OB exam 1 Practice
1. A woman in active labor receives an opioid agonist analgesic.
Which medication relieves severe, persistent, or recurrent pain,
creates a sense of well-being, overcomes inhibitory factors, and
may even relax the cervix but should be used cautiously in women
with cardiac disease?
A. Meperidine (Demerol)
B. Promethazine (Phenergan)
✅✅
C. Butorphanol tartrate (Stadol)
D. Nalbuphine (Nubain - -a
A 22-year-old woman pregnant with a single fetus had a
preconception body mass index (BMI) of 24. When she was seen in
the clinic at 14 weeks of gestation, she had gained 1.8 kg (4 lbs)
since conception. How would the nurse interpret this finding?
A. This weight gain indicates possible gestational hypertension.
B. This weight gain indicates that the woman's infant is at risk for
intrauterine growth restriction (IUGR).
C. This weight gain cannot be evaluated until the woman has been
observed for several more weeks.
✅✅
D. The woman's weight gain is appropriate for this stage of
pregnancy. - -d
A group of fetal monitoring experts (National Institute of Child
Health and Human Development, 2008) recommends that fetal heart
rate (FHR) tracings demonstrate certain characteristics to be
described as reassuring or normal (category I). These
characteristics include:
A. Bradycardia not accompanied by baseline variability.
B. Early decelerations, either present or absent.
✅✅
C. Sinusoidal pattern.
D. Tachycardia. - -b
A maternity nurse should be aware of which fact about the amniotic
fluid?
A. It serves as a source of oral fluid and as a repository for waste
from the fetus.
,B. The volume remains about the same throughout the term of a
healthy pregnancy.
C. A volume of less than 300 ml is associated with gastrointestinal
malformations.
✅✅
D. A volume of more than 2 L is associated with fetal renal
abnormalities - -a
A nurse caring for a woman in labor understands that increased
variability of the fetal heart rate might be caused by:
A. Narcotics.
B. Barbiturates.
✅✅
C. Methamphetamines.
D. Tranquilizers - -c
A nurse teaches a pregnant woman about the characteristics of
true labor contractions. The nurse evaluates her understanding of
the instructions when the woman states:
A. "True labor contractions will subside when I walk around."
B. "True labor contractions will cause discomfort over the top of
my uterus."
C. "True labor contractions will continue and get stronger even if I
relax and take a shower."
✅✅
D. "True labor contractions will remain irregular but become
stronger." - -c
A nurse teaches a pregnant woman about the presumptive,
probable, and positive signs of pregnancy. The woman
demonstrates understanding of the nurse's instructions if she
states that a positive sign of pregnancy is:
A. A positive pregnancy test result.
B. Fetal movement palpated by the nurse-midwife.
✅✅
C. Braxton Hicks contractions.
D. Quickening. - -b
A pregnant patient is experiencing some integumentary changes
and is concerned that they may represent abnormal findings. The
nurse provides information to the patient that the following findings
, would be considered "normal abnormal" findings during pregnancy
so that she should not be alarmed. (Select all that apply.)
A. Facial edema
B. Melasma
C. Linea nigra
D. Superficial thrombophlebitis
✅✅
E. Vascular spiders
F. Allodynia - -b,c,e
A pregnant woman at 10 weeks of gestation jogs three or four times
per week. She is concerned about the effect of exercise on the
fetus. The nurse should tell her:
A. "You don't need to modify your exercising any time during your
pregnancy."
B. "Stop exercising, because it will harm the fetus."
C. "You may find that you need to modify your exercise to walking
later in your pregnancy, around the seventh month."
✅✅
D. "Jogging is too hard on your joints; switch to walking now." -
-c
A pregnant woman demonstrates understanding of the nurse's
instructions regarding relief of leg cramps if she:
A. Wiggles and points her toes during the cramp.
B. Applies cold compresses to the affected leg.
C. Extends her leg and dorsiflexes her foot during the cramp.
✅✅
D. Avoids weight bearing on the affected leg during the cramp. -
-c
A pregnant woman experiencing nausea and vomiting should:
A. Drink a glass of water with a fat-free carbohydrate before getting
out of bed in the morning.
B. Eat small, frequent meals (every 2 to 3 hours).
C. Increase her intake of high-fat foods to keep the stomach full
✅✅
and coated.
D. Limit fluid intake throughout the day. - -b
1. A woman in active labor receives an opioid agonist analgesic.
Which medication relieves severe, persistent, or recurrent pain,
creates a sense of well-being, overcomes inhibitory factors, and
may even relax the cervix but should be used cautiously in women
with cardiac disease?
A. Meperidine (Demerol)
B. Promethazine (Phenergan)
✅✅
C. Butorphanol tartrate (Stadol)
D. Nalbuphine (Nubain - -a
A 22-year-old woman pregnant with a single fetus had a
preconception body mass index (BMI) of 24. When she was seen in
the clinic at 14 weeks of gestation, she had gained 1.8 kg (4 lbs)
since conception. How would the nurse interpret this finding?
A. This weight gain indicates possible gestational hypertension.
B. This weight gain indicates that the woman's infant is at risk for
intrauterine growth restriction (IUGR).
C. This weight gain cannot be evaluated until the woman has been
observed for several more weeks.
✅✅
D. The woman's weight gain is appropriate for this stage of
pregnancy. - -d
A group of fetal monitoring experts (National Institute of Child
Health and Human Development, 2008) recommends that fetal heart
rate (FHR) tracings demonstrate certain characteristics to be
described as reassuring or normal (category I). These
characteristics include:
A. Bradycardia not accompanied by baseline variability.
B. Early decelerations, either present or absent.
✅✅
C. Sinusoidal pattern.
D. Tachycardia. - -b
A maternity nurse should be aware of which fact about the amniotic
fluid?
A. It serves as a source of oral fluid and as a repository for waste
from the fetus.
,B. The volume remains about the same throughout the term of a
healthy pregnancy.
C. A volume of less than 300 ml is associated with gastrointestinal
malformations.
✅✅
D. A volume of more than 2 L is associated with fetal renal
abnormalities - -a
A nurse caring for a woman in labor understands that increased
variability of the fetal heart rate might be caused by:
A. Narcotics.
B. Barbiturates.
✅✅
C. Methamphetamines.
D. Tranquilizers - -c
A nurse teaches a pregnant woman about the characteristics of
true labor contractions. The nurse evaluates her understanding of
the instructions when the woman states:
A. "True labor contractions will subside when I walk around."
B. "True labor contractions will cause discomfort over the top of
my uterus."
C. "True labor contractions will continue and get stronger even if I
relax and take a shower."
✅✅
D. "True labor contractions will remain irregular but become
stronger." - -c
A nurse teaches a pregnant woman about the presumptive,
probable, and positive signs of pregnancy. The woman
demonstrates understanding of the nurse's instructions if she
states that a positive sign of pregnancy is:
A. A positive pregnancy test result.
B. Fetal movement palpated by the nurse-midwife.
✅✅
C. Braxton Hicks contractions.
D. Quickening. - -b
A pregnant patient is experiencing some integumentary changes
and is concerned that they may represent abnormal findings. The
nurse provides information to the patient that the following findings
, would be considered "normal abnormal" findings during pregnancy
so that she should not be alarmed. (Select all that apply.)
A. Facial edema
B. Melasma
C. Linea nigra
D. Superficial thrombophlebitis
✅✅
E. Vascular spiders
F. Allodynia - -b,c,e
A pregnant woman at 10 weeks of gestation jogs three or four times
per week. She is concerned about the effect of exercise on the
fetus. The nurse should tell her:
A. "You don't need to modify your exercising any time during your
pregnancy."
B. "Stop exercising, because it will harm the fetus."
C. "You may find that you need to modify your exercise to walking
later in your pregnancy, around the seventh month."
✅✅
D. "Jogging is too hard on your joints; switch to walking now." -
-c
A pregnant woman demonstrates understanding of the nurse's
instructions regarding relief of leg cramps if she:
A. Wiggles and points her toes during the cramp.
B. Applies cold compresses to the affected leg.
C. Extends her leg and dorsiflexes her foot during the cramp.
✅✅
D. Avoids weight bearing on the affected leg during the cramp. -
-c
A pregnant woman experiencing nausea and vomiting should:
A. Drink a glass of water with a fat-free carbohydrate before getting
out of bed in the morning.
B. Eat small, frequent meals (every 2 to 3 hours).
C. Increase her intake of high-fat foods to keep the stomach full
✅✅
and coated.
D. Limit fluid intake throughout the day. - -b
