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OB Exam 2 Practice Questions Verified Answers 1. Nurse Assessment at 38 Weeks Gestation - The nurse conducts an assessment on a client who is 38 weeks pregnant and observes a fetal hear $9.79
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OB Exam 2 Practice Questions Verified Answers 1. Nurse Assessment at 38 Weeks Gestation - The nurse conducts an assessment on a client who is 38 weeks pregnant and observes a fetal hear
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OB Exam 2 Practice Questions Verified Answers 1. Nurse Assessment at 38 Weeks Gestation - The nurse conducts an assessment on a client who is 38 weeks pregnant and observes a fetal heart rate of 174 beats per minute. What should be the PRIORITY nursing action based on this finding? - A) Documen...

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  • August 20, 2024
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OB Exam 2 Practice Questions Verified Answers


1. Nurse Assessment at 38 Weeks Gestation

- The nurse conducts an assessment on a client who is 38 weeks pregnant and observes a fetal heart
rate of 174 beats per minute. What should be the PRIORITY nursing action based on this finding?

- A) Document the finding

- B) Check the mother’s heart rate

- C) Notify the healthcare provider (HCP)

- D) Inform the client that the fetal heart rate is normal ✔️C



2. First Prenatal Assessment with Nagele's Rule

- A client comes to the clinic for her initial prenatal assessment and states that her last menstrual
period began on October 19, 2014. What expected date of delivery should the nurse record in the
client's chart using Nagele's Rule?

- A) July 12, 2014

- B) July 26, 2015 ✔️

- C) August 12, 2015

- D) August 26, 2015



3. Non-Stress Test Interpretation

- After conducting a non-stress test on a pregnant client, the nurse examines the fetal monitor strip
and interprets the test as reactive. How should the nurse document this finding?

- A) Normal ✔️

- B) Abnormal

- C) The need for further evaluation

- D) That findings were difficult to interpret



4. Home Care Assessment for Mild Preeclampsia

- The home care nurse visits a pregnant client diagnosed with mild preeclampsia. Which assessment
finding indicates a worsening of the preeclampsia that necessitates notifying the HCP?

, - A) Increased urinary output

- B) Resolved dependent edema

- C) Blood pressure is at the prenatal baseline

- D) The client reports a headache and blurred vision ✔️



5. Patient Teaching for a Pregnant Client with Type 1 Diabetes

- The nurse is evaluating a pregnant client with type 1 diabetes regarding her understanding of insulin
requirements during pregnancy. Which statement indicates that FURTHER TEACHING IS REQUIRED?

- A) "I will need to increase my insulin dosage during the first 3 months of pregnancy." ✔️

- B) "My insulin dose will likely need to be increased during the second and third trimesters."

- C) "Episodes of hypoglycemia are more likely to occur during the first 3 months of pregnancy."

- D) "My insulin needs should return to normal within 7-10 days after birth if I am bottle feeding."



6. Monitoring Fetal Patterns in Labor

- The labor and delivery nurse is caring for a client in the active phase of the first stage of labor (latent
phase). Upon assessing fetal patterns, the nurse notes a late deceleration on the monitor strip. What is
the most appropriate nursing action?

- A) Administer oxygen via face mask ✔️

- B) Position the mother supine

- C) Increase the rate of the oxytocin (Pitocin) IV infusion

- D) Document the findings and continue to monitor fetal patterns



7. Care for Client with Suspected Placenta Previa

- The maternity nurse is preparing to care for a third-trimester client experiencing vaginal bleeding
with a suspected diagnosis of placenta previa. Which prescription should the nurse question?

- A) Prepare the client for an ultrasound

- B) Get equipment for a manual pelvic examination ✔️

- C) Prepare to draw hemoglobin and hematocrit blood samples

- D) Obtain equipment for external electronic fetal heart rate monitoring

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