OB Exam 1 Questions with 100% Correct Answers
A 22 yr old client has come to the clinic because her menstrual period is 10
days late. She tells the nurse "I'm sure I'm pregnant because my period is
late and my breasts are tender" Which of the following responses by the
nurse would be most accur...
A 22 yr old client has come to the clinic because her menstrual period is 10
days late. She tells the nurse "I'm sure I'm pregnant because my period is
late and my breasts are tender" Which of the following responses by the
nurse would be most accurate?
A. "those are positive signs of pregnancy"
B. "those are presumptive signs of pregnancy"
C. "those are probable signs of pregnancy"
D. "those are negative signs of pregnancy" - Answer✔️✔️-B. Breast
tenderness and missed menses are presumptive signs. Other presumptive
signs include: N/V, fatigue, urinary frequency and quickening
A client delivered a term infant 7 hours ago. Which of the following
postpartum assessment findings indicate normal postpartum progression?
A. Firm fundus at 1-2 fingerbreadths above the umbilicus with moderate
lochia rubra
B. Firm fundus at the umbilicus and midline with moderate rubra
C. Firm fundus at 1-2 fingerbreadths below umbilicus, deviated to the right
side with moderate lochia rubra
D. Soft fundus at 1-2 fingerbreadths below umbilicus with severe lochia
rubra - Answer✔️✔️-A. Within 12 hours, fundus can rise to approx. 1 cm
above the umbilicus. The fundus descends 1-2 cm every 24 hours. Located
about halfway between umbilicus and symphysis pubis, not longer
palpable after 2 weeks, returned to pre-pregnant state by 6 weeks pp
A client delivered at 39 weeks 6 hours ago. Upon assessment, the nurse
palpated a soft, boggy fundus deviated to the left side. Which action of the
nurse would be most appropriate?
A. Massage the fundus until firm
B. Call HCP immediately
C. Assist woman to the restroom
D. Increase Pitocin per HCP order - Answer✔️✔️-C. A distended bladder can
impede uterine contractions which can lead to uterine atony which may
lead to pp hemorrhage if we don't intervene
**KEY WORDS: deviated to the left side**
A client is in active labor at term with cervical findings of 7/80/-1. The
FHR baseline is 130bpm. Four early decelerations were noted within the
last hour. Which of the following nursing actions would be most
appropriate?
A. Position client on her back so the monitor gives more accurate results
D. document and continue to monitor both FHR and laboring women -
Answer✔️✔️-D. early decelerations indicate head compression. It is benign
and no interventions are needed. just document and continue monitoring
**KNOW VEAL CHOP**
The nurse gives a 35 yr old primigravida client a RhoGAM injection for her
28th week of pregnancy. Which of the following client situations requires
the nurse to take this action.
A. Rh + mother and Rh - father
B. Rh - mother and Rh + father
C. Rh + mother and Rh + father
D. Rh - mother and Rh - father - Answer✔️✔️-B. RhoGAM is only needed if
the mother is Rh- and there is possibility of the baby being Rh+. If the
father is not Rh+ then there is no chance to have a Rh+ baby
A client has just started the third state of labor. Which of the following
nursing actions have priority at this time?
D. Assess maternal vital signs Q1hr - Answer✔️✔️-C. skin to skin contact is
contributes to mother and baby bonding
**KEY WORDS: just started**
pitocin is administered after the placenta is delivered at the end of stage 3,
maternal vital signs are assessed Q15min after delivery for first 2 hours.
Then hourly assessments are done
A client's first day of her LMP was July 18, 2015. Which of the following
should the nurse tell the client is her EDB?
A. April 18, 2016
B. May 23, 2016
C. April 25, 2016
D. March 25, 2016 - Answer✔️✔️-C.
A primigravida woman delivered her baby boy 12 hours ago. She acquired
a 3rd degree midline episiotomy during labor. She expresses moderate
discomfort and a pain level of 2 out of 10. Which of the following nursing
intervention would be most appropriate?
A. Instruct patient to apply ice packs to the perinium
B. Encourage a sitz bath
4
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