OB exam 1 practice questions already passed

OB exam 1 practice questions already passed A mother tells you she has a 35 day cycle. What day does ovulation most likely happen for her and when calculating the day ovulation happens you should: Read Lowdermilk pg 66-67 about the Ovarian Cycle "postovulatory phase". Do you know the variation of the follicular and luetal phases? (and other cyclic changes for future classes and exams) A)Day 19 > Add 14 days to the end of the period B) Day 21 > Determine the first day of your next period and count 14 days back C) Day 14 > Start day 1 with the first day of your period and count 14 days forward D) Day 17.5 > Take the number of days in the cycle and divide in half Day 21 > Determine the first day of your next period and count 14 days back A woman comes to your clinic pregnant. She has two children at home [first one born at 39 weeks the second one born at 38 weeks]. In addition she tells you she had three miscarriages {two at 9 weeks and one at 21 weeks]. What is her gravida para status? Gravida 6 Para 3 A new mother want to know how does her baby breath inside her? You tell her: A)The oxygen you take in does not matter because your baby has its own oxygen supply. B) The oxygen you take in travels to your placenta and through the umbilical vein to your baby. C) The oxygen you take in travels to your placenta and through the umbilical artery to your baby. D) The oxygen you take in travels to your umbilical artery to your baby. The oxygen you take in travels to your placenta and through the umbilical vein to your baby. There are many signs of pregnancy. This physiological sign includes those felt by the woman (e.g., fatigue, breast changes). A)Prepregnant B)Probable C) Positive D) Presumptive Presumptive When should a woman who is Rh- receive Rhogam? A)Within 72 hours after birth if neonate is Rh + B) At 28 weeks gestation C) All of the above D) After a miscarriage, abortion, ectopic pregnancy chorionic villus sampling All of the above A nurse caring for a patient who is in labor and her cervix is 5 centimeters dilated. The nurse should follow the protocol for care of a patient in: A)Transition, first stage of labor B) Latent phase, first stage of labor C) Second stage of labor D) Active phase, first stage of labor Active phase, first stage of labor A woman who is at 42 weeks gestation has come in for an induction. You the nurse are going to do a Leopold's Maneuver. During the first maneuver (A) you palpate the fundus. You were told that the fetus has a longitudinal lie not transverse, which means: A)The fetus spine is not parallel to that of the mothers. However the fetus may have a shoulder presentation B) The fetus spine is parallel to that of the mothers. However the fetus may have a cephalic or breech presentation C) The fetus is vertex and can be delivered vaginally with no concerns. D) The fetus is oblique and cannot birth safely The fetus spine is parallel to that of the mothers. However the fetus may have a cephalic or breech presentation In the first stage of labor, what is the most conclusive sign that uterine contractions are effective? A)Labor stops when walking B) Cervix is soft but no effacement C) Progressive change & dilation of the cervix D) Fetal head is LOA Progressive change & dilation of the cervix An RN is caring for a woman in the second stage of labor. The woman states she feels the urge to push. Identify the appropriate intervention and its rationale. Select the best answer. A)This is the Ferguson Reflex. Encourage breathing or exhaling when pushing to maximize fetal oxygenation. B) Encourage the woman's significant other to rest and save energy for birth C) Encourage rest and oral fluids to increase energy resources for the work of labor D) Keep woman supine in bed to conserve energy and ensure safety. This is the Ferguson Reflex. Encourage breathing or exhaling when pushing to maximize fetal oxygenation. A woman who is 22weeks gestation comes to OB triage with c/o bright red bleeding that is increasing. She abdomen is soft and she does not complain of pain. What is happening and your priority intervention? A)Prolapse cord; turn the mother on her side B) Placenta previa; obtain a fetal heart tone strip C) Placenta abruption; give the mother oxygen D) Placenta previa; prepare for a cesarean delivery. Placenta previa; obtain a fetal heart tone strip Acceleration Temporary FHR 15 BPM greater than baseline for atleast 15 seconds Fetal Bradycardia FHR of less than 110 Fetal Tachycardia FHR baseline greater than 160 BPM for longer than 10 minutes Normal Baseline Fetal Heart Rate 110-160 BPM Internal Fetal Monitoring is: A)An invasive procedure requires rupturing the membranes and attaching the electrode to the scalp of the fetus. B) Non invasive procedure using ultrasound to monitor the FHR C)A fetal heart monitor that requires a Doppler D) An invasive procedure by internally measuring the uterine contractions An invasive procedure requires rupturing the membranes and attaching the electrode to the scalp of the fetus. This deceleration does not have a uniform appearance. It often comes in V or W shapes. It can be with, before or after the contraction. It is often caused by umbilical cord compression, short cord, prolapsed cord. What is this deceleration called? Variable This deceleration starts after peak of the contraction and returns slowly back to the baseline after the contraction ends. This deceleration is often reflective of impaired placental exchange or uteroplacental insufficiency. May be caused by a variety of causes such as: Uterine tachystole, placenta previa or abruption. What is this deceleration called? A) Late B) Early C) Variable D) Deviated late A woman who has been in labor for 6 hours is now 10 cm dilated and has intense contractions every 2 - 3 minutes. This deceleration mirrors the contraction. Her fetal monitor shows that the fetal heart rates fall below 100 beats per minute during the contractions. She tells you that she feels the urge to "push". What should the nurse do? A) Prepare the woman for birthing. Encourage her to push with the contractions and rest in between the contractions. B) Lay the woman flat and give her O2. Prepare to resuscitate the baby after delivery C) Tell the woman to pant and not to push. Call the Doctor/Midwife and seek assistance with this birth. D) Ask the woman to sign a consent and prepare her for a cesarean section Prepare the woman for birthing. Encourage her to push with the contractions and rest in between the contractions. The nurse is evaluating the involution of a woman who is 2 days postpartum. Which of the following signs/symptoms should the nurse expect to see? A) Fundus 2cm below the umbilicus, lochia rubra, moderate B) Fundus 1cm above the umbilicus, lochia rubra heavy C) Fundus 2 cm above the umbilicus, lochia alba, light D) Fundus 3cm below the umbilicus, lochia serosa, moderate Fundus 2cm below the umbilicus, lochia rubra, moderate A G3P2 woman delivered vaginally 24 hours ago and the RN assesses the following data: Pain level 3 (tolerable pain level = 3) Lochia red, moderate amount, small clots, no odor Fundus 2 fingerbreadth above the fundus, not firm, midline Total urinary output since delivery 3000 ml Platelets 100,000 per microliter (mcL) Hematocrit 29% (prenatal 2nd trimester = 33%) Perineum Midline episiotomy slightly red & swollen, approximated, no bruising or drainage Which intervention is a priority for this client? A)Gently massage the uterus B) Ibuprofen 600mg po C) Encouragement to increase fluid intake D) Dietary teaching to include iron rich foods E) Application of ice bag to perineal site A postpartum mother's rubella titer comes back from lab and states "not immune". You then administer her a rubella vaccine. What is important to tell her? A)Wait at least 28 days before becoming pregnant B) Do not breastfeed C) Do not come in contact with visitors for one week D) Repeat this vaccine in one week Wait at least 28 days before becoming pregnant The nurse in the clinic is with a 3-Day postpartum mother and is teaching her about caring for her baby with jaundice. The mother is worried about her ability to give the "right care" for her baby. The mother is in a developmental phase known as: A) Taking Hold B) Taking IN C) Letting Go D) Letting IN Taking Hold Two hours after the delivery of your patient's baby her fundus continues to be boggy after you massage her uterus. Her bleeding is large and but no clots. The physician/midwife orders Methylergononvine (methergine) 0.2mg IM. Which of following findings during your assessment would cause you not to give the medication? A)A blood pressure of 177/98 mmHg B) Increased uterine blood flow C) A pulse rate of 88 and respiratory rate of 20 D)A Temperature of 99.8F (37.67 C) A blood pressure of 177/98 mmHg When caring for a one-day-old newborn, the nurse performs her morning assessment. When assessing the chest in comparison to the head, the nurse expects to find: A)The chest circumference to be about 2 cm less than the head circumference. B)The head and chest circumference to be equal C)The head circumference to be about 2 cm less than the chest circumference. D)The chest circumference to be about 3 cm more than the head circumference. The chest circumference to be about 2 cm less than the head circumference. A 31-year-old primipara reports to the nurse that she feels a soft spot on the head of her newborn. Which response by the nurse would be appropriate? A)The soft spot you felt is the anterior fontanel, which normally closes at 12-to-18 months of age. B)It is uncommon but not a pIt should heal within 12 months. C) The baby may have experienced trauma on the head due to pressure on the cervix. D) The bones of the skull must have not developed well. I will notify the physician/midwife immediately. The soft spot you felt is the anterior fontanel, which normally closes at 12-to-18 months of age. A father asks why are you giving his baby a Vitamin K shot? As the nurse you respond that babies lack the intestinal flora to produce Vitamin K and: A)Vitamin K is required for blood coagulation B) Vitamin K is required for bone formation. C) Vitamin K is required for platelet formation. D) Vitamin K is required for renin sythesis. Vitamin K is required for blood coagulation A 3 hour newborn has a sharp S2 that is heard on inspiration and a HR of 144 bpm. What should the nurse do next? A)Document the findings B) Warn the parents that something is wrong C)Notify the physician/midwife D)Give the newborn a neurological assessment Document the findings