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OB PEDS EXAM 2 PRACTICE QUESTIONS
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OB PEDS EXAM 2 PRACTICE QUESTIONS
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OB PEDS EXAM 2 PRACTICE QUESTIONSRespiratory syncytial virus is the most common cause of bronchiolitis. - Answers- True
A 2-year-old is brought to the ER with a temperature of 101.5F, a barky cough, stridor,
and hoarseness. Which of the following interventions should the nurse prepare for?
(choose the best answer)
A. Respiratory treatment with racemic epinephrine
B. A tracheostomy set at the beside
C. Informing the parents about a tonsillectomy
4. Immediate IV placement - Answers- A. Respiratory treatment with racemic
epinephrine
Explanation: The child has signs and symptoms of croup. Stridor is caused by upper
airway edema and is relieved by aerosolized racemic epinephrine. IV placement may
not be necessary for this child and is not a priority at this time. The child is not showing
signs and symptoms of tonsillitis, informing the parents of a tonsillectomy would be
inappropriate. A tracheostomy would only be used for a child with complete airway
obstruction.
You are caring for a child with amblyopia, his right eye is covered with a patch. Which
eye would you suspect is affected by amblyopia? (choose the best answer)
A. Left eye
B. Both eyes
C. Right eye - Answers- A. Left eye
The parent of a 10-month-old female brings the infant to the pediatrician's office with
upper respiratory symptoms (URI) and fever. The parent asks the nurse what can be
done at home to improve the child's current condition. Which is the nurse's best
response? (choose all that apply)
A. "Give your baby Robitussin at night to reduce her cough and help her sleep."
B. "Give your baby aceteaminophen every 4 to 6 hours to help reduce the fever."
C. "Keep the head of the bed flat while your baby sleeps."
D. "Give your baby small amounts of fluid every hour to prevent dehydration."
E. "Use saline and bulb suction your baby's nose to keep the nasal passage open." -
Answers- B (acetaminophen), D (fluids), and E (saline and bulb suction)
The nurse is caring for a 22-month-old male who has had repeated bouts of otitis
media. The nurse is educating the parents about otitis media. Which of the following
statements from the parents indicates that they need additional teaching? (choose the
best answer)
A. "My child will have fewer ear infections if he has his tonsils removed."
,B. "If I quit smoking, my child may have less chance of getting an ear infection."
C. "My child may need a speech evaluation."
D. As my child gets older, he should have fewer ear infections, because his immune
system will be more developed." - Answers- A
explanation: Removing children's tonsils may not have any effect on recurrent ear
infections. Children who have repeated bouts of tonsillitis can have ear infections
secondary to the tonsillitis, but there is no indicating in this question that the child has a
problem with tonsillitis. The other answers all may reduce a child's risk of ear infections.
During a non-stress test, the nurse notes that the fetal heart rate has two variable
decelerations lasting 20-30 each occurrence. The baseline is 140bpm with moderate
variability and one acceleration to 155bpm during a period of fetal movement. After 40
minutes of monitoring, how should the nurse interpret this test?
A. A negative test
B. A nonreactive test
C. An equivocal test
D. A reactive test - Answers- B. nonreactive test
During a home visit the nurse observes a pregnant client assess fetal activity. Which
observations indicate that the client understands the correct process for this count?
Select all that apply.
A. Drives while counting
B. Begins counting 1 hour after a meal
C. Watches TV while counting
D. Assumes a side-lying position
E. Begins counting before eating anything for the day - Answers- B, D
A newly diagnosed type 1, insulin-dependent diabetic with good blood sugar control at
20 weeks' gestation asks how the diabetes will affect the baby. How should the nurse
respond?
A. "Your baby might have high blood sugar for several days."
B. "Your baby will probably be larger than average at birth."
C. "As long as you control your blood sugar, your baby will not be affected at all."
D. "Your baby may be smaller than average at birth." - Answers- B "Your baby will
probably be alleger than average at birth"
During the first antepartal visit, a client who is at 10 weeks' gestation learns of being HIV
positive. Which client statement indicates an understanding of the plan of care both
during the pregnancy and postpartally?
, A. "I should not breastfeed my baby."
B. "When my baby is 2 months old, he or she will be tested for HIV."
C. :If I have a cesarean section, there is an increased risk that my HIV will be passed to
my baby."
D. "I am supposed to take highly active antiretroviral therapy (HAART), but only during
the first trimester." - Answers- A. "I should not breastfeed my baby."
Jane is a 26yo G5 P3012 who is now 24-weeks pregnant. Her OB history includes two
large-for-gestational age babies born at term and one term unexplained stillbirth. Based
on this history, it will be most important to monitor for signs and symptoms of which
condition during Jane's pregnancy?
A. Substance Abuse
B. Cardiac Decompensation
C. Gestational Diabetes Mellitus
D. Anemia - Answers- C. Gestational Diabetes
For a pregnant woman, which of the following values indicates anemia?
A. Hematocrit of 34%
B. Hematocrit of 40%
C. Hemoglobin of 12g/dL
D. Hemoglobin of 9g/dL - Answers- D. Hemoglobin of 9g/dL
A 6-month-old is admitted to the hospital with bronchiolitis. The nurse is assessing the
infant. Which of the following physical findings would be of MOST concern? (choose the
best answer)
A. The baby is wheezing
B. The baby has mild retractions
C. The baby has tachypnea
D. The baby is grunting - Answers- D. The baby is grunting
Explanation: Grunting is a sign of respiratory failure and is a very concerning physical
finding. The other symptoms are common findings with bronchiolitis, should be
monitored, but are not as concerning as grunting.
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