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OB Exam 1 Practice Questions With 100% Verified Solutions.
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OB Exam 1 Practice Questions With 100% Verified Solutions.
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Name: Score:115 Multiple choice questions
Term 1 of 115
A woman's cousin gave birth to an infant with a congenital heart anomaly. The woman asks the
nurse when such anomalies occur during development. Which response by the nurse is most
accurate?
"We don't really know when such defects occur."
"It depends on what caused the defect."
"They occur between the third and fifth weeks of development."
"They usually occur in the first 2 weeks of development."
Term 2 of 115
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
d
a,c,d
a
,Term 3 of 115
As part of the postpartum assessment, the nurse examines the breasts of a primiparous
breastfeeding woman 1 day postpartum. An expected finding is:
Little if any change.
Leakage of milk at let-down.
Swollen, warm and tender on palpation.
A few blisters and a bruise on each areola.
Term 4 of 115
You are evaluating the fetal monitor tracing of your client, who is in active labor. Suddenly you
see the fetal heart rate (FHR) drop from its baseline of 125 down to 80. You reposition the mother,
provide oxygen, increase IV fluid, and perform a vaginal exam. The cervix has not changed. Five
minutes have passed, and the FHR remains in the 80s. What additional nursing measures should
you take?
Call for help.
Insert a Foley catheter.
Start oxytocin (Pitocin).
Notify the primary health care provider immediately.
Term 5 of 115
With regard to protein in the diet of pregnant women, nurses should be aware that:
Many protein-rich foods are also good sources of calcium, iron, and B vitamins.
Many women need to increase their protein intake during pregnancy.
As with carbohydrates and fat, no specific recommendations exist for the amount of protein
in the diet.
High-protein supplements can be used without risk by women on macrobiotic diets
,Term 6 of 115
Fetal well-being during labor is assessed by:
The response of the fetal heart rate (FHR) to uterine contractions (UCs).
Maternal pain control.
Accelerations in the FHR.
An FHR greater than 110 beats/min
Term 7 of 115
In the current practice of childbirth preparation, emphasis is placed on:
The Dick-Read (natural) childbirth method.
The Lamaze (psychoprophylactic) method.
The Bradley (husband-coached) method.
Encouraging expectant parents to attend childbirth preparation in any or no specific
method.
Term 8 of 115
Which position would the nurse suggest for second-stage labor if the pelvic outlet needs to be
increased?
Semirecumbent
Sitting
Squatting
Side-lying
, Term 9 of 115
The nurse examines a woman 1 hour after birth. The woman's fundus is boggy, midline, and 1 cm
below the umbilicus. Her lochial flow is profuse, with two plum-sized clots. The nurse's initial
action is to:
Place her on a bedpan to empty her bladder
Massage her fundus
Call the physician
Administer methylergonovine (Methergine), 0.2 mg IM, which has been ordered prn
Term 10 of 115
The nurse advises the woman who wants to have a nurse-midwife provide obstetric care that:
She will have to give birth at home.
She must see an obstetrician as well as the midwife during pregnancy.
She will not be able to have epidural analgesia for labor pain.
She must be having a low-risk pregnancy.
Term 11 of 115
An expectant couple asks the nurse about intercourse during pregnancy and whether it is safe for
the baby. The nurse should tell the couple that:
Intercourse should be avoided if any spotting from the vagina occurs afterward.
Intercourse is safe until the third trimester.
Safer-sex practices should be used once the membranes rupture.
Intercourse and orgasm are often contraindicated if a history or signs of preterm labor are
present.
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