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.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through EFT, credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying this summary from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller CertifiedGrades. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy this summary for R195,54. You're not tied to anything after your purchase.
