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OB Exam 2 Guaranteed Success 1. Assessment for Postpartum Hemorrhage - A nurse is evaluating a postpartum client for signs of potential hemorrhage due to a cervical laceration. Besides checking for a firm uterus, what other assessment is crucial? - 1) Slowed pulse rate - 2) Increased blood pres...

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  • August 20, 2024
  • 26
  • 2024/2025
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OB Exam 2 Guaranteed Success
1. Assessment for Postpartum Hemorrhage

- A nurse is evaluating a postpartum client for signs of potential hemorrhage due to a cervical
laceration. Besides checking for a firm uterus, what other assessment is crucial?

- 1) Slowed pulse rate

- 2) Increased blood pressure

- 3) Persistent muscular twitching

- 4) Continuous trickling of blood ✔️Continuous trickling of blood



2. Risk Factors for Postpartum Hemorrhage

- In caring for postpartum clients, which factor increases the risk of hemorrhage?

- 1) Breastfeeding in the birthing room

- 2) Receiving a pudendal block for delivery

- 3) A third stage of labor lasting 10 minutes

- 4) Delivering a baby weighing 9 lb 8 oz ✔️Giving birth to a baby weighing 9 lb 8 oz



3. Estimating Blood Loss in Postpartum Clients

- To assess a postpartum client for hemorrhage by evaluating perineal pad saturation, what other
method can determine blood loss?

- 1) Odor of the lochia

- 2) Color of the lochia

- 3) Presence of small clots on the pad

- 4) Time elapsed between pad changes ✔️Time elapsed between pad changes



4. Normal Development in a Newborn

- When assessing a newborn immediately after birth, which finding indicates proper development?

- 1) Body weight of 3500 g

- 2) Core body temperature of 96°F

- 3) Blood pressure of 70/60 mm Hg

, - 4) Head circumference 3 cm smaller than chest circumference ✔️A body weight of 3500 g

Note: Normal weight range is between 2700 and 4000 g.



5. Understanding Erb Palsy

- A nurse assesses a newborn with an asymmetric Moro reflex and diagnoses Erb palsy. What does the
nurse understand to be the cause?

- 1) Acquired in utero

- 2) A tumor arising from muscle tissue

- 3) X-linked inheritance pattern

- 4) Injury to the shoulder during birth ✔️The cause is an injury to the shoulder during birth.



6. Feeding an Infant with a Cleft Lip

- For a newborn with a cleft lip using a special nipple, what advice should the nurse give to minimize
regurgitation?

- 1) Burp frequently during feedings.

- 2) Offer thickened formula as prescribed.

- 3) Place the baby in an infant seat during feedings.

- 4) Position the infant on one side with the bottle propped. ✔️Burp frequently during feedings.



7. Care Plan for Newborn with Hypospadias

- What should the nurse include in the care plan for a newborn with hypospadias before corrective
surgery?

- 1) Wrapping the penis with petrolatum gauze

- 2) Explaining to the parents why a circumcision is not done

- 3) Preparing the newborn for a cystotomy tube insertion

- 4) Teaching parents about the genetic basis of hypospadias ✔️Explaining to the parents why a
circumcision is not done.



8. Immunization Schedule Explanation

, - A parent inquires why the immunization schedule does not begin for their newborn (except for the
hepatitis B vaccine) until the infant is 2 months old. How should the nurse respond?

- 1) "A newborn's spleen can't produce efficient antibodies."

- 2) "Infants younger than 2 months are rarely exposed to infectious diseases."

- 3) "The immunization will overwhelm the infant's immature immune system and cause disease."

- 4) "Maternal antibodies hinder the development of the infant's own antibodies when vaccinated."
✔️"Maternal antibodies interfere with the development of active antibodies by the infant when
immunized."



9. Teaching About Phenylketonuria (PKU)

- What should the nurse inform parents regarding their newborn's diagnosis of phenylketonuria (PKU)?

- 1) A low-phenylalanine diet is essential.

- 2) Phenylalanine is unnecessary for growth.

- 3) Phenylalanine can be administered to correct deficiency.

- 4) A substitute for phenylalanine is an increased intake of other amino acids. ✔️A low-
phenylalanine diet is required.



10. Bilirubin Concentration in Newborn

- At 20 hours old, a newborn has a bilirubin level of 13 mg/dL. Which finding likely contributed to this
elevation?

- 1) Clubfoot

- 2) Cephalhematoma

- 3) Caput succedaneum

- 4) Gestation of 41 weeks ✔️Cephalhematoma



11. Goal in Managing Cold Stress in Newborn

- Upon finding a newborn experiencing cold stress, what is the nurse's primary goal?

- 1) Minimize shivering.

- 2) Prevent hyperglycemia.

- 3) Limit oxygen consumption.

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