OB Exam 2 Guaranteed Success
1. Assessment for Postpartum Hemorrhage - A nurse is evaluating a postpartum client for signs of potential hemorrhage due to a cervical
laceration. Besides checking for a firm uterus, what other assessment is crucial? - 1) Slowed pulse rate - 2) Increased blood pres...
OB Exam 2 Guaranteed Success
1. Assessment for Postpartum Hemorrhage
- A nurse is evaluating a postpartum client for signs of potential hemorrhage due to a cervical
laceration. Besides checking for a firm uterus, what other assessment is crucial?
- 1) Slowed pulse rate
- 2) Increased blood pressure
- 3) Persistent muscular twitching
- 4) Continuous trickling of blood ✔️Continuous trickling of blood
2. Risk Factors for Postpartum Hemorrhage
- In caring for postpartum clients, which factor increases the risk of hemorrhage?
- 1) Breastfeeding in the birthing room
- 2) Receiving a pudendal block for delivery
- 3) A third stage of labor lasting 10 minutes
- 4) Delivering a baby weighing 9 lb 8 oz ✔️Giving birth to a baby weighing 9 lb 8 oz
3. Estimating Blood Loss in Postpartum Clients
- To assess a postpartum client for hemorrhage by evaluating perineal pad saturation, what other
method can determine blood loss?
- 1) Odor of the lochia
- 2) Color of the lochia
- 3) Presence of small clots on the pad
- 4) Time elapsed between pad changes ✔️Time elapsed between pad changes
4. Normal Development in a Newborn
- When assessing a newborn immediately after birth, which finding indicates proper development?
- 1) Body weight of 3500 g
- 2) Core body temperature of 96°F
- 3) Blood pressure of 70/60 mm Hg
, - 4) Head circumference 3 cm smaller than chest circumference ✔️A body weight of 3500 g
Note: Normal weight range is between 2700 and 4000 g.
5. Understanding Erb Palsy
- A nurse assesses a newborn with an asymmetric Moro reflex and diagnoses Erb palsy. What does the
nurse understand to be the cause?
- 1) Acquired in utero
- 2) A tumor arising from muscle tissue
- 3) X-linked inheritance pattern
- 4) Injury to the shoulder during birth ✔️The cause is an injury to the shoulder during birth.
6. Feeding an Infant with a Cleft Lip
- For a newborn with a cleft lip using a special nipple, what advice should the nurse give to minimize
regurgitation?
- 1) Burp frequently during feedings.
- 2) Offer thickened formula as prescribed.
- 3) Place the baby in an infant seat during feedings.
- 4) Position the infant on one side with the bottle propped. ✔️Burp frequently during feedings.
7. Care Plan for Newborn with Hypospadias
- What should the nurse include in the care plan for a newborn with hypospadias before corrective
surgery?
- 1) Wrapping the penis with petrolatum gauze
- 2) Explaining to the parents why a circumcision is not done
- 3) Preparing the newborn for a cystotomy tube insertion
- 4) Teaching parents about the genetic basis of hypospadias ✔️Explaining to the parents why a
circumcision is not done.
8. Immunization Schedule Explanation
, - A parent inquires why the immunization schedule does not begin for their newborn (except for the
hepatitis B vaccine) until the infant is 2 months old. How should the nurse respond?
- 1) "A newborn's spleen can't produce efficient antibodies."
- 2) "Infants younger than 2 months are rarely exposed to infectious diseases."
- 3) "The immunization will overwhelm the infant's immature immune system and cause disease."
- 4) "Maternal antibodies hinder the development of the infant's own antibodies when vaccinated."
✔️"Maternal antibodies interfere with the development of active antibodies by the infant when
immunized."
9. Teaching About Phenylketonuria (PKU)
- What should the nurse inform parents regarding their newborn's diagnosis of phenylketonuria (PKU)?
- 1) A low-phenylalanine diet is essential.
- 2) Phenylalanine is unnecessary for growth.
- 3) Phenylalanine can be administered to correct deficiency.
- 4) A substitute for phenylalanine is an increased intake of other amino acids. ✔️A low-
phenylalanine diet is required.
10. Bilirubin Concentration in Newborn
- At 20 hours old, a newborn has a bilirubin level of 13 mg/dL. Which finding likely contributed to this
elevation?
- 1) Clubfoot
- 2) Cephalhematoma
- 3) Caput succedaneum
- 4) Gestation of 41 weeks ✔️Cephalhematoma
11. Goal in Managing Cold Stress in Newborn
- Upon finding a newborn experiencing cold stress, what is the nurse's primary goal?
- 1) Minimize shivering.
- 2) Prevent hyperglycemia.
- 3) Limit oxygen consumption.
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