OB/PEDS Final Questions from Study Guide
Questions with Correct Answers
A nurse is instructing a patient who is taking an oral contraceptive about danger signs to report to
her provider. The nurse determines the client understands the teaching when the client states the
need to report which of the following? - Correct Answer C. Shortness of Breath
Most side effects associated with combined oral contraceptives are due to: - Correct Answer
estrogen
Suppose Dana, 17 years old, chooses to use a COC as her family planning method. What is a danger
sign of COC's you would ask her to report? - Correct Answer D. Severe migraine headache
Mrs. Smith ask the nurse to compute her expected due date. Based on the fact that her last
menstrual flow began on July 20, which due date would the nurse estimate? - Correct Answer A.
April 27
Which of the following nursing interventions is appropriate when preparing a woman for an
amniocentesis? - Correct Answer B. Be certain she knows that there is a slight risk of complication,
such as preterm labor, from amniocentesis.
T/F- Human chorionic gonadotropin is a placental hormone used to determine pregnancy vie either
blood serum or urinalysis: - Correct Answer True
A nurse is caring for a client who is in preterm labor and is scheduled to undergo an amniocentesis.
The nurse should evaluate which of the following tests to assess fetal lung maturity. - Correct Answer
B. Lecithin/sphingomyelin (L/S) ratio
Liz is scheduled to have an amniocentesis to test for fetal maturity. To help make sure the procedure
is successful, what instructions would be best to give her before this procedure? - Correct Answer A.
Void immediately before the procedure to reduce the size of your bladder.
A nurse is teaching a client who is pregnant about the amniocentesis procedure. Which of the
following statements should the nurse include in teaching? - Correct Answer C. You should empty
your bladder prior to the procedure
,A nurse is reviewing the health record of a client who is pregnant. The provider indicated the client
exhibits probable signs of pregnancy, which of the following finding should the nurse expect? (select
all) - Correct Answer B. Goodell's sign
C. Ballottement
D. Chadwick's sign
_____________ or objective symptoms are experienced by the woman but cannot be documented. -
Correct Answer Presumptive
Lauren's doctor told her she had a positive Chadwick's sign. When she asks you what this means,
your best answer would be which of the following? - Correct Answer D. Your vagina looks dark in
color, a typical pregnancy sign.
Sandra feels healthy so she asks you why she needs to bother coming for prenatal care. What benefit
should you cite when responding to Sandra's statement? - Correct Answer C. It provides time for
education about pregnancy and birth.
Protein is found in large quantities in meat. How many servings per day are recommended for
women during pregnancy? - Correct Answer C. 6
What calorie intake is recommended during pregnancy? - Correct Answer A. An additional 300
calories per day
16. Women should obtain their carbohydrates from ________ ________ rather than simple carbs. -
Correct Answer complex carbs
What vitamins come from what foods
• Vitamin A
• Vitamin C
• Vitamin D
• Folic Acid - Correct Answer • Vitamin A- dark green and yellow vegetables and fruits and in animal
sources such as liver, milk, butter, cheese, and eggs
• Vitamin C-fresh vegetables and fruits
• Vitamin D- fortified milk, cheese, eggs, and salmon
• Folic Acid- vegetables and fruits
,If a fetus is in an ROA position during labor, how would the nurse understand the fetus be
positioned?
A. In a longitudinal lie facing the left posterior.
B. Facing the right anterior abdominal quadrant.
C. In a common breech delivery position.
D. Presenting with the face as the presenting part. - Correct Answer A. In a longitudinal lie facing the
left posterior.
Although the time frame for labor differs with individual women, which time period would you find
excessive for a nullipara woman?
A. A latent phase of labor of 24 hours
B. A deceleration phase of 2 hours
C. A phase of maximum slope of 1.5 cm per hour
D. A fetal descent slope of 1 cm per hour - Correct Answer A. A latent phase of labor of 24 hours
20. A nurse is performing Leopold maneuvers on a client who is in labor. Which of the following
techniques should the nurse use to identify the fetal lie?
a. Apply palms of hands to sides of the uterus.
b. Palpate the fundus of the uterus
c. Grasp lower uterine segment between thumb and fingers
d. Stand facing the client with fingertips outlining cephalic prominence - Correct Answer b. Palpate
the fundus of the uterus
You are collaborating with celeste baileys obstetrician and you are planning possible interventions in
light of fetal position. Which of the following positions is considered ideal and is most conductive to a
birth that requires few interventions by the obstetrician?
A. Right occipoanterior with full flexion.
B. left transverse anterior in moderate flexion
C. right occipitoposterior with no flexion
D. left sacroanterior with full flexion - Correct Answer A. Right occipoanterior with full flexion.
You assess Celeste's uterine contractions and the FHR. Which of the following would you document
as a late deceleration?
, a. The FHR began increasing 45 seconds after the contraction was over
b. The FHR decreased in rate 30 seconds after the start of a contraction
c. The FHR decreased in strength after the start of a contraction
d. A decrease in FHR occurs but is totally unrelated to timing. - Correct Answer b. The FHR decreased
in rate 30 seconds after the start of a contraction
A 19-year-old first-time mother in the second stage of labor who has been given an epidural reports
severe, unrelenting abdominal pain and rates it as 10 on a scale of 0 to 10. As the nurse, what should
you do?
A- Proceed with standard care; the nurse knows that this is typical in the second stage of labor and
that younger women and those who are first-time mothers are more likely to report severe pain.
B- Call the obstetrician; severe unrelenting abdominal pain could indicate placental abruption,
uterine rupture, or other undiagnosed complication.
C- Call the anesthetist, who is responsible for managing the epidural and should be monitoring the
woman's pain.
D- Discuss with the woman the additional pain medication options available to her at this stage in
her labor so that she can choose which option she prefers. - Correct Answer B- Call the obstetrician;
severe unrelenting abdominal pain could indicate placental abruption, uterine rupture, or other
undiagnosed complication
The nurse is assisting a woman through labor, monitoring her closely now that she has received an
epidural. The nurse would report which finding to the anesthesiologist?
A. Dry, cracked lips
B. Urinary retention
C. Rapid progress of labor
D. Inability to push - Correct Answer D. Inability to push
A nurse is caring for a client who is in active labor. The client reports lower back pain. The nurse
suspects that this pain is related to a persistent occiput posterior fetal position. Which of the
following non-pharmacological nursing interventions should the nurse recommend to the client?
a. Abdominal effleurage
b. Sacral counter pressure
c. Showering if not contradicted
d. Back rub and massage - Correct Answer b. Sacral counter pressure
Questions with Correct Answers
A nurse is instructing a patient who is taking an oral contraceptive about danger signs to report to
her provider. The nurse determines the client understands the teaching when the client states the
need to report which of the following? - Correct Answer C. Shortness of Breath
Most side effects associated with combined oral contraceptives are due to: - Correct Answer
estrogen
Suppose Dana, 17 years old, chooses to use a COC as her family planning method. What is a danger
sign of COC's you would ask her to report? - Correct Answer D. Severe migraine headache
Mrs. Smith ask the nurse to compute her expected due date. Based on the fact that her last
menstrual flow began on July 20, which due date would the nurse estimate? - Correct Answer A.
April 27
Which of the following nursing interventions is appropriate when preparing a woman for an
amniocentesis? - Correct Answer B. Be certain she knows that there is a slight risk of complication,
such as preterm labor, from amniocentesis.
T/F- Human chorionic gonadotropin is a placental hormone used to determine pregnancy vie either
blood serum or urinalysis: - Correct Answer True
A nurse is caring for a client who is in preterm labor and is scheduled to undergo an amniocentesis.
The nurse should evaluate which of the following tests to assess fetal lung maturity. - Correct Answer
B. Lecithin/sphingomyelin (L/S) ratio
Liz is scheduled to have an amniocentesis to test for fetal maturity. To help make sure the procedure
is successful, what instructions would be best to give her before this procedure? - Correct Answer A.
Void immediately before the procedure to reduce the size of your bladder.
A nurse is teaching a client who is pregnant about the amniocentesis procedure. Which of the
following statements should the nurse include in teaching? - Correct Answer C. You should empty
your bladder prior to the procedure
,A nurse is reviewing the health record of a client who is pregnant. The provider indicated the client
exhibits probable signs of pregnancy, which of the following finding should the nurse expect? (select
all) - Correct Answer B. Goodell's sign
C. Ballottement
D. Chadwick's sign
_____________ or objective symptoms are experienced by the woman but cannot be documented. -
Correct Answer Presumptive
Lauren's doctor told her she had a positive Chadwick's sign. When she asks you what this means,
your best answer would be which of the following? - Correct Answer D. Your vagina looks dark in
color, a typical pregnancy sign.
Sandra feels healthy so she asks you why she needs to bother coming for prenatal care. What benefit
should you cite when responding to Sandra's statement? - Correct Answer C. It provides time for
education about pregnancy and birth.
Protein is found in large quantities in meat. How many servings per day are recommended for
women during pregnancy? - Correct Answer C. 6
What calorie intake is recommended during pregnancy? - Correct Answer A. An additional 300
calories per day
16. Women should obtain their carbohydrates from ________ ________ rather than simple carbs. -
Correct Answer complex carbs
What vitamins come from what foods
• Vitamin A
• Vitamin C
• Vitamin D
• Folic Acid - Correct Answer • Vitamin A- dark green and yellow vegetables and fruits and in animal
sources such as liver, milk, butter, cheese, and eggs
• Vitamin C-fresh vegetables and fruits
• Vitamin D- fortified milk, cheese, eggs, and salmon
• Folic Acid- vegetables and fruits
,If a fetus is in an ROA position during labor, how would the nurse understand the fetus be
positioned?
A. In a longitudinal lie facing the left posterior.
B. Facing the right anterior abdominal quadrant.
C. In a common breech delivery position.
D. Presenting with the face as the presenting part. - Correct Answer A. In a longitudinal lie facing the
left posterior.
Although the time frame for labor differs with individual women, which time period would you find
excessive for a nullipara woman?
A. A latent phase of labor of 24 hours
B. A deceleration phase of 2 hours
C. A phase of maximum slope of 1.5 cm per hour
D. A fetal descent slope of 1 cm per hour - Correct Answer A. A latent phase of labor of 24 hours
20. A nurse is performing Leopold maneuvers on a client who is in labor. Which of the following
techniques should the nurse use to identify the fetal lie?
a. Apply palms of hands to sides of the uterus.
b. Palpate the fundus of the uterus
c. Grasp lower uterine segment between thumb and fingers
d. Stand facing the client with fingertips outlining cephalic prominence - Correct Answer b. Palpate
the fundus of the uterus
You are collaborating with celeste baileys obstetrician and you are planning possible interventions in
light of fetal position. Which of the following positions is considered ideal and is most conductive to a
birth that requires few interventions by the obstetrician?
A. Right occipoanterior with full flexion.
B. left transverse anterior in moderate flexion
C. right occipitoposterior with no flexion
D. left sacroanterior with full flexion - Correct Answer A. Right occipoanterior with full flexion.
You assess Celeste's uterine contractions and the FHR. Which of the following would you document
as a late deceleration?
, a. The FHR began increasing 45 seconds after the contraction was over
b. The FHR decreased in rate 30 seconds after the start of a contraction
c. The FHR decreased in strength after the start of a contraction
d. A decrease in FHR occurs but is totally unrelated to timing. - Correct Answer b. The FHR decreased
in rate 30 seconds after the start of a contraction
A 19-year-old first-time mother in the second stage of labor who has been given an epidural reports
severe, unrelenting abdominal pain and rates it as 10 on a scale of 0 to 10. As the nurse, what should
you do?
A- Proceed with standard care; the nurse knows that this is typical in the second stage of labor and
that younger women and those who are first-time mothers are more likely to report severe pain.
B- Call the obstetrician; severe unrelenting abdominal pain could indicate placental abruption,
uterine rupture, or other undiagnosed complication.
C- Call the anesthetist, who is responsible for managing the epidural and should be monitoring the
woman's pain.
D- Discuss with the woman the additional pain medication options available to her at this stage in
her labor so that she can choose which option she prefers. - Correct Answer B- Call the obstetrician;
severe unrelenting abdominal pain could indicate placental abruption, uterine rupture, or other
undiagnosed complication
The nurse is assisting a woman through labor, monitoring her closely now that she has received an
epidural. The nurse would report which finding to the anesthesiologist?
A. Dry, cracked lips
B. Urinary retention
C. Rapid progress of labor
D. Inability to push - Correct Answer D. Inability to push
A nurse is caring for a client who is in active labor. The client reports lower back pain. The nurse
suspects that this pain is related to a persistent occiput posterior fetal position. Which of the
following non-pharmacological nursing interventions should the nurse recommend to the client?
a. Abdominal effleurage
b. Sacral counter pressure
c. Showering if not contradicted
d. Back rub and massage - Correct Answer b. Sacral counter pressure
