking cfor ca cdistended cbladder c[if cuterus cis cboggy cafter cfundal cmassage cthe cbladd
What ctype cof clochia cshould cthe cvisiting cnurse cexpect cto cobserve con ca cclient's cpad con cthe cfou
cdelivery? c- cCORRECT cANS✔✔Moderate crubra
While cthe cnurse cis ccaring cfor ca cclient cin cactive clabor cwhose cfetus cis cat cstation c0, cthe cclient's
cspontaneously. cThe cnurse cdetermines cthat cthe cfluid cis cclear cand codorless. cWhat cshould cthe c
cANS✔✔Assess cthe cfetal cheart crate c
[reflects chow cwell cthe cfetus ctolerates cthe cmembrane]
What cstatement cby ca cbreast-feeding cmother cindicates cthat cthe cnurse's cteaching cregarding cstim
chas cbeen csuccessful? c- cCORRECT cANS✔✔"I cwill capply cwarm cpacks cand cmassage cmy cbrea
During clabor ca cclient cbegins cto cexperience cdizziness cand ctingling cof cher chands. cWhat cshould
cto cdo? c- cCORRECT cANS✔✔Breathe cinto cher ccupped chands
A cnonstress ctest c(NST) cis cscheduled cfor ca cclient cwith cmild cpreeclampsia. cDuring cthe ctest, cthe
