OB Exam 2 Graded A+
1. Definition of Subinvolution of the Uterus
- What is the correct definition of "subinvolution of the uterus"?
- 1) The uterus's shape is not conducive to a vaginal delivery.
- 2) Failure of the uterus to involute as expected. ✔️
- 3) Success of the uterus in descending as expected.
- 4) The process of the uterus contracting in the postpartum period.
2. Reasons for Stronger Uterine Contractions in Postpartum Period (Select All That Apply)
- Which of the following could lead to stronger uterine contractions in the postpartum period?
- 1) Multiple gestation ✔️
- 2) Multigravida ✔️
- 3) Breastfeeding ✔️
- 4) Baby is large for gestation ✔️
- 5) Polyhydramnios ✔️
3. Concern During Postpartum Discharge Phone Calls
- During a discharge phone call, a woman who delivered 4 days ago reports various symptoms. Which
symptom is most concerning and requires follow-up?
- 1) Light-moderate bleeding
- 2) Abdominal cramping
- 3) Persistent headaches ✔️
- 4) Puffy feet
4. Postpartum Uterine Assessment
- A routine postpartum check 30 minutes after vaginal delivery shows a boggy uterus displaced above
and to the right of the umbilicus. What is the most appropriate response?
- 1) Call the provider immediately
, - 2) Begin IV antibiotics
- 3) Assist the patient to empty her bladder ✔️
- 4) Conduct a fundal massage
5. Top Priority in Case of Heavy Bleeding
- During a routine assessment, the nurse finds the woman heavily bleeding. What is the nurse's top
priority?
- 1) Call the provider immediately
- 2) Begin a fluid bolus
- 3) Assist the patient to empty her bladder
- 4) Conduct a fundal massage ✔️
6. Tests for Assessing Fetal Well-Being
- To assess the fetal heart rate, movement, tone, and Amniotic Fluid Index (AFI), which test should the
nurse anticipate?
- 1) Biophysical Profile (BPP) ✔️
- 2) Ultrasound
- 3) Nonstress test
- 4) Amniocentesis
7. Risks Associated with Diabetes Mellitus in Pregnancy (Select All That Apply)
- A pregnant woman with Diabetes Mellitus is at greater risk for:
- 1) Pre-term labor ✔️
- 2) Polyhydramnios ✔️
- 3) Fetal congenital anomalies ✔️
- 4) Fetal hypoglycemia ✔️
8. Assessment of Newborn 24 Hours Post Delivery
, - During a postpartum assessment, the nurse notes the baby is somewhat yellow in skin and eyes, has
a poor latch and suck, and hasn't had a bowel movement. What does the nurse suspect?
- 1) Low blood sugar
- 2) Hyperbilirubinemia (jaundice) ✔️
- 3) Bowel obstruction
- 4) Prematurity
9. Cause of Physiological Jaundice
- There are two forms of jaundice: physiological and pathological. What causes physiological jaundice?
- 1) Increased dead RBCs due to RhO incompatibilities
- 2) Accumulation of bilirubin due to renal immaturity
- 3) Accumulation of bilirubin due to liver immaturity ✔️
- 4) Allergies to breastmilk
10. True Statement Regarding Pathological Jaundice
- Pathological jaundice is when a disorder exacerbates normal physiological conditions leading to
hyperbilirubinemia. Which statement is true regarding pathological jaundice?
- 1) Is benign and corrects itself
- 2) Is always preventable
- 3) Noted usually after day 3 of life
- 4) Noted within the first 24 hours of life ✔️
11. Condition Caused by Excess Bilirubin Accumulation
- When bilirubin accumulates to the point of crossing the blood-brain barrier, causing seizures and
other long-term effects, what is this condition called?
- 1) Kernicterus ✔️
- 2) Extreme hyperbilirubinemia
- 3) Excessive hyperbilirubinemia
- 4) Brain jaundice
1. Definition of Subinvolution of the Uterus
- What is the correct definition of "subinvolution of the uterus"?
- 1) The uterus's shape is not conducive to a vaginal delivery.
- 2) Failure of the uterus to involute as expected. ✔️
- 3) Success of the uterus in descending as expected.
- 4) The process of the uterus contracting in the postpartum period.
2. Reasons for Stronger Uterine Contractions in Postpartum Period (Select All That Apply)
- Which of the following could lead to stronger uterine contractions in the postpartum period?
- 1) Multiple gestation ✔️
- 2) Multigravida ✔️
- 3) Breastfeeding ✔️
- 4) Baby is large for gestation ✔️
- 5) Polyhydramnios ✔️
3. Concern During Postpartum Discharge Phone Calls
- During a discharge phone call, a woman who delivered 4 days ago reports various symptoms. Which
symptom is most concerning and requires follow-up?
- 1) Light-moderate bleeding
- 2) Abdominal cramping
- 3) Persistent headaches ✔️
- 4) Puffy feet
4. Postpartum Uterine Assessment
- A routine postpartum check 30 minutes after vaginal delivery shows a boggy uterus displaced above
and to the right of the umbilicus. What is the most appropriate response?
- 1) Call the provider immediately
, - 2) Begin IV antibiotics
- 3) Assist the patient to empty her bladder ✔️
- 4) Conduct a fundal massage
5. Top Priority in Case of Heavy Bleeding
- During a routine assessment, the nurse finds the woman heavily bleeding. What is the nurse's top
priority?
- 1) Call the provider immediately
- 2) Begin a fluid bolus
- 3) Assist the patient to empty her bladder
- 4) Conduct a fundal massage ✔️
6. Tests for Assessing Fetal Well-Being
- To assess the fetal heart rate, movement, tone, and Amniotic Fluid Index (AFI), which test should the
nurse anticipate?
- 1) Biophysical Profile (BPP) ✔️
- 2) Ultrasound
- 3) Nonstress test
- 4) Amniocentesis
7. Risks Associated with Diabetes Mellitus in Pregnancy (Select All That Apply)
- A pregnant woman with Diabetes Mellitus is at greater risk for:
- 1) Pre-term labor ✔️
- 2) Polyhydramnios ✔️
- 3) Fetal congenital anomalies ✔️
- 4) Fetal hypoglycemia ✔️
8. Assessment of Newborn 24 Hours Post Delivery
, - During a postpartum assessment, the nurse notes the baby is somewhat yellow in skin and eyes, has
a poor latch and suck, and hasn't had a bowel movement. What does the nurse suspect?
- 1) Low blood sugar
- 2) Hyperbilirubinemia (jaundice) ✔️
- 3) Bowel obstruction
- 4) Prematurity
9. Cause of Physiological Jaundice
- There are two forms of jaundice: physiological and pathological. What causes physiological jaundice?
- 1) Increased dead RBCs due to RhO incompatibilities
- 2) Accumulation of bilirubin due to renal immaturity
- 3) Accumulation of bilirubin due to liver immaturity ✔️
- 4) Allergies to breastmilk
10. True Statement Regarding Pathological Jaundice
- Pathological jaundice is when a disorder exacerbates normal physiological conditions leading to
hyperbilirubinemia. Which statement is true regarding pathological jaundice?
- 1) Is benign and corrects itself
- 2) Is always preventable
- 3) Noted usually after day 3 of life
- 4) Noted within the first 24 hours of life ✔️
11. Condition Caused by Excess Bilirubin Accumulation
- When bilirubin accumulates to the point of crossing the blood-brain barrier, causing seizures and
other long-term effects, what is this condition called?
- 1) Kernicterus ✔️
- 2) Extreme hyperbilirubinemia
- 3) Excessive hyperbilirubinemia
- 4) Brain jaundice
