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OB FINAL EXAM BOOK QUESTIONS WITH COMPLETE ANSWERS
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OB FINAL EXAM BOOK QUESTIONS WITH COMPLETE ANSWERS
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OB FINAL EXAM BOOK QUESTIONSWITH COMPLETE ANSWERS
An nninfant nnwas nnborn nn2 nnhours nnago nnat nn37 nnweeks nnof nngestation, nnweighing
nn4.1 nnkg. nnThe nninfant nnappears nnchubby nnwith nna nnflushed nncomplexion nnand nnis
nnvery nntremulous. nnThe nntremors nnare nnmost nnlikely nnthe nnresult nnof:
A. nnBirth nninjury
B. nnHypocalcemia
C. nnHypoglycemia
D. nnSeizures nn- nnAnswer nnC. nnHypoglycemia
The nnabuse nnof nnwhich nnof nnthe nnfollowing nnsubstances nnduring nnpregnancy nnis nnthe
nnleading nncause nnof nncognitive nnimpairment nnin nnthe nnUnited nnStates?
A. nnAlcohol
B. nnTobacco
C. nnMarijuana
D. nnHeroin nn- nnAnswer nnA. nnAlcohol
A nnnewborn nnwas nnadmitted nnto nnthe nnneonatal nnintensive nncare nnunit nnafter nnbeing
nndelivered nnat nn29 nnweeks nnof nngestation nnto nna nn28-year-old nnmultiparous,
nnmarried, nnCaucasian nnfemale nnwhose nnpregnancy nnwas nnuncomplicated nnuntil
nnpremature nnrupture nnof nnmembranes nnand nnpreterm nnbirth. nnThe nnnewborn's
nnparents nnarrive nnfor nntheir nnfirst nnvisit nnafter nnthe nnbirth. nnThe nnparents nnwalk
nntoward nnthe nnbedside nnbut nnremain nnapproximately nn5 nnfeet nnaway nnfrom nnthe
nnbed. nnThe nnnurse's nnappropriate nnaction nnwould nnbe nnto:
A. nnWait nnquietly nnat nnthe nnnewborn's nnbedside nnuntil nnthe nnparents nncome nncloser.
B. nnGo nnto nnthe nnparents, nnintroduce nnhimself nnor nnherself, nnand nngently nnencourage
nnthem nnto nncome nnmeet nntheir nninfant; nnexplain nnthe nnequipment nnfirst, nnand nnthen
nnfocus nnon nnthe nnnewborn.
C. nnLeave nnthe nnparents nnat nnthe nnbedside nnwhile nnthey nnare nnvisiting nnso nnthey
nncan nnhave nnsome nnprivacy.
D. nnTell nnthe nnparents nnonly nnabout nnthe nnnewborn's nnphysical nncondition nnand
nncaution nnthem nnto nnavoid nntouching nntheir nnbaby. nn- nnAnswer nnB. nnGo nnto nnthe
nnparents, nnintroduce nnhimself nnor nnherself, nnand nngently nnencourage nnthem nnto
nncome nnmeet nntheir nninfant; nnexplain nnthe nnequipment nnfirst, nnand nnthen nnfocus nnon
nnthe nnnewborn.
With nnregard nnto nninjuries nnto nnthe nninfant's nnplexus nnduring nnlabor nnand nnbirth,
nnnurses nnshould nnbe nnaware nnthat:
A. nnIf nnthe nnnerves nnare nnstretched nnwith nnno nnavulsion, nnthey nnshould nnrecover
nncompletely nnin nn3 nnto nn6 nnmonths.
B. nnErb nnpalsy nnis nndamage nnto nnthe nnlower nnplexus.
,C. nnParents nnof nnchildren nnwith nnbrachial nnpalsy nnare nntaught nnto nnpick nnup nnthe
nnchild nnfrom nnunder nnthe nnaxillae.
D. nnBreastfeeding nnis nnnot nnrecommended nnfor nninfants nnwith nnfacial nnnerve
nnparalysis nnuntil nnthe nncondition nnresolves. nn- nnAnswer nnA. nnIf nnthe nnnerves nnare
nnstretched nnwith nnno nnavulsion, nnthey nnshould nnrecover nncompletely nnin nn3 nnto nn6
nnmonths
In nnappraising nnthe nngrowth nnand nndevelopment nnpotential nnof nna nnpreterm nninfant,
nnnurses nnshould:
A. nnTell nnparents nntheir nnchild nnwon't nncatch nnup nnuntil nnabout nnage nn10 nn(girls) nnto
nn12 nn(boys).
B. nnCorrect nnfor nnmilestones nnsuch nnas nnmotor nncompetencies nnand nnvocalizations
nnuntil nnthe nnchild nnis nnapproximately nn3 nnyears nnof nnage.
C. nnKnow nnthat nnthe nngreatest nncatch-up nnperiod nnis nnbetween nn9 nnand nn15
nnmonths nnpost nnconceptual nnage.
D. nnKnow nnthat nnthe nnlength nnand nnbreadth nnof nnthe nntrunk nnis nnthe nnfirst nnpart nnof
nnthe nninfant nnto nnexperience nncatch-up nngrowth. nn- nnAnswer nnB. nnCorrect nnfor
nnmilestones nnsuch nnas nnmotor nncompetencies nnand nnvocalizations nnuntil nnthe nnchild
nnis nnapproximately nn3 nnyears nnof nnage.
During nnthe nninitial nnacute nndistress nnphase nnof nngrieving, nnparents nnstill nnmust
nnmake nnunexpected nnand nnunwanted nndecisions nnabout nnfuneral nnarrangements
nnand nneven nnnaming nnthe nnbaby. nnThe nnnurse's nnrole nnshould nnbe nnto:
A. nnTake nnover nnas nnmuch nnas nnpossible nnto nnrelieve nnthe nnpressure.
B. nnEncourage nngrandparents nnto nntake nnover.
C. nnMake nnsure nnthe nnparents nnthemselves nnapprove nnthe nnfinal nndecisions.
D. nnLet nnthem nnalone nnto nnwork nnthings nnout. nn- nnAnswer nnC. nnMake nnsure nnthe
nnparents nnthemselves nnapprove nnthe nnfinal nndecisions.
For nnclinical nnpurposes, nnpreterm nnand nnpostterm nninfants nnare nndefined nnas:
A. nnPreterm nnbefore nn34 nnweeks nnif nnappropriate nnfor nngestational nnage nn(AGA);
nnbefore nn37 nnweeks nnif nnsmall nnfor nngestational nnage nn(SGA).
B. nnPostterm nnafter nn40 nnweeks nnif nnlarge nnfor nngestational nnage nn(LGA); nnbeyond
nn42 nnweeks nnif nnAGA.
C. nnPreterm nnbefore nn37 nnweeks, nnpost nnterm nnbeyond nn42 nnweeks, nnno nnmatter
nnthe nnsize nnfor nngestational nnage nnat nnbirth.
D. nnPreterm, nnSGA nnbefore nn38 nnto nn40 nnweeks; nnpost nnterm, nnLGA nnbeyond nn40
nnto nn42 nnweeks. nn- nnAnswer nnC. nnPreterm nnbefore nn37 nnweeks, nnpost nnterm
nnbeyond nn42 nnweeks, nnno nnmatter nnthe nnsize nnfor nngestational nnage nnat nnbirth.
A nnplan nnof nncare nnfor nnan nninfant nnexperiencing nnsymptoms nnof nndrug nnwithdrawal
nnshould nninclude:
A. nnAdministering nnchloral nnhydrate nnfor nnsedation.
B. nnFeeding nnevery nn4 nnto nn6 nnhours nnto nnallow nnextra nnrest.
C. nnSwaddling nnthe nninfant nnsnugly nnand nnholding nnthe nnbaby nntightly.
,D. nnPlaying nnsoft nnmusic nnduring nnfeeding. nn- nnAnswer nnC. nnSwaddling nnthe nninfant
nnand nnholding nnthe nnbaby nntightly.
With nnregard nnto nnthe nnclassification nnof nnneonatal nnbacterial nninfection, nnnurses
nnshould nnbe nnaware nnthat:
A. nnCongenital nninfection nnprogresses nnslower nnthan nnnosocomial nninfection.
B. nnNosocomial nninfection nncan nnbe nnprevented nnby nneffective nnhand nnwashing;
nnearly-onset nninfections nncannot.
C. nnInfections nnoccur nnwith nnabout nnthe nnsame nnfrequency nnin nnboy nnand nngirl
nninfants, nnalthough nnfemale nnmortality nnis nnhigher.
D. nnThe nnclinical nnsign nnof nna nnrapid, nnhigh nnfever nnmakes nninfection nneasier nnto
nndiagnose. nn- nnAnswer nnB. nnNosocomial nninfection nncan nnbe nnprevented nnby
nneffective nnhand nnwashing; nnearly-onset nninfections nncannot.
Which nninfant nnwould nnbe nnmore nnlikely nnto nnhave nnRh nnincompatibility?
A. nnInfant nnof nnan nnRh-negative nnmother nnand nnfather nnwho nnis nnrH nnpositive nnand
nnhomozygous nnfor nnthe nnRh nnfactor.
B. nnInfant nnwho nnis nnRh nnnegative nnand nnwhose nnmother nnis nnRh nnnegative.
C. nnInfant nnof nnan nnRh-negative nnmother nnand nna nnfather nnwho nnis nnRh nnpositive
nnand nnheterozygous nnfor nnthe nnRh nnfactor.
D. nnInfant nnwho nnis nnRh nnpositive nnand nnwhose nnmother nnis nnRh nnpositive. nn-
nnAnswer nnA. nnInfant nnof nnan nnRh-negative nnmother nnand nna nnfather nnwho nnis nnRh
nnpositive nnand nnhomozygous nnfor nnthe nnRh nnfactor.
As nna nnresult nnof nnlarge nnbody nnsurface nnin nnrelation nnto nnweight, nnthe nnpreterm
nninfant nnis nnat nnhigh nnrisk nnfor nnheat nnloss nnand nncold nnstress. nnBy nnunderstanding
nnthe nnfour nnmechanisms nnof nnheat nntransfer nn(convection, nnconduction, nnradiation,
nnand nnevaporation), nnthe nnnurse nncan nncreate nnan nnenvironment nnfor nnthe nninfant
nnthat nnprevents nntemperature nninstability. nnWhile nnevaluating nnthe nnplan nnthat nnhas
nnbeen nnimplemented, nnthe nnnurse nnknows nnthat nnthe nninfant nnis nnexperiencing nncold
nnstress nnwhen nnhe nnor nnshe nnexhibits:
A. nnDecreased nnrespiratory nnrate.
B. nnBradycardia nnfollowed nnby nnan nnincreased nnheart nnrate.
C. nnMottled nnskin nnwith nnacrocyanosis
D. nnIncreased nnphysical nnactivity. nn- nnAnswer nnC. nnMottled nnskin nnwith nnacrocyanosis
The nnnurse nnis nncaring nnfor nnan nninfant nnborn nnat nn28 nnweeks nnof nngestation.
nnWhich nncomplication nncould nnthe nnnurse nnexpect nnto nnobserve nnduring nnthe
nncourse nnof nnthe nnneonate's nnhospitalization? nnSelect nnall nnthat nnapply.
A. nnPolycythemia
B. nnRespiratory nndistress nnsyndrome
C. nnMeconium nnaspiration nnsyndrome
D. nnPeriventricular nnhemorrhage
E. nnPersistent nnpulmonary nnhypertension
F. nnPatent nnductus nnarteriosus nn- nnAnswer nnB. nnRespiratory nndistress nnsyndrome
D. nnPeriventricular nnhemorrhage
, F. nnPatent nnductus nnarteriosus
Two nnhours nnafter nngiving nnbirth, nna nnprimiparous nnwoman nnbecomes nnanxious nnand
nncomplains nnof nnintense nnperineal nnpain nnwith nna nnstrong nnurge nnto nnhave nna
nnbowel nnmovement. nnHer nnfundus nnis nnfirm, nnat nnthe nnumbilicus, nnand nnmidline.
nnHer nnlochia nnis nnmoderate nnrubra nnwith nnno nnclots. nnThe nnnurse nnwould nnsuspect:
A. nnBladder nndistention
B. nnUterine nnatony
C. nnConstipation
D. nnHematoma nnformation nn- nnAnswer nnD. nnHematoma nnformation
Postpartum nnwomen nnexperience nnan nnincreased nnrisk nnfor nnurinary nntract nninfection.
nnA nnprevention nnmeasure nnthe nnnurse nncould nnteach nnthe nnpostpartum nnwoman
nnwould nnbe nnto:
A. nnAcidify nnthe nnurine nnby nndrinking nn3 nnglasses nnof nnorange nnjuice nneach nnday.
B. nnMaintain nna nnfluid nnintake nnof nn1 nnto nn2 nnL/day.
C. nnEmpty nnbladder nnevery nn4 nnhours nnthroughout nnthe nnday.
D. nnPerform nnperineal nncare nnon nna nnregular nnbasis. nn- nnAnswer nnD. nnPerform
nnperineal nncare nnon nna nnregular nnbasis.
Which nnwoman nnis nnat nngreatest nnrisk nnfor nnearly nnpostpartum nnhemorrhage
nn(PPH)?
A. nnA nnprimiparous nnwoman nn(G nn2 nnP1 nn0 nn0 nn1) nnbeing nnprepared nnfor nnan
nnemergency nncesarean nnbirth nnfor nnfetal nndistress.
B. nnA nnwoman nnwith nnsevere nnpreeclampsia nnon nnmagnesium nnsulfate nnwhose
nnlabor nnis nnbeing nninduced.
C. nnA nnmultiparous nnwoman nn(G nn3 nnP2 nn0 nn0 nn2) nnwith nnan nn8-hour nnlabor.
D. nnA nnprimigravida nnin nnspontaneous nnlabor nnwith nnpreterm nntwins. nn- nnAnswer nnB.
nnA nnwoman nnwith nnsevere nnpreeclampsia nnon nnmagnesium nnsulfate nnwhose nnlabor
nnis nnbeing nninduced.
The nnfirst nnand nnmost nnimportant nnnursing nnintervention nnwhen nna nnnurse nnobserves
nnprofuse nnpostpartum nnbleeding nnis nnto:
A. nnCall nnthe nnwoman's nnprimary nnhealth nncare nnprovider.
B. nnAdminister nnthe nnstanding nnorder nnfor nnan nnoxytocic.
C. nnPalpate nnthe nnuterus nnand nnmassage nnit nnif nnit nnis nnboggy.
D. nnAssess nnmaternal nnblood nnpressure nnand nnpulse nnfor nnsigns nnof nnhypovolemic
nnshock. nn- nnAnswer nnC. nnPalpate nnthe nnuterus nnand nnmassage nnit nnif nnit nnis nnboggy.
What nnPPH nnconditions nnare nnconsidered nnmedical nnemergencies nnthat nnrequire
nnimmediate nntreatment?
A. nnInversion nnof nnthe nnuterus nnand nnhypovolemia nnshock.
B. nnHypotonic nnuterus nnand nncoagulopathies.
C. nnSubinvolution nnof nnthe nnuterus nnand nnidiopathic nnthrombocytopenic nnpurport
nn(ITP).
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