1 for specific request mail
OB study guide #2 Questions and Correct Answers |
Latest Update
Nurse is caring for a newborn who was transferred to nursery 30 min
after birth bc of mild resp distress. Which actions should the nurse take
first?
Confirm the newborn's Apgar score.
Verify the newborn's identification.
Administer vitamin K to the newborn.
Assignment Expert
Determine obstetrical risk factors.
Guru01 - Stuvia
Ans: Confirm the newborn's Apgar score:
- The Apgar score is a physiological assessment that occurs 1 min
following birth and again at 5 min. The nurse should confirm the score
2026
when the newborn arrives in the nursery. However, there is another
action the nurse should take first.
©
ANS: Verify the newborn's identification:
- When using the safety/risk reduction approach to client care, the first
action the nurse should take is to verify the newborn's identity upon
arrival to the nursery.
Administer vitamin K to the newborn:
- The nurse should administer IM vitamin K to the newborn soon after
birth to increase clotting factors and prevent bleeding. However, the
injection can be delayed until after initial bonding time and the first
breastfeeding if necessary. Therefore, there is another action the nurse
should take first.
Determine obstetrical risk factors:
, 2 for specific request mail
- The nurse should identify obstetrical risk factors to determine if
interventions are required for the newborn. However, there is another
action the nurse should take first.
Nurse is caring for patient who is in labor and reports increasing rectal
pressure. Experiencing contractions 2-3 min apart, each lasting 80-90
secs, and a vag exam reveals that her cervix is dilated 9 cm. Nurse should
ID that patient is in which phases of labor?
Active
Transition
Assignment Expert
Latent
Guru01 - Stuvia
Descent
Ans: Active:
- The active phase of labor is characterized by a cervical dilatation of 4 to
2026
7 cm and contractions every 3 to 5 min, each lasting 40 to 70 seconds.
©
ANS: Transition:
- The nurse should identify that the client is in the transition phase of
labor. This phase is characterized by a cervical dilatation of 8 to 10 cm
and contractions every 2 to 3 min, each lasting 45 to 90 seconds.
Latent:
- The latent phase of labor is characterized by cervical dilation of 0 to 3
cm and contractions every 5 to 30 min, each lasting 30 to 45 seconds.
Descent:
- The descent phase of labor is characterized by active pushing with
contractions every 1 to 2 min, each lasting for 90 seconds.
, 3 for specific request mail
Nurse is teaching patient who is at 24 weeks gestation regarding a 1 hr
glucose tolerance test. Which statements should nurse include in
teaching?
"You will need to drink the glucose solution 2 hours prior to the test."
"Limit your carbohydrate intake for 3 days prior to the test."
"A blood glucose of 130 to 140 is considered a positive screening result."
"You will need to fast for 12 hours prior to the test."
Ans: "You will need to drink the glucose solution 2 hours prior to the
Assignment Expert
test.":
Guru01 - Stuvia
- The nurse should instruct the client to drink the glucose solution 1 hr
prior to the test.
"Limit your carbohydrate intake for 3 days prior to the test.":
2026
- The nurse should instruct the client that she should not limit her
carbohydrate intake.
©
ANS: "A blood glucose of 130 to 140 is considered a positive screening
result.":
- The nurse should instruct the client that a blood glucose level of 130 to
140 mg/dL is considered a positive screening. If the client receives a
positive result, she will need to undergo a 3-hr glucose tolerance test to
confirm if she has gestational diabetes mellitus.
"You will need to fast for 12 hours prior to the test.":
- The nurse should instruct the client that fasting is not required for a 1-
hr glucose tolerance test.
, 4 for specific request mail
Nurse is assessing patient who gave birth vaginally 12 hrs ago and
palpates her uterus to right above umbilicus. Which interventions should
the nurse perform?
Reassess the client in 2 hr.
Administer simethicone.
Assist the client to empty her bladder.
Instruct the client to lie on her right side.
Ans: Reassess client in 2 hr:
Assignment Expert
- The nurse should assess the client more frequently after birth to
Guru01 - Stuvia
determine the position of the uterus and to intervene as soon as possible
if necessary.
Administer simethicone:
2026
- The nurse should administer simethicone to reduce bloating,
discomfort, or pain caused by excessive gas.
©
ANS: Assist the client to empty her bladder:
- The nurse should assist the client to empty her bladder because the
assessment findings indicate that the client's bladder is distended. This
can prevent the uterus from contracting, resulting in increased vaginal
bleeding or postpartum hemorrhage.
Instruct the client to lie on her right side:
- Lying on her right side will not resolve the client's displaced uterus.
Nurse calculating a patient's expected DOB using nagele's rule. Client
tells nurse that her last menstrual cycle started on Nov 27th. Which dates
is the patient expected DOB?
September 3rd
OB study guide #2 Questions and Correct Answers |
Latest Update
Nurse is caring for a newborn who was transferred to nursery 30 min
after birth bc of mild resp distress. Which actions should the nurse take
first?
Confirm the newborn's Apgar score.
Verify the newborn's identification.
Administer vitamin K to the newborn.
Assignment Expert
Determine obstetrical risk factors.
Guru01 - Stuvia
Ans: Confirm the newborn's Apgar score:
- The Apgar score is a physiological assessment that occurs 1 min
following birth and again at 5 min. The nurse should confirm the score
2026
when the newborn arrives in the nursery. However, there is another
action the nurse should take first.
©
ANS: Verify the newborn's identification:
- When using the safety/risk reduction approach to client care, the first
action the nurse should take is to verify the newborn's identity upon
arrival to the nursery.
Administer vitamin K to the newborn:
- The nurse should administer IM vitamin K to the newborn soon after
birth to increase clotting factors and prevent bleeding. However, the
injection can be delayed until after initial bonding time and the first
breastfeeding if necessary. Therefore, there is another action the nurse
should take first.
Determine obstetrical risk factors:
, 2 for specific request mail
- The nurse should identify obstetrical risk factors to determine if
interventions are required for the newborn. However, there is another
action the nurse should take first.
Nurse is caring for patient who is in labor and reports increasing rectal
pressure. Experiencing contractions 2-3 min apart, each lasting 80-90
secs, and a vag exam reveals that her cervix is dilated 9 cm. Nurse should
ID that patient is in which phases of labor?
Active
Transition
Assignment Expert
Latent
Guru01 - Stuvia
Descent
Ans: Active:
- The active phase of labor is characterized by a cervical dilatation of 4 to
2026
7 cm and contractions every 3 to 5 min, each lasting 40 to 70 seconds.
©
ANS: Transition:
- The nurse should identify that the client is in the transition phase of
labor. This phase is characterized by a cervical dilatation of 8 to 10 cm
and contractions every 2 to 3 min, each lasting 45 to 90 seconds.
Latent:
- The latent phase of labor is characterized by cervical dilation of 0 to 3
cm and contractions every 5 to 30 min, each lasting 30 to 45 seconds.
Descent:
- The descent phase of labor is characterized by active pushing with
contractions every 1 to 2 min, each lasting for 90 seconds.
, 3 for specific request mail
Nurse is teaching patient who is at 24 weeks gestation regarding a 1 hr
glucose tolerance test. Which statements should nurse include in
teaching?
"You will need to drink the glucose solution 2 hours prior to the test."
"Limit your carbohydrate intake for 3 days prior to the test."
"A blood glucose of 130 to 140 is considered a positive screening result."
"You will need to fast for 12 hours prior to the test."
Ans: "You will need to drink the glucose solution 2 hours prior to the
Assignment Expert
test.":
Guru01 - Stuvia
- The nurse should instruct the client to drink the glucose solution 1 hr
prior to the test.
"Limit your carbohydrate intake for 3 days prior to the test.":
2026
- The nurse should instruct the client that she should not limit her
carbohydrate intake.
©
ANS: "A blood glucose of 130 to 140 is considered a positive screening
result.":
- The nurse should instruct the client that a blood glucose level of 130 to
140 mg/dL is considered a positive screening. If the client receives a
positive result, she will need to undergo a 3-hr glucose tolerance test to
confirm if she has gestational diabetes mellitus.
"You will need to fast for 12 hours prior to the test.":
- The nurse should instruct the client that fasting is not required for a 1-
hr glucose tolerance test.
, 4 for specific request mail
Nurse is assessing patient who gave birth vaginally 12 hrs ago and
palpates her uterus to right above umbilicus. Which interventions should
the nurse perform?
Reassess the client in 2 hr.
Administer simethicone.
Assist the client to empty her bladder.
Instruct the client to lie on her right side.
Ans: Reassess client in 2 hr:
Assignment Expert
- The nurse should assess the client more frequently after birth to
Guru01 - Stuvia
determine the position of the uterus and to intervene as soon as possible
if necessary.
Administer simethicone:
2026
- The nurse should administer simethicone to reduce bloating,
discomfort, or pain caused by excessive gas.
©
ANS: Assist the client to empty her bladder:
- The nurse should assist the client to empty her bladder because the
assessment findings indicate that the client's bladder is distended. This
can prevent the uterus from contracting, resulting in increased vaginal
bleeding or postpartum hemorrhage.
Instruct the client to lie on her right side:
- Lying on her right side will not resolve the client's displaced uterus.
Nurse calculating a patient's expected DOB using nagele's rule. Client
tells nurse that her last menstrual cycle started on Nov 27th. Which dates
is the patient expected DOB?
September 3rd
