OB CAPSTONE NEWEST 2024 ACTUAL EXAM 120
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
A nurse is caring for a client who is pregnant for the fourth time. The client delivered two full-
term newborns and had one spontaneous abortion at 10 weeks of gestation. The nurse should
document the client's obstetrical history as which of the following?
Gravida 3, Para 2
Gravida 3, Para 3
Gravida 4, Para 2
Gravida 4, Para - answer-Gravida 4, Para 2
A nurse is caring for a newborn who has a blood glucose level of 45 mg/dL. Which of the
following actions should the nurse take?
a. Encourage the mother to breastfeed the newborn.
b. Gavage feed 60 mL (2 oz) of glucose water.
c. Administer 10 mL of D W via IV.
d. 10 Recheck the glucose level in 2 hr - answer-a. Encourage the mother to breastfeed the
newborn.
A nurse is caring for a client who has placenta previa. Which of the following interventions
should the nurse implement for this client? (Select all that apply.)
a. Perform a vaginal exam.
b. Monitor fetal heart rate with an internal fetal monitor.
c. Frequently assess maternal heart rate.
d. Initiate bed rest with bathroom privileges.
e. Have oxygen equipment available - answer-c. Frequently assess maternal heart rate.
,d. Initiate bed rest with bathroom privileges.
e. Have oxygen equipment available
A nurse is providing teaching to a client about the Papanicolaou (Pap) test. Which of the
following information should the nurse include in the teaching? "A yearly Pap test is
recommended until 70 years of age."
"Pap tests are discontinued following removal of the ovaries."
"Avoid having sexual intercourse for 24 hours prior to the Pap test."
"Viral infections can be detected by a Pap test. - answer-"Avoid having sexual intercourse for
24 hours prior to the Pap test."
A nurse is caring for a client who is in active labor. The nurse notes early decelerations of the
FHR on the fetal monitor tracing. The nurse should identify that which of the following
conditions causes early decelerations in the FHR?
Fetal hypoxemia
Cord compression
Uteroplacental insuciency
Head compression - answer-Head compression
change pt position
A nurse is providing teaching to a group of women about risk factors for ovarian cancer.
Which of the following risk factors should the nurse include? (Select all that apply.) Nulliparity
History of breastfeeding
Previous use of oral contraceptives History of
breast cancer hormone replacement therapy -
answer-Nulliparity History of breast cancer
hormone replacement therapy
, A nurse is caring for a client who is at 14 weeks of gestation and has hyperemesis gravidarum.
Which of the following medications should the nurse plan to administer?
Digoxin
Calcium gluconate
Vitamin B6
Propranolo - answer-Vitamin B6
A nurse is caring for a client who is at 38 weeks of gestation and is experiencing continuous
abdominal pain and vaginal bleeding. The client has a history of cocaine use. The nurse
should identify that the client is likely experiencing which of the following complications?
Abruptio placentae
Hydatidiform mole
Preterm labor
Placenta previa - answer-Abruptio placentae
A nurse is reviewing a client's medical record and notes that the client is taking tamoxifen. The
nurse should identify that tamoxifen is used to treat which of the following conditions?
Non-Hodgkin's lymphoma
Endometriosis
Breast cancer
Polycystic ovary syndrome - answer-Breast cancer
A nurse is assessing a client who gave birth 1 week ago. The client states, "I don't know
what's wrong. I love my baby, but I feel so let down and I seem to cry for no reason." The nurse
should identify that the client is experiencing which of the following emotional responses to
birth?
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
A nurse is caring for a client who is pregnant for the fourth time. The client delivered two full-
term newborns and had one spontaneous abortion at 10 weeks of gestation. The nurse should
document the client's obstetrical history as which of the following?
Gravida 3, Para 2
Gravida 3, Para 3
Gravida 4, Para 2
Gravida 4, Para - answer-Gravida 4, Para 2
A nurse is caring for a newborn who has a blood glucose level of 45 mg/dL. Which of the
following actions should the nurse take?
a. Encourage the mother to breastfeed the newborn.
b. Gavage feed 60 mL (2 oz) of glucose water.
c. Administer 10 mL of D W via IV.
d. 10 Recheck the glucose level in 2 hr - answer-a. Encourage the mother to breastfeed the
newborn.
A nurse is caring for a client who has placenta previa. Which of the following interventions
should the nurse implement for this client? (Select all that apply.)
a. Perform a vaginal exam.
b. Monitor fetal heart rate with an internal fetal monitor.
c. Frequently assess maternal heart rate.
d. Initiate bed rest with bathroom privileges.
e. Have oxygen equipment available - answer-c. Frequently assess maternal heart rate.
,d. Initiate bed rest with bathroom privileges.
e. Have oxygen equipment available
A nurse is providing teaching to a client about the Papanicolaou (Pap) test. Which of the
following information should the nurse include in the teaching? "A yearly Pap test is
recommended until 70 years of age."
"Pap tests are discontinued following removal of the ovaries."
"Avoid having sexual intercourse for 24 hours prior to the Pap test."
"Viral infections can be detected by a Pap test. - answer-"Avoid having sexual intercourse for
24 hours prior to the Pap test."
A nurse is caring for a client who is in active labor. The nurse notes early decelerations of the
FHR on the fetal monitor tracing. The nurse should identify that which of the following
conditions causes early decelerations in the FHR?
Fetal hypoxemia
Cord compression
Uteroplacental insuciency
Head compression - answer-Head compression
change pt position
A nurse is providing teaching to a group of women about risk factors for ovarian cancer.
Which of the following risk factors should the nurse include? (Select all that apply.) Nulliparity
History of breastfeeding
Previous use of oral contraceptives History of
breast cancer hormone replacement therapy -
answer-Nulliparity History of breast cancer
hormone replacement therapy
, A nurse is caring for a client who is at 14 weeks of gestation and has hyperemesis gravidarum.
Which of the following medications should the nurse plan to administer?
Digoxin
Calcium gluconate
Vitamin B6
Propranolo - answer-Vitamin B6
A nurse is caring for a client who is at 38 weeks of gestation and is experiencing continuous
abdominal pain and vaginal bleeding. The client has a history of cocaine use. The nurse
should identify that the client is likely experiencing which of the following complications?
Abruptio placentae
Hydatidiform mole
Preterm labor
Placenta previa - answer-Abruptio placentae
A nurse is reviewing a client's medical record and notes that the client is taking tamoxifen. The
nurse should identify that tamoxifen is used to treat which of the following conditions?
Non-Hodgkin's lymphoma
Endometriosis
Breast cancer
Polycystic ovary syndrome - answer-Breast cancer
A nurse is assessing a client who gave birth 1 week ago. The client states, "I don't know
what's wrong. I love my baby, but I feel so let down and I seem to cry for no reason." The nurse
should identify that the client is experiencing which of the following emotional responses to
birth?
