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OB NCLEX EXAM PACKAGE WITH QUESTIONS AND ANSWERS
OB NCLEX EXAM PACKAGE WITH QUESTIONS AND ANSWERS
[Show more]OB NCLEX EXAM PACKAGE WITH QUESTIONS AND ANSWERS
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A 1-day-old neonate, 32 weeks' gestation, is in an overhead warmer. The nurse assesses the morning axillary temperature as 96.9°F. Which of the following could explain this assessment finding? 
 
1. This is a normal temperature for a preterm neonate. 
2. Axillary temperatures are not valid for ...
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A 1-day-old neonate, 32 weeks' gestation, is in an overhead warmer. The nurse assesses the morning axillary temperature as 96.9°F. Which of the following could explain this assessment finding? 
 
1. This is a normal temperature for a preterm neonate. 
2. Axillary temperatures are not valid for ...
a 
The abuse of which of the following substances during pregnancy is the leading cause of cognitive impairment in the United States? 
 
a. alcohol 
b. tobacco 
c. marijuana 
d. heroin 
 
 
c 
A plan of care for an infant experiencing symptoms of drug withdrawal should include: 
 
a. Administering c...
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The abuse of which of the following substances during pregnancy is the leading cause of cognitive impairment in the United States? 
 
a. alcohol 
b. tobacco 
c. marijuana 
d. heroin 
 
 
c 
A plan of care for an infant experiencing symptoms of drug withdrawal should include: 
 
a. Administering c...
6 
The AAP recommends exclusive breastfeeding or human milk feeding for the first ____ months of life and that breast feeding or human milk feeding continue as the sole source of milk for the first year 
 
 
Latina 
Cultural Influences 
 
A common practice among _______ women is to combine breastfee...
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The AAP recommends exclusive breastfeeding or human milk feeding for the first ____ months of life and that breast feeding or human milk feeding continue as the sole source of milk for the first year 
 
 
Latina 
Cultural Influences 
 
A common practice among _______ women is to combine breastfee...
1 
2 
3 
5 
The nurse is discussing the neonatal blood screening test with a new mother. The nurse knows that the teaching was successful when the mother states that the test screens for the presence in the newborn of which of the following diseases? (Select all that apply) 
 
1. Hypothyroidism. 
 ...
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2 
3 
5 
The nurse is discussing the neonatal blood screening test with a new mother. The nurse knows that the teaching was successful when the mother states that the test screens for the presence in the newborn of which of the following diseases? (Select all that apply) 
 
1. Hypothyroidism. 
 ...
Heart Rate 
APGAR Categories 
 
Based on auscultation with stethoscope or palpation of umbilical cord 
 
 
 
Respiratory Rate 
APGAR Categories 
 
Based on observed movement of respiratory efforts 
 
 
 
Muscle Tone 
APGAR Categories 
 
Based on degree of flexion and movement of the extremities 
 ...
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Add to cartHeart Rate 
APGAR Categories 
 
Based on auscultation with stethoscope or palpation of umbilical cord 
 
 
 
Respiratory Rate 
APGAR Categories 
 
Based on observed movement of respiratory efforts 
 
 
 
Muscle Tone 
APGAR Categories 
 
Based on degree of flexion and movement of the extremities 
 ...
First period of reactivity 
Transition Period 
 
The newborn is alert, exhibits exploring activity, makes sucking sounds, and has a rapid heart rate and respiratory rate. 
 
Heart Rate: Can be as high as 160-180/min, but will stabilize at a baseline of 100-120/min during a period that lasts 30 minu...
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Add to cartFirst period of reactivity 
Transition Period 
 
The newborn is alert, exhibits exploring activity, makes sucking sounds, and has a rapid heart rate and respiratory rate. 
 
Heart Rate: Can be as high as 160-180/min, but will stabilize at a baseline of 100-120/min during a period that lasts 30 minu...
Hemorrhage 
Postpartum ____________ continues to be a leading cause of maternal morbidity and mortality worldwide 
 
 
500 ml 
 
1000 ml 
Postpartum hemorrhage is defined as the loss of more than ______ ml of blood after vaginal birth and ________ ml of blood after cesarean birth 
 
 
Dark 
________...
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Add to cartHemorrhage 
Postpartum ____________ continues to be a leading cause of maternal morbidity and mortality worldwide 
 
 
500 ml 
 
1000 ml 
Postpartum hemorrhage is defined as the loss of more than ______ ml of blood after vaginal birth and ________ ml of blood after cesarean birth 
 
 
Dark 
________...
3 
A gestational diabetic client, who delivered yesterday, is currently on the postpartum unit. Which of the following statements is appropriate for the nurse to make at this time? 
 
1. "Monitor your blood glucose five times a day until your 6-week checkup." 
2. "I will teach you how to inject i...
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A gestational diabetic client, who delivered yesterday, is currently on the postpartum unit. Which of the following statements is appropriate for the nurse to make at this time? 
 
1. "Monitor your blood glucose five times a day until your 6-week checkup." 
2. "I will teach you how to inject i...
1 
A 3-day-breastfeeding client who is not immune to rubella is to receive the rubella vaccine at discharge. Which of the following must the nurse include in her discharge teaching regarding the vaccine? 
 
1. The woman should not become pregnant for at least 4 weeks. 
2. The woman should pump and d...
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A 3-day-breastfeeding client who is not immune to rubella is to receive the rubella vaccine at discharge. Which of the following must the nurse include in her discharge teaching regarding the vaccine? 
 
1. The woman should not become pregnant for at least 4 weeks. 
2. The woman should pump and d...
Attachment 
This is the process by which a parent comes to love and accept a child, and the child comes to love and accept the parent 
 
 
Bonding 
This term is defined as a sensitive period in the first minutes and hours after birth when mothers and fathers must have close contact with their infant...
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This is the process by which a parent comes to love and accept a child, and the child comes to love and accept the parent 
 
 
Bonding 
This term is defined as a sensitive period in the first minutes and hours after birth when mothers and fathers must have close contact with their infant...
Involution 
This is the return of the uterus to a nonpregnant state after birth 
 
 
2 cm 
At the end of the third stage of labor the uterus is in the midline, approximately ____ cm below the level of the umbilicus, with the fundus resting on the sacral promontory 
 
 
Palpable 
The uterus should no...
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This is the return of the uterus to a nonpregnant state after birth 
 
 
2 cm 
At the end of the third stage of labor the uterus is in the midline, approximately ____ cm below the level of the umbilicus, with the fundus resting on the sacral promontory 
 
 
Palpable 
The uterus should no...
Discharge 
the greatest risk associated with early ____________ is for the infant who may develop jaundice, feeding difficulties, infections, gastrointestinal obstruction, or unrecognized respiratory or cardiac problems 
 
 
2 
Infant Discharge Criteria 
 
The infant must have a minimum of ___ succe...
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Add to cartDischarge 
the greatest risk associated with early ____________ is for the infant who may develop jaundice, feeding difficulties, infections, gastrointestinal obstruction, or unrecognized respiratory or cardiac problems 
 
 
2 
Infant Discharge Criteria 
 
The infant must have a minimum of ___ succe...
1 
A client has been diagnosed with water intoxication after having received IV oxytocin (Pitocin) for over 24 hours. Which of the following signs/symptoms would the nurse expect to see? 
 
1. Confusion, drowsiness, and vomiting. 
2. Hypernatremia and hyperkalemia. 
3. Thrombocytopenia and neutropen...
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A client has been diagnosed with water intoxication after having received IV oxytocin (Pitocin) for over 24 hours. Which of the following signs/symptoms would the nurse expect to see? 
 
1. Confusion, drowsiness, and vomiting. 
2. Hypernatremia and hyperkalemia. 
3. Thrombocytopenia and neutropen...
Preterm Labor 
This is defined as cervical changes and uterine contractions occurring between 20-37 weeks of pregnancy 
 
 
Preterm Birth 
This is defined as any birth that occurs before the completion of 37 weeks gestation 
 
 
Spontaneous 
______________ preterm births occur after an early initiat...
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Add to cartPreterm Labor 
This is defined as cervical changes and uterine contractions occurring between 20-37 weeks of pregnancy 
 
 
Preterm Birth 
This is defined as any birth that occurs before the completion of 37 weeks gestation 
 
 
Spontaneous 
______________ preterm births occur after an early initiat...
Fern Test 
In many instances, a sterile speculum examination and a _____ test can confirm that the membranes have ruptured 
 
 
Bloody Show 
This is distinguished from bleeding by the fact that it feels thick and sticky because of its mucoid nature 
 
 
Sexual 
Labor can trigger memories of ________...
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In many instances, a sterile speculum examination and a _____ test can confirm that the membranes have ruptured 
 
 
Bloody Show 
This is distinguished from bleeding by the fact that it feels thick and sticky because of its mucoid nature 
 
 
Sexual 
Labor can trigger memories of ________...
Electronic Fetal monitoring 
This is a useful tool for visualizing FHR patterns on a monitor screen or printed tracing and continues to be the primary mode of intrapartum fetal assessment 
 
 
Vessels 
Reasons for Decreased Fetal Oxygen Supply 
 
Reduction of blood through the maternal _________ as ...
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Add to cartElectronic Fetal monitoring 
This is a useful tool for visualizing FHR patterns on a monitor screen or printed tracing and continues to be the primary mode of intrapartum fetal assessment 
 
 
Vessels 
Reasons for Decreased Fetal Oxygen Supply 
 
Reduction of blood through the maternal _________ as ...
1 
 
 
4 
 
 
3 
 
 
a 
b 
c 
e 
A client enters the labor and delivery suite stating that she thinks she is in labor. Which of the following information about the woman should the nurse note from the woman's prenatal record before proceeding with the physical assessment? Select all that apply 
...
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4 
 
 
3 
 
 
a 
b 
c 
e 
A client enters the labor and delivery suite stating that she thinks she is in labor. Which of the following information about the woman should the nurse note from the woman's prenatal record before proceeding with the physical assessment? Select all that apply 
...
Visceral Pain 
This type of pain is the pain from cervical changes, distention of the lower uterine segment, stretching of cervical tissue at it dilates, and pressure on adjacent structures and nerves during the first stage of labor 
 
 
Referred Pain 
This type of pain occurs when the pain that ori...
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Add to cartVisceral Pain 
This type of pain is the pain from cervical changes, distention of the lower uterine segment, stretching of cervical tissue at it dilates, and pressure on adjacent structures and nerves during the first stage of labor 
 
 
Referred Pain 
This type of pain occurs when the pain that ori...
a 
A patient, 32 weeks pregnant with severe headache, is admitted to the hospital with preeclampsia. In addition to obtaining baseline vital signs and placing the client on bed rest, the physician ordered the following four items. Which of the orders should the nurse perform first? 
 
a. assess deep...
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A patient, 32 weeks pregnant with severe headache, is admitted to the hospital with preeclampsia. In addition to obtaining baseline vital signs and placing the client on bed rest, the physician ordered the following four items. Which of the orders should the nurse perform first? 
 
a. assess deep...
Fontanels 
Passenger: 
 
These are membrane filled spaces located where the sutures intersect. 
 
 
 
Fontanels and Sutures 
Passenger: 
 
During labor, after rupture of the membranes, palpation of the ___________ and ___________ during vaginal examination reveals fetal presentation, position, and ...
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Add to cartFontanels 
Passenger: 
 
These are membrane filled spaces located where the sutures intersect. 
 
 
 
Fontanels and Sutures 
Passenger: 
 
During labor, after rupture of the membranes, palpation of the ___________ and ___________ during vaginal examination reveals fetal presentation, position, and ...
Negative 
A client that is at risk means that they show risk factors that may be associated with a ___________ pregnancy outcome 
 
 
Cardiac Disease 
Pregestational Conditions: 
 
Hemodynamic changes of pregnancy increase the workload on the heart. The most common complication of heart disease in p...
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A client that is at risk means that they show risk factors that may be associated with a ___________ pregnancy outcome 
 
 
Cardiac Disease 
Pregestational Conditions: 
 
Hemodynamic changes of pregnancy increase the workload on the heart. The most common complication of heart disease in p...
First Prenatal Visit 
The following information is collected when? 
 
-Pregnancy History 
-Gynecologic History 
-Illnesses 
-Diseases 
-History of DM 
-Family history of DM 
 
 
Physical Assessment 
-Fetal heart tone 
-Fundal height measurement 
-CBC 
-Lab tests 
-Clean catch urine to test for UTI p...
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Add to cartFirst Prenatal Visit 
The following information is collected when? 
 
-Pregnancy History 
-Gynecologic History 
-Illnesses 
-Diseases 
-History of DM 
-Family history of DM 
 
 
Physical Assessment 
-Fetal heart tone 
-Fundal height measurement 
-CBC 
-Lab tests 
-Clean catch urine to test for UTI p...
Alpha-Fetoprotein 
First Prenatal Visit Tests: 
 
This test looks for this substance produced by the baby's body. It is absorbed into the mom's blood, and if it is elevated, it can indicate that the baby may have a neural tube defect. 
 
 
Transvaginal 
Type of Ultrasound: 
 
This type of ultrasou...
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Add to cartAlpha-Fetoprotein 
First Prenatal Visit Tests: 
 
This test looks for this substance produced by the baby's body. It is absorbed into the mom's blood, and if it is elevated, it can indicate that the baby may have a neural tube defect. 
 
 
Transvaginal 
Type of Ultrasound: 
 
This type of ultrasou...
Massage The Dilemma 
Ethical Decision Making Framework (MORAL): 
 
M 
 
 
Outline the Options 
Ethical Decision Making Framework (MORAL): 
 
O 
 
 
Resolve the Dilemma 
Ethical Decision Making Framework (MORAL): 
 
R 
 
 
Act 
Ethical Decision Making Framework (MORAL): 
 
A 
 
 
Look back and Evalua...
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Add to cartMassage The Dilemma 
Ethical Decision Making Framework (MORAL): 
 
M 
 
 
Outline the Options 
Ethical Decision Making Framework (MORAL): 
 
O 
 
 
Resolve the Dilemma 
Ethical Decision Making Framework (MORAL): 
 
R 
 
 
Act 
Ethical Decision Making Framework (MORAL): 
 
A 
 
 
Look back and Evalua...
a 
b 
c 
d 
A hospitalized client becomes angry and belligerent toward a nurse after speaking on the phone with his mother. The nurse learns that the mother cannot visit as expected due to her work. Which interventions will the nurse use to help the client deal with the displaced anger? Select all t...
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b 
c 
d 
A hospitalized client becomes angry and belligerent toward a nurse after speaking on the phone with his mother. The nurse learns that the mother cannot visit as expected due to her work. Which interventions will the nurse use to help the client deal with the displaced anger? Select all t...
1 
3 
4 
2 
5 
During her first prenatal visit, a client asks a nurse what physiological changes she can expect during pregnancy. The nurse begins the discussion with the presumptive changes of pregnancy. Put the following presumptive changes in ascending chronological order according to when they o...
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3 
4 
2 
5 
During her first prenatal visit, a client asks a nurse what physiological changes she can expect during pregnancy. The nurse begins the discussion with the presumptive changes of pregnancy. Put the following presumptive changes in ascending chronological order according to when they o...
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