OB Exam 1 Practice Questions and Answers (100% Pass)
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Course
OB
Institution
OB
OB Exam 1 Practice Questions and
Answers (100% Pass)
A client attending a prenatal class about nutrition tells the nurse that she is
a strict vegetarian (vegan). What should the nurse encourage the client to
eat that includes all the essential amino acids?
1. Macaroni and cheese
2. Whole-grai...
OB Exam 1 Practice Questions and
Answers (100% Pass)
A client attending a prenatal class about nutrition tells the nurse that she is
a strict vegetarian (vegan). What should the nurse encourage the client to
eat that includes all the essential amino acids?
1. Macaroni and cheese
2. Whole-grain cereals and nuts
3. Scrambled eggs and buttermilk
4. Brown rice and whole-wheat bread - Answer✔️✔️-Whole grain cereals
and nuts
Select the priority intervention for a pregnant client whose monitor strip
shows fetal heart rate decelerations characterized by a rapid descent and
ascent to and from the lowest point of the deceleration.
1. Elevating the legs
2. Repositioning the client from side to side
3. Increasing the rate of intravenous infusion
4. Administering oxygen by way of facemask - Answer✔️✔️-Repositioning
the client from side to side
A primigravida who is at 38 weeks' gestation is undergoing a nonstress
test. The nurse determines that the baseline fetal heart rate is 130 to 140
beats/min. It rises to 160 on two occasions and 157 once during a 20-
minute period. Each of the episodes in which the heart rate is increased
lasts 20 seconds. What action should the nurse take?
1. Discontinuing the test because the pattern is within the expected range
2. Encouraging the client to drink more fluids to decrease the fetal heart
rate
3. Notifying the primary health care provider and preparing for an
emergency birth
4. Recording this nonreassuring pattern and continuing the test for further
evaluation - Answer✔️✔️-Discontinuing the test because the pattern is
within the expected range
A nurse is observing the electronic fetal monitor as a client in labor enters
the second stage. The nurse identifies early decelerations of the fetal heart
rate with a return to the baseline at the end of each contraction. What does
this usually indicate?
4. Fetal head compression - Answer✔️✔️-Fetal head compression
At a client's first prenatal visit, the nurse-midwife performs a pelvic
examination. The nurse states that the client's cervix is bluish purple, which
is known as the Chadwick sign. The client becomes concerned and asks
whether something is wrong. The nurse replies, "This is expected; it:
1. Helps confirm your pregnancy"
2. Is not unusual, even in women who are not pregnant"
3. Occurs because the blood is trapped by the pregnant uterus"
4. Is caused by increased blood flow to the uterus during pregnancy -
Answer✔️✔️-It is caused by increased blood flow to the uterus
How does the nurse distinguish true labor from false labor?
1. Cervical dilation is progressive.
2. Contractions stop when the client walks around.
3. The client's contractions progress only when she is in a side-lying
position.
4. Contractions occur immediately after the membranes rupture. -
Answer✔️✔️-Cervical dilation is progressive
A client's membranes rupture while her labor is being augmented with an
oxytocin (Pitocin) infusion. The nurse observes variable decelerations in the
fetal heart rate on the fetal monitor strip. What action should the nurse take
next?
1. Changing the client's position
2. Taking the client's blood pressure
3. Stopping the client's oxytocin infusion
4. Preparing the client for an immediate birth - Answer✔️✔️-Changing the
clients position
A nurse is assessing the rate of involution of a client's uterus on the second
postpartum day. Where does the nurse expect the fundus to be located?
1. At the level of the umbilicus
2. One fingerbreadth above the umbilicus
3. Above and to the right of the umbilicus
4. One or two fingerbreadths below the umbilicus - Answer✔️✔️-One or two
fingerbreadths under the umbilicus
A client at 11 weeks' gestation reports having to urinate more often. The
nurse explains that urinary frequency often occurs because bladder
capacity during pregnancy is diminished by:
4
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