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OB NCLEX Questions & Answers. 100% Accurate. Verified.

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ob nclex questions amp answers 100 accurate verified which of the following tasks may be delegated to the nursing assistant a checking the cervix of the patient who is less likely to deliv

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OB NCLEX Questions & Answers. 100%
Accurate. Verified.

Which of the following tasks may be delegated to the nursing assistant?

a. checking the cervix of the patient who is less likely to deliver soon

b. administering oxygen to the mother who has decreasing oxygen saturations

c. providing ice chips for a mother who complains of a dry mouth

d. Tearing off a strip of paper from the fetal heart rate monitor and putting it in the chart - ✔✔-C- When
working in L&D the UAP can help with ADLs. They cannot be delegated tasks that require formulating a
care plan, taking off orders, or administering medications

Which of the following situations would most likely warrant contact with a physician for further orders
for care or treatment?

A. A patient has a 3rd degree perineal laceration after delivery

B. A patient has lost 100 mL of blood with delivery

C. A patient has a boggy uterus that does not firm with massage

D. A patient is having rectal pain - ✔✔-C. When caring for postpartum patients, the nurse must be
familiar with what conditions are common occurrences following delivery and what situations warrant a
call to the physician for further help. Postpartum complications often include infection, blood clots, and
hemorrhage. Excess bleeding may occur when the uterus is boggy and it does not firm up with massage.

Following removal of the epidural, the patient develops a severe headache when she sits up in bed. The
physician has instructed the patient that she will need a blood patch. Which best describes this
procedure?

A. Removing blood from a vein in the patient and injecting it into the epidural space in the back

B. Placement of a large bandage over the site of the epidural insertion.

C. Replacement of the epidural catheter into the same space for long-term control

D. Placement of a nerve block in the spinal column at the location of the affected epidural space - ✔✔-
A- When CSF leaks out of the epidural space a severe headache in the patient can occur. A blood patch

,can be performed by a physician to close the site. The small amount of blood is withdrawn from the
mother's arm and the blood clots in the space.

Which of the patients described should the nurse see first?

A. 20 yr old patient who just had her first baby and doesn't know how to breastfeed

B. 27 yr old diabetic patient who delivered her second child yesterday and needs her morning dose of
insulin

C. 24 yr old patient who has had a large amount of lochia and has developed a hematoma on her
perineum

D. 30 yr old patient who needs to take a shower and eat breakfast before the physician comes to dismiss
her - ✔✔-C. A patient with a hematoma is at risk of hemorrhage and the nurse should assess her first

On the first following delivery, the physician ordered a hemoglobin level for the patient; the result was
9.9 g/dL. The physician did not list any other orders in the patient's chart since that time. Which
response of the nurse is most appropriate>

A. call the physician and ask if he wants a blood transfusion for the patient

B. ask the physician about the hemoglobin level when he comes in for rounds

C. Contact the laboratory and ask them to repeat the test

D. continue to monitor the patient and document the result - ✔✔-B. A postpartum patient is at risk of
hemorrhage following delivery; often the physician will order a hemoglobin level 1-2 days after delivery
to check the mother's risk status. A level of 9.9 g/dL is lower than normal for a female patient, but is not
necessarily low enough to warrant a blood transfusion.

The patient's medical record states that she tested positive for group B Streptococcus infection. which of
the following precautions should be given in this situation?

A. the patient should receive antibiotics at this time

b. the patient should be given antibiotics during labor

c. the fetus should receive antibiotics as a prenatal infusion

d. there is no treatment necessary - ✔✔-B- B. Streptococcus can be transferred to the baby during
delivery to cause an infection. the test for the bacteria is performed at approximately 35 weeks
gestation, but antibiotics are typically not given until the mother is in labor to reduce the chance that
she will pass the infection to her child

, When reviewing information about infant care, the nurse should explain that the postpartum client
should call the physician if her infant developed which of the following conditions?

A. The infant is only sleeping 4 hours at night

B. the baby wants to eat every hour

C. The baby's cord has not fallen off within 7 days

D. The baby has a dry mouth - ✔✔-D- If a baby has dry mouth or dry mucous membranes, he or she
could be dehydrated and not getting enough to eat.

Which of the following patients would be at high risk of developing pre-eclampsia? Select all that apply.

A. A patient who is pregnant with her 3rd child

B. A patient who is married

C. A patient who is 40 yrs old

D. A patient who is overweight

E. A patient who is pregnant with twins - ✔✔-C, D, E-Pre-eclampsia is a state that develops during
pregnancy in which a mother has high blood pressure and starts losing protein into the urine.Certain
risks that increase such as a first time pregnancy, advanced maternal age, overweight or obesity in the
mother, and pregnancy with multiple babies

A high risk pregnant patient has had a complicated delivery and is in the recovery room with active
bleeding. The physician has ordered hetastarch in sodium chloride (Hespan) IV infusion. Which best
describes the indications for this fluid?

A. increasing plasma volume during shock or bleeding

B. Causing blood coagulation to promote blood clotting

C. Improving circulation by causing vasodilation

D. Increasing cardiac contractility to improve circulation - ✔✔-A- Hetastarch in sodium chloride (Hespan)
is a type of plasma expanding solution that is used to increase the volume of the intravascular system
during times of blood loss. Hespan is typically used for volume replacement to prevent complications of
severe hemorrhage, such as hypovolemic shock

A patient with high bp during labor has been given magnesium sulfate IV. In addition to regulation of bp,
which of the following results would the nurse expect to see after administration of this medication?

A. cool, pale skin

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