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OB Exam II PrepU Guaranteed Success
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OB Exam II PrepU Guaranteed Success Assessments and Findings in Labor and Delivery 1. Rupture of Membranes Confirmation (Select all that apply): - A) A pool of fluid visible in the vagina - B) Ferning is present - C) Nitrazine paper turns blue - D) The client reports having wet pants - E) The c...

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  • August 20, 2024
  • 60
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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OB Exam II PrepU Guaranteed Success
Assessments and Findings in Labor and Delivery



1. Rupture of Membranes Confirmation (Select all that apply):

- A) A pool of fluid visible in the vagina

- B) Ferning is present

- C) Nitrazine paper turns blue

- D) The client reports having wet pants

- E) The cervix is effaced

✔️ A, B, C: Indicates ruptured membranes.



2. Placenta Separation Assessment (Select all that apply):

- A) Falling downward of uterus in the abdomen

- B) Fresh gushing of blood from the vagina

- C) Umbilical cord descending lower down

- D) A relaxed and distended uterus

- E) A globular shaped uterus

✔️ B, C, E: Signs of placenta separating.



3. Contraction Decrement Effects (Select all that apply):

- A) The mother feels a gush of water in the perineal area

- B) The fetus is pushed down the birth canal

- C) Fetal heart rate should return to baseline

- D) The mother feels the contraction intensifying

- E) Blood flow to the fetus improves

✔️ C, E: Indicates fetal well-being and heart recovery.



4. Braxton Hicks Contractions Information (Select all that apply):

, - A) "They often spread downward before they go away"

- B) "They usually happen in a regular pattern"

- C) "They go away when you walk around or change position"

- D) "They typically last for about 3 minutes each time you have them"

- E) "They usually feel like a tightening across the top of your uterus"

✔️ A, C, E: Accurate characteristics of Braxton Hicks.



5. Response Indicating Need for Further Teaching:

- A) "My 6 yr old son will be in the birthing room too"

- B) "We will hire a doula for our labor support"

- C) "I would like the baby's father to cut the umbilical cord"

- D) "I will remain in my bed for my labor and birth like last time"

✔️ D: Suggests a misunderstanding of labor dynamics.



6. Client Statement Requiring Clarification:

- A) "The health care provider states my labor is imminent."

- B) "The health care provider will reassess me next week, if I make it."

- C) "I hope that the end of my pregnancy will be uneventful."

- D) "I will go home and pack my bag and await the labor process to begin."

✔️ A: Misinterpretation of the situation.



7. Most Definitive Onset of Labor:

- A) Expulsion of the mucus plug.

- B) The mother reports frequent urination.

- C) The fetal head is engaged in the pelvis.

- D) Cervical ripening is noted on examination.

✔️ D: Indicates labor onset.

,8. Strongest Afterpains:

- A) A primigravid whose breast milk has not come in

- B) A multipara who is breast-feeding

- C) The primigravid who delivers a 6 lb (2,688 g) newborn

- D) A multigravid with twins who decided to formula feed

✔️ B: Multipara experiences stronger afterpains.



9. Expected Fundus Location Post Birth:

- A) 2 cm above the umbilicus

- B) One fingerbreadth below the umbilicus

- C) Between the umbilicus and symphysis pubis

- D) At the level of the umbilicus

✔️ D: Normal position immediately post-delivery.



10. Timing of Contraction Phases:

- A) Decrement

- B) Increment

- C) Peak

- D) Acme

✔️ B: Refers to the contraction's increasing phase.



11. Fetal Movement Through the Birth Canal:

- A) Frontal bones

- B) Fontanelles

- C) Sutures

- D) Biparietal diameter

✔️ C: Sutures allow for flexibility during passage.

, 12. Patient Presentation Documentation:

- A) With the right side presenting, and the occiput facing the anterior quadrant

- B) Rear facing with the occiput facing the posterior quadrant of the pelvis

- C) With the occiput facing the right anterior quadrant of the pelvis

- D) With the brow facing the right anterior quadrant of the pelvis

✔️ C: Correct presentation noted.



13. Cephalic Presentation Identification:

- A) Relation of the fetal presenting part to the maternal ischial spine

- B) Relationship of the presenting part to the maternal pelvis

- C) Part of the fetal body entering the maternal pelvis first

- D) Relation of the different fetal body parts to one another

✔️ C: Defines presentation accurately.



14. Newborn Head Shape Concern Response:

- A) Prolonged labor

- B) Extreme pressure in the vaginal vault

- C) Cranial bones overlapping at the suture lines

- D) A congenital defect

✔️ C: Overlapping sutures cause head shape changes.



15. Station Interpretation:

- A) -1

- B) +1

- C) -2

- D) 0

✔️ D: Station 0 indicates engagement.

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