OB Exam 1 Questions And Answers
A ss22 ssyr ssold ssclient sshas sscome ssto ssthe ssclinic ssbecause ssher ssmenstrual ssperiod ssis ss10 ssdays sslate. ssShe sstells
ssthe ssnurse ss"I'm sssure ssI'm sspregnant ssbecause ssmy ssperiod ssis sslate ssand ssmy ssbreasts ssare sstender" ssWhich
ssof ssthe ssfollowing ssresponses ssby ssthe ssnurse sswould ssbe ssmost ssaccurate?
A. ss"those ssare sspositive sssigns ssof sspregnancy"
B. ss"those ssare sspresumptive sssigns ssof sspregnancy"
C. ss"those ssare ssprobable sssigns ssof sspregnancy"
D. ss"those ssare ssnegative sssigns ssof sspregnancy" ss- ssAnswer ss- ssB. ssBreast sstenderness ssand ssmissed ssmenses
ssare sspresumptive sssigns. ssOther sspresumptive sssigns ssinclude: ssN/V, ssfatigue, ssurinary ssfrequency ssand
ssquickening
A ssclient ssdelivered ssa ssterm ssinfant ss7 sshours ssago. ssWhich ssof ssthe ssfollowing sspostpartum ssassessment
ssfindings ssindicate ssnormal sspostpartum ssprogression?
A. ssFirm ssfundus ssat ss1-2 ssfingerbreadths ssabove ssthe ssumbilicus sswith ssmoderate sslochia ssrubra
B. ssFirm ssfundus ssat ssthe ssumbilicus ssand ssmidline sswith ssmoderate ssrubra
C. ssFirm ssfundus ssat ss1-2 ssfingerbreadths ssbelow ssumbilicus, ssdeviated ssto ssthe ssright ssside sswith ssmoderate
sslochia ssrubra
D. ssSoft ssfundus ssat ss1-2 ssfingerbreadths ssbelow ssumbilicus sswith sssevere sslochia ssrubra ss- ssAnswer ss- ssA.
ssWithin ss12 sshours, ssfundus sscan ssrise ssto ssapprox. ss1 sscm ssabove ssthe ssumbilicus. ssThe ssfundus ssdescends ss1-
2 sscm ssevery ss24 sshours. ssLocated ssabout sshalfway ssbetween ssumbilicus ssand sssymphysis sspubis, ssnot sslonger
sspalpable ssafter ss2 ssweeks, ssreturned ssto sspre-pregnant ssstate ssby ss6 ssweeks sspp
A ssclient ssdelivered ssat ss39 ssweeks ss6 sshours ssago. ssUpon ssassessment, ssthe ssnurse sspalpated ssa sssoft, ssboggy
ssfundus ssdeviated ssto ssthe ssleft ssside. ssWhich ssaction ssof ssthe ssnurse sswould ssbe ssmost ssappropriate?
A. ssMassage ssthe ssfundus ssuntil ssfirm
B. ssCall ssHCP ssimmediately
C. ssAssist sswoman ssto ssthe ssrestroom
D. ssIncrease ssPitocin ssper ssHCP ssorder ss- ssAnswer ss- ssC. ssA ssdistended ssbladder sscan ssimpede ssuterine
sscontractions sswhich sscan sslead ssto ssuterine ssatony sswhich ssmay sslead ssto sspp sshemorrhage ssif sswe ssdon't
ssintervene
**KEY ssWORDS: ssdeviated ssto ssthe ssleft ssside**
,A ssclient ssis ssin ssactive sslabor ssat ssterm sswith sscervical ssfindings ssof ss7/80/-1. ssThe ssFHR ssbaseline ssis ss130bpm.
ssFour ssearly ssdecelerations sswere ssnoted sswithin ssthe sslast sshour. ssWhich ssof ssthe ssfollowing ssnursing
ssactions sswould ssbe ssmost ssappropriate?
A. ssPosition ssclient sson ssher ssback ssso ssthe ssmonitor ssgives ssmore ssaccurate ssresults
B. ssperform ssvaginal ssexam
C. ssturn ssclient sson ssher ssleft ssside
D. ssdocument ssand sscontinue ssto ssmonitor ssboth ssFHR ssand sslaboring sswomen ss- ssAnswer ss- ssD. ssearly
ssdecelerations ssindicate sshead sscompression. ssIt ssis ssbenign ssand ssno ssinterventions ssare ssneeded. ssjust
ssdocument ssand sscontinue ssmonitoring
**KNOW ssVEAL ssCHOP**
The ssnurse ssgives ssa ss35 ssyr ssold ssprimigravida ssclient ssa ssRhoGAM ssinjection ssfor ssher ss28th ssweek ssof
sspregnancy. ssWhich ssof ssthe ssfollowing ssclient sssituations ssrequires ssthe ssnurse ssto sstake ssthis ssaction.
A. ssRh ss+ ssmother ssand ssRh ss- ssfather
B. ssRh ss- ssmother ssand ssRh ss+ ssfather
C. ssRh ss+ ssmother ssand ssRh ss+ ssfather
D. ssRh ss- ssmother ssand ssRh ss- ssfather ss- ssAnswer ss- ssB. ssRhoGAM ssis ssonly ssneeded ssif ssthe ssmother ssis ssRh- ssand
ssthere ssis sspossibility ssof ssthe ssbaby ssbeing ssRh+. ssIf ssthe ssfather ssis ssnot ssRh+ ssthen ssthere ssis ssno sschance ssto
sshave ssa ssRh+ ssbaby
A ssclient sshas ssjust ssstarted ssthe ssthird ssstate ssof sslabor. ssWhich ssof ssthe ssfollowing ssnursing ssactions sshave
sspriority ssat ssthis sstime?
A. ssEncourage ssthe ssclient ssto sspush
B. ssAdminister ssPitocin
C. ssPlace ssbaby ssskin ssto ssskin sson ssmom
D. ssAssess ssmaternal ssvital sssigns ssQ1hr ss- ssAnswer ss- ssC. ssskin ssto ssskin sscontact ssis sscontributes ssto ssmother
ssand ssbaby ssbonding
**KEY ssWORDS: ssjust ssstarted**
pitocin ssis ssadministered ssafter ssthe ssplacenta ssis ssdelivered ssat ssthe ssend ssof ssstage ss3, ssmaternal ssvital sssigns
ssare ssassessed ssQ15min ssafter ssdelivery ssfor ssfirst ss2 sshours. ssThen sshourly ssassessments ssare ssdone
A ssclient's ssfirst ssday ssof ssher ssLMP sswas ssJuly ss18, ss2015. ssWhich ssof ssthe ssfollowing ssshould ssthe ssnurse sstell
ssthe ssclient ssis ssher ssEDB?
A. ssApril ss18, ss2016
, B. ssMay ss23, ss2016
C. ssApril ss25, ss2016
D. ssMarch ss25, ss2016 ss- ssAnswer ss- ssC.
A ssprimigravida sswoman ssdelivered ssher ssbaby ssboy ss12 sshours ssago. ssShe ssacquired ssa ss3rd ssdegree ssmidline
ssepisiotomy ssduring sslabor. ssShe ssexpresses ssmoderate ssdiscomfort ssand ssa sspain sslevel ssof ss2 ssout ssof ss10.
ssWhich ssof ssthe ssfollowing ssnursing ssintervention sswould ssbe ssmost ssappropriate?
A. ssInstruct sspatient ssto ssapply ssice sspacks ssto ssthe ssperinium
B. ssEncourage ssa sssitz ssbath
C. ssCall ssprovider
D. ssGive ssordered ssacetaminophen ss(Tylenol) ssfor ssprophylaxis ss- ssAnswer ss- ssA. ssDuring ssfirst ss24 sshours, ssice
sspacks ssdecrease ssedema ssformation ssand ssincrease sscomfort, ssafter ssfirst ss24 sshours ssafter ssbirth ssprn ssto
ssprovide ssanesthetic sseffect
A sswoman ssadmitted ssin ssyour ssOB ssunit, sscurrently sson ssher ss2nd sspregnancy ssfor ssthis ssdelivery ssstates ssshe
sswants ssto sstry ssvaginal ssbirth ssrather ssthan ssrather ssthan ssC/S sswhich ssshe sshad ssfor ssher ssfirst sspregnancy.
ssWhat ssis ssthe sspriority ssaction ssthe ssnurse ssshould ssperform?
A. ssCall ssthe ssprovider ssand sslet ssher/him ssknow ssabout ssthe sspt's sswishes
B. ssAssess ssher ssabdominal ssC/S ssincision
C. ssLook ssat sspt's sschart ssfor ssnotes ssregarding ssher ssfirst ssdelivery
D. ssPerform ssa ssvaginal ssexam ss- ssAnswer ss- ssC. ssYou sshave ssto sslook ssat ssthe ssUTERINE ssincision, ssnot ssthe
ssabdominal ssone, ssthe ssonly ssway ssto ssdo ssthat ssis ssto sslook ssat ssthe sschart
**ABDOMINAL ssINCISION ssAND ssUTERINE ssINCISION ssMIGHT ssNOT ssMATCH**
classic ssvertical ssincision sslabor ssis sscontraindicated ss- ssrisk ssfor ssuterine ssrupture!
transverse ssincision ssvaginal ssdelivery ssis sspossible
What ssstatement ssfrom ssthe sspostpartum sspt ssabout ssDVT ssprecautions ssrequires ssfurther ssteaching?
A. ss"I ssneed ssthe sschange sspositions ssfrequently ssin ssbed ssand ssavoid ssprolonged ssflexed ssknee sspositions
B. ss"I sswill sslet ssmy sshusband ssmassage ssmy sslegs ssfor sspain ssrelief"
C. ss"I sscan sskeep ssbreastfeeding sswhile ssI'm sson ssheparin"
D ss"I sswill ssevaluate ssmy sslegs ssand ssapply ssmoist ssheat ssto ssdecrease ssdiscomfort" ss- ssAnswer ss- ssB. ssrubbing
ssthe ssaffected ssarea sscould sscause ssclots ssto ssbe ssdislodged
A ss22 ssyr ssold ssclient sshas sscome ssto ssthe ssclinic ssbecause ssher ssmenstrual ssperiod ssis ss10 ssdays sslate. ssShe sstells
ssthe ssnurse ss"I'm sssure ssI'm sspregnant ssbecause ssmy ssperiod ssis sslate ssand ssmy ssbreasts ssare sstender" ssWhich
ssof ssthe ssfollowing ssresponses ssby ssthe ssnurse sswould ssbe ssmost ssaccurate?
A. ss"those ssare sspositive sssigns ssof sspregnancy"
B. ss"those ssare sspresumptive sssigns ssof sspregnancy"
C. ss"those ssare ssprobable sssigns ssof sspregnancy"
D. ss"those ssare ssnegative sssigns ssof sspregnancy" ss- ssAnswer ss- ssB. ssBreast sstenderness ssand ssmissed ssmenses
ssare sspresumptive sssigns. ssOther sspresumptive sssigns ssinclude: ssN/V, ssfatigue, ssurinary ssfrequency ssand
ssquickening
A ssclient ssdelivered ssa ssterm ssinfant ss7 sshours ssago. ssWhich ssof ssthe ssfollowing sspostpartum ssassessment
ssfindings ssindicate ssnormal sspostpartum ssprogression?
A. ssFirm ssfundus ssat ss1-2 ssfingerbreadths ssabove ssthe ssumbilicus sswith ssmoderate sslochia ssrubra
B. ssFirm ssfundus ssat ssthe ssumbilicus ssand ssmidline sswith ssmoderate ssrubra
C. ssFirm ssfundus ssat ss1-2 ssfingerbreadths ssbelow ssumbilicus, ssdeviated ssto ssthe ssright ssside sswith ssmoderate
sslochia ssrubra
D. ssSoft ssfundus ssat ss1-2 ssfingerbreadths ssbelow ssumbilicus sswith sssevere sslochia ssrubra ss- ssAnswer ss- ssA.
ssWithin ss12 sshours, ssfundus sscan ssrise ssto ssapprox. ss1 sscm ssabove ssthe ssumbilicus. ssThe ssfundus ssdescends ss1-
2 sscm ssevery ss24 sshours. ssLocated ssabout sshalfway ssbetween ssumbilicus ssand sssymphysis sspubis, ssnot sslonger
sspalpable ssafter ss2 ssweeks, ssreturned ssto sspre-pregnant ssstate ssby ss6 ssweeks sspp
A ssclient ssdelivered ssat ss39 ssweeks ss6 sshours ssago. ssUpon ssassessment, ssthe ssnurse sspalpated ssa sssoft, ssboggy
ssfundus ssdeviated ssto ssthe ssleft ssside. ssWhich ssaction ssof ssthe ssnurse sswould ssbe ssmost ssappropriate?
A. ssMassage ssthe ssfundus ssuntil ssfirm
B. ssCall ssHCP ssimmediately
C. ssAssist sswoman ssto ssthe ssrestroom
D. ssIncrease ssPitocin ssper ssHCP ssorder ss- ssAnswer ss- ssC. ssA ssdistended ssbladder sscan ssimpede ssuterine
sscontractions sswhich sscan sslead ssto ssuterine ssatony sswhich ssmay sslead ssto sspp sshemorrhage ssif sswe ssdon't
ssintervene
**KEY ssWORDS: ssdeviated ssto ssthe ssleft ssside**
,A ssclient ssis ssin ssactive sslabor ssat ssterm sswith sscervical ssfindings ssof ss7/80/-1. ssThe ssFHR ssbaseline ssis ss130bpm.
ssFour ssearly ssdecelerations sswere ssnoted sswithin ssthe sslast sshour. ssWhich ssof ssthe ssfollowing ssnursing
ssactions sswould ssbe ssmost ssappropriate?
A. ssPosition ssclient sson ssher ssback ssso ssthe ssmonitor ssgives ssmore ssaccurate ssresults
B. ssperform ssvaginal ssexam
C. ssturn ssclient sson ssher ssleft ssside
D. ssdocument ssand sscontinue ssto ssmonitor ssboth ssFHR ssand sslaboring sswomen ss- ssAnswer ss- ssD. ssearly
ssdecelerations ssindicate sshead sscompression. ssIt ssis ssbenign ssand ssno ssinterventions ssare ssneeded. ssjust
ssdocument ssand sscontinue ssmonitoring
**KNOW ssVEAL ssCHOP**
The ssnurse ssgives ssa ss35 ssyr ssold ssprimigravida ssclient ssa ssRhoGAM ssinjection ssfor ssher ss28th ssweek ssof
sspregnancy. ssWhich ssof ssthe ssfollowing ssclient sssituations ssrequires ssthe ssnurse ssto sstake ssthis ssaction.
A. ssRh ss+ ssmother ssand ssRh ss- ssfather
B. ssRh ss- ssmother ssand ssRh ss+ ssfather
C. ssRh ss+ ssmother ssand ssRh ss+ ssfather
D. ssRh ss- ssmother ssand ssRh ss- ssfather ss- ssAnswer ss- ssB. ssRhoGAM ssis ssonly ssneeded ssif ssthe ssmother ssis ssRh- ssand
ssthere ssis sspossibility ssof ssthe ssbaby ssbeing ssRh+. ssIf ssthe ssfather ssis ssnot ssRh+ ssthen ssthere ssis ssno sschance ssto
sshave ssa ssRh+ ssbaby
A ssclient sshas ssjust ssstarted ssthe ssthird ssstate ssof sslabor. ssWhich ssof ssthe ssfollowing ssnursing ssactions sshave
sspriority ssat ssthis sstime?
A. ssEncourage ssthe ssclient ssto sspush
B. ssAdminister ssPitocin
C. ssPlace ssbaby ssskin ssto ssskin sson ssmom
D. ssAssess ssmaternal ssvital sssigns ssQ1hr ss- ssAnswer ss- ssC. ssskin ssto ssskin sscontact ssis sscontributes ssto ssmother
ssand ssbaby ssbonding
**KEY ssWORDS: ssjust ssstarted**
pitocin ssis ssadministered ssafter ssthe ssplacenta ssis ssdelivered ssat ssthe ssend ssof ssstage ss3, ssmaternal ssvital sssigns
ssare ssassessed ssQ15min ssafter ssdelivery ssfor ssfirst ss2 sshours. ssThen sshourly ssassessments ssare ssdone
A ssclient's ssfirst ssday ssof ssher ssLMP sswas ssJuly ss18, ss2015. ssWhich ssof ssthe ssfollowing ssshould ssthe ssnurse sstell
ssthe ssclient ssis ssher ssEDB?
A. ssApril ss18, ss2016
, B. ssMay ss23, ss2016
C. ssApril ss25, ss2016
D. ssMarch ss25, ss2016 ss- ssAnswer ss- ssC.
A ssprimigravida sswoman ssdelivered ssher ssbaby ssboy ss12 sshours ssago. ssShe ssacquired ssa ss3rd ssdegree ssmidline
ssepisiotomy ssduring sslabor. ssShe ssexpresses ssmoderate ssdiscomfort ssand ssa sspain sslevel ssof ss2 ssout ssof ss10.
ssWhich ssof ssthe ssfollowing ssnursing ssintervention sswould ssbe ssmost ssappropriate?
A. ssInstruct sspatient ssto ssapply ssice sspacks ssto ssthe ssperinium
B. ssEncourage ssa sssitz ssbath
C. ssCall ssprovider
D. ssGive ssordered ssacetaminophen ss(Tylenol) ssfor ssprophylaxis ss- ssAnswer ss- ssA. ssDuring ssfirst ss24 sshours, ssice
sspacks ssdecrease ssedema ssformation ssand ssincrease sscomfort, ssafter ssfirst ss24 sshours ssafter ssbirth ssprn ssto
ssprovide ssanesthetic sseffect
A sswoman ssadmitted ssin ssyour ssOB ssunit, sscurrently sson ssher ss2nd sspregnancy ssfor ssthis ssdelivery ssstates ssshe
sswants ssto sstry ssvaginal ssbirth ssrather ssthan ssrather ssthan ssC/S sswhich ssshe sshad ssfor ssher ssfirst sspregnancy.
ssWhat ssis ssthe sspriority ssaction ssthe ssnurse ssshould ssperform?
A. ssCall ssthe ssprovider ssand sslet ssher/him ssknow ssabout ssthe sspt's sswishes
B. ssAssess ssher ssabdominal ssC/S ssincision
C. ssLook ssat sspt's sschart ssfor ssnotes ssregarding ssher ssfirst ssdelivery
D. ssPerform ssa ssvaginal ssexam ss- ssAnswer ss- ssC. ssYou sshave ssto sslook ssat ssthe ssUTERINE ssincision, ssnot ssthe
ssabdominal ssone, ssthe ssonly ssway ssto ssdo ssthat ssis ssto sslook ssat ssthe sschart
**ABDOMINAL ssINCISION ssAND ssUTERINE ssINCISION ssMIGHT ssNOT ssMATCH**
classic ssvertical ssincision sslabor ssis sscontraindicated ss- ssrisk ssfor ssuterine ssrupture!
transverse ssincision ssvaginal ssdelivery ssis sspossible
What ssstatement ssfrom ssthe sspostpartum sspt ssabout ssDVT ssprecautions ssrequires ssfurther ssteaching?
A. ss"I ssneed ssthe sschange sspositions ssfrequently ssin ssbed ssand ssavoid ssprolonged ssflexed ssknee sspositions
B. ss"I sswill sslet ssmy sshusband ssmassage ssmy sslegs ssfor sspain ssrelief"
C. ss"I sscan sskeep ssbreastfeeding sswhile ssI'm sson ssheparin"
D ss"I sswill ssevaluate ssmy sslegs ssand ssapply ssmoist ssheat ssto ssdecrease ssdiscomfort" ss- ssAnswer ss- ssB. ssrubbing
ssthe ssaffected ssarea sscould sscause ssclots ssto ssbe ssdislodged
