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OB Exam 1 Practice Questions

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OB Exam 1 Practice Questions 1. Congenital Heart Anomalies: A woman is curious about when congenital heart anomalies happen during fetal development. The best response from the nurse is: - A. "We don't really know when such defects occur." - B. "It depends on what caused the defect." - C. "Th...

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  • August 20, 2024
  • 29
  • 2024/2025
  • Exam (elaborations)
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OB Exam 1 Practice Questions


1. Congenital Heart Anomalies:

A woman is curious about when congenital heart anomalies happen during fetal development. The
best response from the nurse is:

- A. "We don't really know when such defects occur."

- B. "It depends on what caused the defect."

- C. "They occur between the third and fifth weeks of development." ✔️

- D. "They usually occur in the first 2 weeks of development."



2. Fetal Listening:

An 8-month-pregnant woman believes her baby can hear her, but her husband doubts it. The nurse’s
most suitable reply is:

- A. "Many women imagine what their baby is like."

- B. "A baby in utero does respond to the mother's voice." ✔️

- C. "You'll need to ask the doctor if the baby can hear yet."

- D. "Thinking that your baby hears will help you bond with the baby."



3. Amniotic Fluid Facts:

A maternity nurse should be aware of the following regarding 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."



4. Multiple Births:

Nurses addressing inquiries about multiple births should inform parents:

- A. "Rates of twinning and other multiple births are increasing because of the use of fertility drugs and
delayed childbearing." ✔️

, - B. "Dizygotic twins (two fertilized ova) have the potential to be conjoined twins."

- C. "Identical twins are more common in Caucasian families."

- D. "Fraternal twins are same gender, usually male."



5. Sleeping Position and Fetal Circulation:

The nurse recognizes that the woman understands the importance of sleeping positions for fetal
circulation when she reports:

- A. "In a side-lying position." ✔️

- B. "On her back with a pillow under her knees."

- C. "With the head of the bed elevated."

- D. "On her abdomen."



6. Amniocentesis Results:

After an amniocentesis at 35 weeks gestation shows surface-active phospholipids in the amniotic fluid,
the nurse understands that:

- A. "The fetus is at risk for Down syndrome."

- B. "The woman is at high risk for developing preterm labor."

- C. "The lungs are mature." ✔️

- D. "Meconium is present in the amniotic fluid."



7. Normal Pregnancy Length:

The appropriate duration for a typical pregnancy can be defined as:

- A. "9 lunar months, 8.5 calendar months, 39 weeks, 272 days."

- B. "10 lunar months, 9 calendar months, 40 weeks, 280 days." ✔️

- C. "9 calendar months, 10 lunar months, 42 weeks, 294 days."

- D. "9 calendar months, 38 weeks, 266 days."



8. Oligohydramnios Presentation:

A nurse would expect to find the following examination result for a woman diagnosed with
oligohydramnios:

, - A. "Fetus is in a breech position."

- B. "FHR baseline is within normal range."

- C. "Fetus with possible renal problems." ✔️

- D. "Increased fundal height."



9. Fetal Growth Development:

The accurate statement regarding fetal growth is:

- A. "Heart starts beating at 12 weeks."

- B. "Lungs take shape by 8 weeks."

- C. "Brain configuration is complete by 8 weeks."

- D. "Main blood vessels form by 8 weeks." ✔️



10. Medication Concerns for Pregnancy:

When reviewing a woman’s medical history before pregnancy, the following medications would raise
concerns about potential toxic exposure (Select all that apply):

- A. "Tylenol OTC occasionally for a headache; twice last week."

- B. "Anticonvulsant for seizure disorder." ✔️

- C. "Lithium for bipolar disorder." ✔️

- D. "Coumadin for atrial fibrillation." ✔️

- E. "Multivitamins once a day."



11. GTPAL System for Pregnancy History:

For a woman who is 6 weeks pregnant and has had one spontaneous abortion at 14 weeks and one
stillbirth at 38 weeks, her gravidity and parity according to the GTPAL system would be:

- A. "2-0-0-1-1."

- B. "2-1-0-1-0."

- C. "3-1-0-1-0." ✔️

- D. "3-0-1-1-0."

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