OB final exam
1. A woman calls the clinic early on a Tuesday morning stating that she needs a
prescription for emergency contraception. On questioning by the nurse, the woman
states that her boyfriend’s condom was displaced during intercourse on Sunday night.
The nurse should make an appointment for the woman
Ans: By Wednesday
2. A woman who had two previous cesarean births enters the hospital in active labor. She
suddenly complains of pain between her scapulae. The nurse’s priority action is to:
Ans: Fracture
Cephalhematoma
Facial nerve damage
3. Which of the following is a potential disadvantage for a client who
wishes to use an intrauterine device (IUD) as a method of birth
control?
Ans: Ectopic pregnancy
4. A NICU nurse is evaluating her clients for readiness to nipple feed.
She will be evaluating them for which of the following factors? (Select
all that apply)
Ans: Presence of the gagging reflex
Respiratory rate <60 breaths per minute
Presence of the sucking reflex
5. Postpartum uterine atony is more likely to occur if a woman has
Ans: a long labor
6. A 32 year-old primigravida is admitted with a diagnosis of ectopic
pregnancy. Nursing care is based on the knowledge that
Ans: hemorrhage is the major concern
7. A newborn infant weighing 6 pounds 8 ounces (3005g) needs
naloxone (Narcan). The infant should receive approximately
Ans: 0.3 mg
8. The method of contraception that is considered the safest for the
female is the:
Ans: male condom
, 9. What data in the client’s history should the nurse recognize as being
pertinent to a possible diagnosis of postpartum depression?
Ans: Teenage depression episode
10. Camille is 27 years old and delivered her first baby yesterday. She and
her husband do not want to have another baby for at least 3-4 years.
Which of the …… of birth control to meet their needs?
Ans: combination of condoms and foam
11. A woman has been diagnosed with pelvic inflammatory disease. Which
of the following organisms are the most likely causative agents?
Ans: Chlamydia trachomatis
Neisseria gonorrhea
12. Which statement by a woman diagnosed with premenstrual syndrome
indicates that further PMS health teaching is needed?
Ans: “Salty foods will not affect this condition.”
13. The labor nurse is admitting a patient in active labor with a history of
genital herpes. On assessment, the patient reports a recent outbreak,
and the nurse …. Lesions on the perineum. What is the nurse’s next
action?
Ans: Ask the patient when she last had anything to eat or drink
14. 33.Which of these substances can lead to miscarriage, preterm labor,
placental separation (abruption), and stillbirth?
Ans: Cocaine
15. 34.Which nursing action is especially important for an SGA newborn?
(small gestational newborn)
Ans: Prevent hypoglycemia with early and frequent feedings
16. In counseling a patient who has decided to relinquish her baby for
adoption, the nurse should do which of the following?
Ans: Affirm her decision while acknowledging her maturity in making
it.
1. A woman calls the clinic early on a Tuesday morning stating that she needs a
prescription for emergency contraception. On questioning by the nurse, the woman
states that her boyfriend’s condom was displaced during intercourse on Sunday night.
The nurse should make an appointment for the woman
Ans: By Wednesday
2. A woman who had two previous cesarean births enters the hospital in active labor. She
suddenly complains of pain between her scapulae. The nurse’s priority action is to:
Ans: Fracture
Cephalhematoma
Facial nerve damage
3. Which of the following is a potential disadvantage for a client who
wishes to use an intrauterine device (IUD) as a method of birth
control?
Ans: Ectopic pregnancy
4. A NICU nurse is evaluating her clients for readiness to nipple feed.
She will be evaluating them for which of the following factors? (Select
all that apply)
Ans: Presence of the gagging reflex
Respiratory rate <60 breaths per minute
Presence of the sucking reflex
5. Postpartum uterine atony is more likely to occur if a woman has
Ans: a long labor
6. A 32 year-old primigravida is admitted with a diagnosis of ectopic
pregnancy. Nursing care is based on the knowledge that
Ans: hemorrhage is the major concern
7. A newborn infant weighing 6 pounds 8 ounces (3005g) needs
naloxone (Narcan). The infant should receive approximately
Ans: 0.3 mg
8. The method of contraception that is considered the safest for the
female is the:
Ans: male condom
, 9. What data in the client’s history should the nurse recognize as being
pertinent to a possible diagnosis of postpartum depression?
Ans: Teenage depression episode
10. Camille is 27 years old and delivered her first baby yesterday. She and
her husband do not want to have another baby for at least 3-4 years.
Which of the …… of birth control to meet their needs?
Ans: combination of condoms and foam
11. A woman has been diagnosed with pelvic inflammatory disease. Which
of the following organisms are the most likely causative agents?
Ans: Chlamydia trachomatis
Neisseria gonorrhea
12. Which statement by a woman diagnosed with premenstrual syndrome
indicates that further PMS health teaching is needed?
Ans: “Salty foods will not affect this condition.”
13. The labor nurse is admitting a patient in active labor with a history of
genital herpes. On assessment, the patient reports a recent outbreak,
and the nurse …. Lesions on the perineum. What is the nurse’s next
action?
Ans: Ask the patient when she last had anything to eat or drink
14. 33.Which of these substances can lead to miscarriage, preterm labor,
placental separation (abruption), and stillbirth?
Ans: Cocaine
15. 34.Which nursing action is especially important for an SGA newborn?
(small gestational newborn)
Ans: Prevent hypoglycemia with early and frequent feedings
16. In counseling a patient who has decided to relinquish her baby for
adoption, the nurse should do which of the following?
Ans: Affirm her decision while acknowledging her maturity in making
it.
