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N306 - Maternal - Newborn (OB
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N306 - Maternal - Newborn (OB
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N306 - Maternal - Newborn (OB)Your patient, who gave birth to a 7-pound baby boy 24 hours ago, is complaining of
uterine cramping (afterpains). This is her second baby and she is breastfeeding. Your
assessment reveals a firm fundus at midline at 1 cm below the umbilicus. ( A) Instruct
patient to bottle-feed for 36 hours or until the cramping has stopped.
B) Place a warm blanket on her abdomen.
C) Explain that these are normal for second-time mothers to experience.
D) Offer patient acetaminophen with codeine so she can continue to breastfeed. - ANS-
When caring for a woman who speaks limited English, the appropriate method for
translating information is:
A) using a trained medical interpreter
B) asking a student nurse who speaks the woman's primary language to translate
C) providing printed material for the woman to take home
D) asking for a family member to translate - ANS-
Signs of possible maladaptation to pregnancy include:
A) Denial of fears about childbirth and unrealistic expectations about birth
B) Excessive maternal weight gain and limiting physical activity
C) Denial of physical symptoms of pregnancy and emotional lability
D) Changes in couple's interactions and sexual activity - ANS-
The appropriate recommended weight gain during pregnancy for a woman with normal
BMI is:
A) 10 - 15 lbs.
B) 6 - 20 lbs.
C) 21 - 25 lbs.
D) 25 - 35 lbs. - ANS-D) 25 - 35 lbs.
The purpose of preconception care is to:
A) prevent unwanted pregnancies
B) improve perinatal outcomes
C) facilitate desired pregnancy
D) screen for sexually transmitted diseases - ANS-B) improve perinatal outcomes
Presumptive signs of pregnancy are:
A) all the objective signs of pregnancy
B) those perceived by the HCP
,C) physiological changes perceived by the woman herself
D) those attributed to the fetus - ANS-C) physiological changes perceived by the woman
herself
Physiological changes in pregnancy:
A) involve primarily reproductive organs
B) are protective of the woman and/or fetus
C) are most profound in the 1st trimester
D) primarily impact the musculoskeletal system - ANS-B) are protective of the woman
and/or fetus
Intimate partner violence:
A) consists of physical abuse
B) decreases during pregnancy
C) crosses all ethnic, racial, religious, & socioeconomic levels
D) primarily impacts maternal health - ANS-C) crosses all ethnic, racial, religious, &
socioeconomic levels
RhoGAM would be administered during pregnancy at 28 weeks' gestation to women
with the following:
A) blood type O+
B) Blood type A+
C) Blood type O-
D) Blood type AB - ANS-C) Blood type O-
Blood volume increase during pregnancy by:
A) 20-30%
B) 30-40%
C) 40-50%
D) 50-60% - ANS-C) 40-50%
A woman presents for prenatal care at 10 weeks' gestation reporting N/V. Self-care &
relief measures include:
A) suggest a high protein diet
B) suggest avoiding eating early in the day
C) suggest increasing fluid intake
D) suggest small, frequent meals - ANS-D) suggest small, frequent meals
A woman who gets pregnant within 45 days of delivering a baby is at a higher risk for:
A) iron-deficiency anemia
, B) periodontal disease
C) urinary stasis
D) striae gravidarum - ANS-A) iron-deficiency anemia
Treatment with IV antibiotics is indicated for patients with all of the following except:
A) history of GBS in the urine during pregnancy
B) scheduled for C-section prior to rupture of membranes or labor with a history of
+GBS
C) GBS status unknown with a history of an infant with invasive GBS infection
D) screened negative for GBS at 27 weeks, now in labor with temperature > 100.4 F (38
C) - ANS-B) scheduled for C-section prior to rupture of membranes or labor with a
history of +GBS
Which of the following lab results indicates anemia?
A) Hgb = 11.2
B) Hgb = 10
C) Hct = 34%
D) Hct = 38% - ANS-B) Hgb = 10
Which hormone is responsible for maintaining pregnancy by relaxing smooth muscles
leading to decreased uterine activity & decreasing the risk of spontaneous abortion?
A) estrogen
B) hCG
C) progesterone
D) oxytocin - ANS-C) progesterone
Softening of the cervix that occurs in the second month of pregnancy is known as:
A) Hegar's sign
B) Braxton's sign
C) Goodell's sign
D) Chadwick's sign - ANS-C) Goodell's sign
Using Naegele's rule, calculate the EDD for patient with a LMP of 10 March.
A) December 3
B) December 7
C) December 10
D) December 17 - ANS-D) December 17
Your patient delivered a full-term baby 12 hours ago. The woman and her husband, who
are in their early 20s, have just been informed by their pediatrician that their baby has
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