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Maternal Newborn OB Final Exam Questions And Answers
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Maternal Newborn OB Final ExamQuestions And Answers
b. Correct. Pregnant women and women who are attempting pregnancy
should avoid contact with cat feces. Exposure occurs when the protozoan
parasite found in cat feces and uncooked or rare beef and lamb is ingested.
Wearing a mask will not decrease the risk through ingestion of the parasite. -
-Which of the following statements by a pregnant woman indicates she
needs additional teaching on ways to reduce risks to her unborn child from
the potential effects of exposure to toxoplasmosis?a. "I will avoid rare
lamb."b. "I will wear a mask when cleaning my cat's litter box."c. "I
understand that exposure to toxoplasmosis can cause blindness in the
baby."d. "I will avoid rare beef."
- c. Correct. - -The fetal circulatory structure that connects the pulmonary
artery with the descending aorta is known as which of the following?a.
Ductus venosusb. Foramen ovalec. Ductus arteriosusd. Internal iliac artery
- d. Correct. Oligohydramnios refers to a decreased amount of amniotic fluid
of less than 500 mL at term or 50% reduction of normal amounts. - -A
woman at 40 weeks' gestation has a diagnosis of oligohydramnios. Which of
the following statements related to oligohydramnios is correct?a. It indicates
that there is a 25% increase in amniotic fluid.b. It indicates that there is a
25% reduction of amniotic fluid.c. It indicates that there is a 50% increase in
amniotic fluid.d. It indicates that there is a 50% reduction of amniotic fluid
- C - -The nurse takes the history of a client, G2 P1, at her first prenatal
visit. The client is referred to a genetic counselor, due to her previous child
having a diagnosis of __________.
a. Unilateral amblyopia
b. Subdural hematoma
c. Sickle cell anemia
d. Glomerular nephritis
- D - -A nurse is teaching a woman about her menstrual cycle. The nurse
states that __________ is the most important change that happens during the
secretory phase of the menstrual cycle.
a. Maturation of the graafian follicle
b. Multiplication of the fimbriae
c. Secretion of human chorionic gonadotropin
d. Proliferation of the endometrium
- A - -An ultrasound of a fetus' heart shows that "normal fetal circulation is
occurring." Which of the following statements is consistent with the finding?
,a. A right to left shunt is seen between the atria.
b. Blood is returning to the placenta via the umbilical vein.
c. Blood is returning to the right atrium from the pulmonary system.
d. A right to left shunt is seen between the umbilical arteries.
- C - -The clinic nurse knows that the part of the endometrial cycle occurring
from ovulation to just prior to menses is known as the:
a. Menstrual phase
b. Proliferative phase
c. Secretory phase
d. Ischemic phase
- C - -A clinic nurse explains to the pregnant woman that the amount of
amniotic fluid present at 24 weeks' gestation is approximately:
a. 500 mL
b. 750 mL
c. 800 mL
d. 1000 mL
- B - -Information provided by the nurse that addresses the function of the
amniotic fluid is that the amniotic fluid helps the fetus to maintain a normal
body temperature and also:
a. Facilitates asymmetrical growth of the fetal limbs
b. Cushions the fetus from mechanical injury
c. Promotes development of muscle tone
d. Promotes adherence of fetal lung tissue
- A - -During preconception counseling, the clinic nurse explains that the
time period when the fetus is most vulnerable to the effects of teratogens
occurs from:
a. 2 to 8 weeks
b. 4 to12 weeks
c. 5 to 10 weeks
d. 6 to 15 weeks
- D - -A major fetal development characteristic at 16 weeks' gestation is:
a. The average fetal weight is 450 grams
b. Lanugo covers entire body
c. Brown fat begins to develop
d. Teeth begin to form
- A - -A couple who has sought infertility counseling has been told that the
man's sperm count is very low. The nurse advises the couple that
spermatogenesis is impaired when which of the following occur?
a. The testes are overheated.
b. The vas deferens is ligated.
,c. The prostate gland is enlarged.
d. The flagella are segmented.
- True - -The perinatal nurse explains to the student nurse that in the fetal
circulation, the lowest level of oxygen concentration is found in the umbilical
arteries.
- B, C, D - -A woman seeks care at an infertility clinic. Which of the following
tests may this woman undergo to determine what, if any, infertility problem
she may have? (Select all that apply.)
a. Chorionic villus sampling
b. Endometrial biopsy
c. Hysterosalpingogram
d. Serum FSH analysis
- A, B - -Which of the following places a couple at higher risk for conceiving
a child with a genetic abnormality? (Select all that apply.)
a. Maternal age over 35 years
b. Partner who has a genetic disorder
c. Maternal type 1 diabetes
d. Paternal heart disease
- C - -During a routine prenatal visit in the third trimester, a woman reports
she is dizzy and lightheaded when she is lying on her back. The most
appropriate nursing action would be to:a. Order an EKG.
b. Report this abnormal finding immediately to her care provider.
c. Teach the woman to avoid lying on her back and to rise slowly because of
supine hypotension.
d. Order a nonstress test to assess fetal well-being.
- D - -Blood volume expansion during pregnancy leads to: a. Iron-deficiency
anemiab. Maternal iron stores being insufficient to meet the demands for
iron in fetal developmentc. Plasma fibrin increase of 40% and fibrinogen
increase of 50%d. Physiological anemia of pregnancy
- A - -A woman presents to the prenatal clinic at 30 weeks' gestation
reporting dysuria, frequency, and urgency with urination. Appropriate
nursing actions include:a. Obtain clean-catch urine to assess for a possible
urinary tract infection.b. Reassure the woman that the signs are normal
urinary changes in the third trimester.c. Teach the woman to decrease fluid
intake to manage these symptoms.d. Perform a Leopold's maneuver to
assess fetal position and station.
- B - -At the end of her 32-week prenatal visit, a woman reports discomfort
with intercourse and tells you shyly that she wants to maintain a sexual
relationship with her partner. The best response is to: a. Reassure
, woman/couple of normalcy of responseb. Suggest alternative positions for
sexual intercourse and alternative sexual activity to sexual intercoursec.
Recommend cessation of intercourse until after delivery due to advanced
gestationd. Suggest woman discuss this with her care provider at her next
appointment
- D - -The clinic nurse talks to a 30-year-old woman at 34 weeks' gestation
who complains of having difficulty sleeping. Jayne has noticed that getting
back to sleep after she has been up at night is difficult. The nurse's best
response is:
a. "This is abnormal; it is important that you describe this problem to the
doctor."
b. "This is normal, and many women have this same problem during
pregnancy; try napping for several hours each morning and afternoon."
c. "This is abnormal; tell the doctor about this problem because diagnostic
testing may be necessary."
d. "This is normal in pregnancy, particularly during the third trimester when
you also feel fetal movement at night; try napping once a day."
- A. a. The progesterone-induced prolonged emptying time of bile from the
gallbladder, combined with elevated blood cholesterol levels, may
predispose the pregnant woman to gallstone formation (cholelithiasis). Pain
in the epigastric region following ingestion of a high-fat meal constitutes the
major symptom of these conditions. The pain is self-limiting and usually
resolves within 2 hours. - -A 26-year-old woman at 29 weeks' gestation
experienced epigastric pain following the consumption of a large meal of
fried fish and onion rings. The pain resolved a few hours later. The most
likely diagnosis for this symptom is:
a. Cholelithiasis
b. Influenza
c. Urinary tract infection
d. Indigestion
- B. During pregnancy the woman's hematocrit values may appear low due
to the increase in total plasma volume (on average, 50%). Because the
plasma volume is greater than the increase in erythrocytes (30%), the
hematocrit decreases by about 7%. This alteration is termed "physiologic
anemia of pregnancy," or "pseudo-anemia." The hemodilution effect is most
apparent at 32 to 34 weeks. The mean acceptable hemoglobin level in
pregnancy is 11 to 12 g/dL of blood. - -The clinic nurse reviews the complete
blood count results for a 30-year-old woman who is now 33 weeks' gestation.
Tamara's hemoglobin value is 11.2 g/dL, and her hematocrit is 38%. The
clinic nurse interprets these findings as:
a. Normal adult values
b. Normal pregnancy values for the third trimester
c. Increased adult values
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