OB NCLEX Questions and Answers Rated A
Which of the following tasks may be delegated to injecting it into the epidural space in the back
the nursing assistant? B. Placement of a large bandage over the site of
a. checking the cervix of the patient who is less the epidural insertion.
likely to deliver soon C. Replacement of the epidural catheter into the
b. administering oxygen to the mother who has same space for long-term control
decreasing oxygen saturations D. Placement of a nerve block in the spinal
c. providing ice chips for a mother who complains column at the location of the affected epidural
of a dry mouth space - ANSWER -A- When CSF leaks out
d. Tearing off a strip of paper from the fetal heart of the epidural space a severe headache in the
rate monitor and putting it in the chart - patient can occur. A blood patch can be
ANSWER -C- When working in L&D the performed by a physician to close the site. The
UAP can help with ADLs. They cannot be small amount of blood is withdrawn from the
delegated tasks that require formulating a care mother's arm and the blood clots in the space.
plan, taking off orders, or administering
medications
Which of the patients described should the nurse
see first?
Which of the following situations would most A. 20 yr old patient who just had her first baby
likely warrant contact with a physician for further and doesn't know how to breastfeed
orders for care or treatment? B. 27 yr old diabetic patient who delivered her
A. A patient has a 3rd degree perineal laceration second child yesterday and needs her morning
after delivery dose of insulin
B. A patient has lost 100 mL of blood with C. 24 yr old patient who has had a large amount
delivery of lochia and has developed a hematoma on her
C. A patient has a boggy uterus that does not perineum
firm with massage D. 30 yr old patient who needs to take a shower
D. A patient is having rectal pain - and eat breakfast before the physician comes to
ANSWER -C. When caring for postpartum dismiss her - ANSWER -C. A patient with a
patients, the nurse must be familiar with what hematoma is at risk of hemorrhage and the nurse
conditions are common occurrences following should assess her first
delivery and what situations warrant a call to the
physician for further help. Postpartum
complications often include infection, blood clots,
and hemorrhage. Excess bleeding may occur On the first following delivery, the physician
when the uterus is boggy and it does not firm up ordered a hemoglobin level for the patient; the
with massage. result was 9.9 g/dL. The physician did not list any
other orders in the patient's chart since that time.
Which response of the nurse is most
appropriate>
Following removal of the epidural, the patient A. call the physician and ask if he wants a blood
develops a severe headache when she sits up in transfusion for the patient
bed. The physician has instructed the patient that B. ask the physician about the hemoglobin level
she will need a blood patch. Which best when he comes in for rounds
describes this procedure? C. Contact the laboratory and ask them to repeat
A. Removing blood from a vein in the patient and the test
, OB NCLEX Questions and Answers Rated A
D. continue to monitor the patient and document
the result - ANSWER -B. A postpartum
patient is at risk of hemorrhage following Which of the following patients would be at high
delivery; often the physician will order a risk of developing pre-eclampsia? Select all that
hemoglobin level 1-2 days after delivery to check apply.
the mother's risk status. A level of 9.9 g/dL is A. A patient who is pregnant with her 3rd child
lower than normal for a female patient, but is not B. A patient who is married
necessarily low enough to warrant a blood C. A patient who is 40 yrs old
transfusion. D. A patient who is overweight
E. A patient who is pregnant with twins -
ANSWER -C, D, E-Pre-eclampsia is a state
that develops during pregnancy in which a
The patient's medical record states that she mother has high blood pressure and starts losing
tested positive for group B Streptococcus protein into the urine.Certain risks that increase
infection. which of the following precautions such as a first time pregnancy, advanced
should be given in this situation? maternal age, overweight or obesity in the
A. the patient should receive antibiotics at this mother, and pregnancy with multiple babies
time
b. the patient should be given antibiotics during
labor
c. the fetus should receive antibiotics as a A high risk pregnant patient has had a
prenatal infusion complicated delivery and is in the recovery room
d. there is no treatment necessary - with active bleeding. The physician has ordered
ANSWER -B- B. Streptococcus can be hetastarch in sodium chloride (Hespan) IV
transferred to the baby during delivery to cause infusion. Which best describes the indications for
an infection. the test for the bacteria is performed this fluid?
at approximately 35 weeks gestation, but A. increasing plasma volume during shock or
antibiotics are typically not given until the mother bleeding
is in labor to reduce the chance that she will pass B. Causing blood coagulation to promote blood
the infection to her child clotting
C. Improving circulation by causing vasodilation
D. Increasing cardiac contractility to improve
circulation - ANSWER -A- Hetastarch in
When reviewing information about infant care, sodium chloride (Hespan) is a type of plasma
the nurse should explain that the postpartum expanding solution that is used to increase the
client should call the physician if her infant volume of the intravascular system during times
developed which of the following conditions? of blood loss. Hespan is typically used for volume
A. The infant is only sleeping 4 hours at night replacement to prevent complications of severe
B. the baby wants to eat every hour hemorrhage, such as hypovolemic shock
C. The baby's cord has not fallen off within 7
days
D. The baby has a dry mouth - ANSWER -
D- If a baby has dry mouth or dry mucous A patient with high bp during labor has been
membranes, he or she could be dehydrated and given magnesium sulfate IV. In addition to
not getting enough to eat. regulation of bp, which of the following results
would the nurse expect to see after
Which of the following tasks may be delegated to injecting it into the epidural space in the back
the nursing assistant? B. Placement of a large bandage over the site of
a. checking the cervix of the patient who is less the epidural insertion.
likely to deliver soon C. Replacement of the epidural catheter into the
b. administering oxygen to the mother who has same space for long-term control
decreasing oxygen saturations D. Placement of a nerve block in the spinal
c. providing ice chips for a mother who complains column at the location of the affected epidural
of a dry mouth space - ANSWER -A- When CSF leaks out
d. Tearing off a strip of paper from the fetal heart of the epidural space a severe headache in the
rate monitor and putting it in the chart - patient can occur. A blood patch can be
ANSWER -C- When working in L&D the performed by a physician to close the site. The
UAP can help with ADLs. They cannot be small amount of blood is withdrawn from the
delegated tasks that require formulating a care mother's arm and the blood clots in the space.
plan, taking off orders, or administering
medications
Which of the patients described should the nurse
see first?
Which of the following situations would most A. 20 yr old patient who just had her first baby
likely warrant contact with a physician for further and doesn't know how to breastfeed
orders for care or treatment? B. 27 yr old diabetic patient who delivered her
A. A patient has a 3rd degree perineal laceration second child yesterday and needs her morning
after delivery dose of insulin
B. A patient has lost 100 mL of blood with C. 24 yr old patient who has had a large amount
delivery of lochia and has developed a hematoma on her
C. A patient has a boggy uterus that does not perineum
firm with massage D. 30 yr old patient who needs to take a shower
D. A patient is having rectal pain - and eat breakfast before the physician comes to
ANSWER -C. When caring for postpartum dismiss her - ANSWER -C. A patient with a
patients, the nurse must be familiar with what hematoma is at risk of hemorrhage and the nurse
conditions are common occurrences following should assess her first
delivery and what situations warrant a call to the
physician for further help. Postpartum
complications often include infection, blood clots,
and hemorrhage. Excess bleeding may occur On the first following delivery, the physician
when the uterus is boggy and it does not firm up ordered a hemoglobin level for the patient; the
with massage. result was 9.9 g/dL. The physician did not list any
other orders in the patient's chart since that time.
Which response of the nurse is most
appropriate>
Following removal of the epidural, the patient A. call the physician and ask if he wants a blood
develops a severe headache when she sits up in transfusion for the patient
bed. The physician has instructed the patient that B. ask the physician about the hemoglobin level
she will need a blood patch. Which best when he comes in for rounds
describes this procedure? C. Contact the laboratory and ask them to repeat
A. Removing blood from a vein in the patient and the test
, OB NCLEX Questions and Answers Rated A
D. continue to monitor the patient and document
the result - ANSWER -B. A postpartum
patient is at risk of hemorrhage following Which of the following patients would be at high
delivery; often the physician will order a risk of developing pre-eclampsia? Select all that
hemoglobin level 1-2 days after delivery to check apply.
the mother's risk status. A level of 9.9 g/dL is A. A patient who is pregnant with her 3rd child
lower than normal for a female patient, but is not B. A patient who is married
necessarily low enough to warrant a blood C. A patient who is 40 yrs old
transfusion. D. A patient who is overweight
E. A patient who is pregnant with twins -
ANSWER -C, D, E-Pre-eclampsia is a state
that develops during pregnancy in which a
The patient's medical record states that she mother has high blood pressure and starts losing
tested positive for group B Streptococcus protein into the urine.Certain risks that increase
infection. which of the following precautions such as a first time pregnancy, advanced
should be given in this situation? maternal age, overweight or obesity in the
A. the patient should receive antibiotics at this mother, and pregnancy with multiple babies
time
b. the patient should be given antibiotics during
labor
c. the fetus should receive antibiotics as a A high risk pregnant patient has had a
prenatal infusion complicated delivery and is in the recovery room
d. there is no treatment necessary - with active bleeding. The physician has ordered
ANSWER -B- B. Streptococcus can be hetastarch in sodium chloride (Hespan) IV
transferred to the baby during delivery to cause infusion. Which best describes the indications for
an infection. the test for the bacteria is performed this fluid?
at approximately 35 weeks gestation, but A. increasing plasma volume during shock or
antibiotics are typically not given until the mother bleeding
is in labor to reduce the chance that she will pass B. Causing blood coagulation to promote blood
the infection to her child clotting
C. Improving circulation by causing vasodilation
D. Increasing cardiac contractility to improve
circulation - ANSWER -A- Hetastarch in
When reviewing information about infant care, sodium chloride (Hespan) is a type of plasma
the nurse should explain that the postpartum expanding solution that is used to increase the
client should call the physician if her infant volume of the intravascular system during times
developed which of the following conditions? of blood loss. Hespan is typically used for volume
A. The infant is only sleeping 4 hours at night replacement to prevent complications of severe
B. the baby wants to eat every hour hemorrhage, such as hypovolemic shock
C. The baby's cord has not fallen off within 7
days
D. The baby has a dry mouth - ANSWER -
D- If a baby has dry mouth or dry mucous A patient with high bp during labor has been
membranes, he or she could be dehydrated and given magnesium sulfate IV. In addition to
not getting enough to eat. regulation of bp, which of the following results
would the nurse expect to see after
