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OB-GYN 1500 Midterm questions And Correct Answers Latest 2022.
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OB-GYN 1500 Midterm questions And Correct Answers Latest 2022.Week 1
1. A nurse in a prenatal clinic is caring for a client who is at 7 weeks of gestation. The client reports urinary
frequency and asks if this will continue until delivery. Which of the following responses should the nurse
make?
a. "It's a minor inconvenience, which you should ignore."
i. This is a nontherapeutic response that disregards the client’s concern and offers
unwarranted reassurance.
b. "In most cases it only lasts until the 12th week, but it will continue if you have poor bladdertone."
i. The presence or absence of bladder tone has no bearing on urinary frequency during
pregnancy.
c. "There is no way to predict how long it will last in each individual client."
i. This is a nontherapeutic response that does not provide appropriate information tothe
client.
d. "It occurs during the first trimester and near the end of the pregnancy."
i. Urinary frequency is due to increased bladder sensitivity during the first trimester and
recurs near the end of the pregnancy as the enlarging uterus places pressure on the
bladder.
2. A nurse is caring for an antepartum client whose laboratory findings indicate a negative rubella titer.
Which of the following is the correct interpretation of this data?
a. The client is not experiencing a rubella infection at this time.
i. A negative rubella titer indicates the client is susceptible to the rubella virus. It does not
indicate the presence or absence of a rubella infection.
b. The client is immune to the rubella virus.
i. A negative rubella titer indicates the client is susceptible to the rubella virus.
c. The client requires a rubella vaccination at this time.
i. Rubella vaccination during pregnancy is contraindicated because of possible injury to the
developing fetus.
d. The client requires a rubella immunization following delivery.
i. A negative rubella titer indicates that the client is susceptible to the rubella virus and needs
vaccination following delivery. Immunization during pregnancy is contraindicated because
of possible injury to the developing fetus. Following rubella immunization, the client should
be cautioned not to conceive for 1 month.
3. A nurse is instructing a woman who is contemplating pregnancy about nutritional needs. To reducethe risk of
giving birth to a newborn who has a neural tube defect, which of the following information should the nurse
include in the teaching?
a. Limit alcohol consumption.
i. Alcohol consumption has no effect on the incidence of neural tube defects. It is related
to the incidence of other congenital defects and fetal alcohol syndrome (FAS) in
newborns of clients who consume alcohol during pregnancy.
b. Increase intake of iron-rich foods.
i. Iron intake has no effect on the incidence of neural tube defects. A diet low in ironplaces a
client who is pregnant at risk for preterm labor and postpartum hemorrhage.
c. Consume foods fortified with folic acid.
i. Increased consumption of folic acid in the 3 months prior to conception, as well as
throughout the pregnancy, reduces the incidence of neural tube defects in the developing
fetus.
d. Avoid foods containing aspartame.
i. Aspartame in the diet has no effect on the incidence of neural tube defects in a fetus.
Clients who have phenylketonuria should be advised to avoid aspartame since it contains
phenylalanine.
4. A nurse is caring for a client who is in her first trimester of pregnancy and asks the nurse if she cancontinue to
exercise during pregnancy. Which of the following responses by the nurse is appropriate?
a. "Exercising during pregnancy is not recommended."
i. Physical activity during pregnancy improves circulation, rest, and relieves boredom.
However, risky activities that require precise balance and coordination should be avoided.
b. "Daily jogging for up to 30 minutes is fine throughout the pregnancy."
,OB-GYN 1500 Midterm questions And Correct Answers Latest 2022.
i. While weight-bearing exercises might become uncomfortable in the last trimester,they are
generally not contraindicated, providing the client stays hydrated and avoids becoming
overheated for extended periods.
c. "Activities that raise the body temperature, such as saunas and hot tubs, are safe until thethird
trimester."
i. Prolonged or repeated elevations of maternal and fetal temperature can result in birth
defects, especially during the first trimester of pregnancy.
d. "It is recommended that pregnant clients limit their exercise routine to stretching activities on a mat
several times a week."
i. Daily moderate exercise throughout pregnancy is recommended. After the fourth month
of pregnancy, clients should avoid exercising flat on their back due to the risk of vena cava
syndrome.
5. A nurse is caring for a client who is at 6 weeks of gestation with her first pregnancy and asks the nurse when
she can expect to experience quickening. Which of the following responses should the nurse make?
a. "This will occur during the last trimester of pregnancy."
i. A primigravida client should detect fetal movement earlier than the last weeks of
pregnancy.
b. "This will happen by the end of the first trimester of pregnancy."
i. This is too early in the pregnancy for a primigravida client to detect fetal
movement.
c. "This will occur between the fourth and fifth months of pregnancy."
i. Quickening is defined as the first time the client is able to feel her fetus move. In a
primigravida client, this usually occurs at 18 weeks of gestation or later. In a multigravida
client, this can occur as early as 14 to 16 weeks.
d. "This will happen once the uterus begins to rise out of the pelvis."
i. The uterus rises out of the pelvis at 12 to 14 weeks of gestation, which is too earlyfor a
primigravida client to notice fetal movement.
6. A nurse is caring for a client who is scheduled for a maternal serum-alpha-fetoprotein test at 15 weeks of
gestation. The nurse provides which of the following explanations about this test to theclient?
a. This test assesses fetal lung maturity.
b. It assesses various markers of fetal well-being.
c. This test identifies an Rh incompatibility between the mother and fetus. d. It is a
screening test for spinal defects in the fetus.
i. The maternal serum alpha-fetoprotein (MSAFP) screening test is used to identify
suspected neural tube defects (NTDs) and abdominal wall defects. These include spina
bifida, microcephaly, and anencephaly. This tool is the basis for further testing, such as
amniocentesis and specialized ultrasounds.
7. A nurse is caring for a client who has a positive pregnancy test. The nurse is teaching the client about
common discomforts in the first trimester of pregnancy as well as warning signs of potentialdanger. The
nurse should instruct the client to call the clinic if she experiences which of the following manifestations?
a. Leukorrhea
b. Urinary frequency
c. Nausea and vomitingd.
Facial edema
i. Facial edema is a warning sign of a hypertensive condition or preeclampsia andshould
be reported immediately to the provider.
8. A nurse in a prenatal clinic is caring for a client who is pregnant and asks the nurse for her estimated
date of birth (EDB). The client's last menstrual period began on July 27. What is theclient's EDB? (State
the date in MMDD. For example, July 27 is 0727).
a. 0504
i. Using Nägele's rule, the nurse subtracts three months from the date of the last
menstrual period, then adds 7 days. July minus 3 months equals April. There are 30
days in April, so 27 + 7 = May 4. The client's EDB is May 4, which would be written
as 0504 in the MMDD format.
9. A nurse is providing preconception counseling for a client who is planning a pregnancy. Which of the following
supplements should the nurse recommend to help prevent neural tube defects in thefetus?
,OB-GYN 1500 Midterm questions And Correct Answers Latest 2022.
a. Calcium
, OB-GYN 1500 Midterm questions And Correct Answers Latest 2022.
i. Pregnant clients need adequate amounts of calcium to promote the formation of
the fetal skeleton; however, taking calcium supplements prior to conception will
not help prevent neural tube defects.
b. Iron i. Pregnant clients need adequate amounts of iron to promote maternal hemoglobin
formation and fetal iron storage in the liver; however, taking iron supplements
prior to conception will not help prevent neural tube defects.
c. Vitamin C
i. Pregnant clients need adequate amounts of vitamin C to promote tissue formationand
growth; however, taking vitamin C supplements prior to conception will not help prevent
neural tube defects.
d. Folic acid
i. Adequate amounts of folic acid before conception and during the first trimester of
pregnancy are necessary for fetal neural tube development. This vitamin helps prevent
spina bifida and other neurological disorders.
10. A nurse in a prenatal clinic is completing a skin assessment of a client who is in the secondtrimester.
Which of the following findings should the nurse expect? (Select all that apply.)
a. Eczema
b. Psoriasis
c. Linea nigra
d. Chloasma
e. Striae gravidarum
11. A nurse is assessing a client who is in active labor and notes that the presenting part is at 0station.
Which of the following is the correct interpretation of this clinical finding?
a. The fetal head is in the left occiput posterior position.
b. The largest fetal diameter has passed through the pelvic outlet.
c. The posterior fontanel is palpable.
d. The lowermost portion of the fetus is at the level of the ischial spines.
i. The presenting part is at 0 station when its lowermost portion is at the level of animaginary
line drawn between the client's ischial spines. Levels above the ischial spines are negative
values: -1, -2, -3. Levels below the ischial spines are positive values: +1, +2, +3
12. A nurse is providing teaching about nutrition to a client at her first prenatal visit. Which of the following
statements by the nurse should be included in the teaching?
a. "You will need to increase your calcium intake during breast feeding."
i. The need for calcium during pregnancy and lactation remains the same as forfemale
clients who are not pregnant.
b. "Prenatal vitamins will meet your need for increased vitamin D during pregnancy."
i. The need for vitamin D during pregnancy does not increase.
c. "Vitamin E requirements decline during pregnancy due to the increase in body fat."
i. The need for vitamin E during pregnancy remains the same as for female clientswho are
not pregnant.
d. "You will need to double your intake of iron during pregnancy."
i. During pregnancy, the need for iron increases to allow transfer of the appropriateamounts
to the fetus and to support expansion of the client’s red blood cell volume.
13. A nurse is completing a health history for a client who is at 6 weeks of gestation. The client informsthe nurse
that she smokes one pack of cigarettes per day. The nurse should advise the client that smoking places the
client’s newborn at risk for which of the following complications?
a. Hearing loss
i. Hearing loss in the newborn is related to congenital rubella syndrome and
cytomegalovirus infection during pregnancy.
b. Intrauterine growth restriction
i. Clients who smoke place their newborns and themselves at risk for diverse complications,
including fetal intrauterine growth restriction, placental abruption,placenta previa, preterm
delivery, and fetal death.
c. Type 1 diabetes mellitus
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