OB HESI Exam (Versions 1, 2 & 3) Latest Questions Answered (2023/2024)

1. A postpartum patient who has had a vaginal birth asks the nurse, “I was wondering if my cervix will return to its previous shape before I had the baby?” Which is the best response by the nurse? Ans. The cervix will now have a slit-like shape. 2. A patient who is 6 months pregnant has sought medical attention, saying she fell down the stairs. Which scenario would cause an emergency department nurse to suspect that the woman has been battered? Ans. The woman has injuries on various parts of her body that are in different stages of healing. 3. The nurse is reviewing the principles of family-centered care with a primiparous patient. Which patient statement will the nurse need to correct? Ans. “Because childbirth is normal, after my baby’s birth our family dynamics will not change.” 4. The nurse in labor and birth is caring for a Muslim patient during the active phase of labor. The nurse notes that the patient quickly draws away when touched. Which intervention should the nurse implement? Ans. Limit touching to a minimum because physical contact may not be acceptable in her culture. 5. The clinic nurse is reviewing breastfeeding with a pregnant patient. Which hormone will the nurse explain is responsible for milk production after the birth of the placenta? Ans. Prolactin. 6. A patient tells the nurse at a prenatal interview that she has quit smoking, and only has one glass of wine with dinner. Which response by the nurse will be most helpful in promoting a lifestyle change? Ans. “You have made some good progress toward having a healthy baby. Let’s talk about the changes you have made.” 7. A 35-year-old patient has an amniocentesis performed to identify whether her baby has a chromosomal defect. Which statement indicates that the patient understands the situation? Ans. “When all the lab results come back, my husband and I will make a decision about the pregnancy.” 8. The patient indicates to the clinic nurse that she is trying to become pregnant. The clinic nurse reviews the patient’s chart and notes the following laboratory values: Blood type O−, RPR nonreactive, rubella non-immune, HCT 35%. Which laboratory value is most concerning to the nurse? Ans. Rubella non-immune. 9. One of the assessments performed in the birth room is checking the umbilical cord for blood vessels. Which finding is considered to be within normal limits? Ans. Two arteries and one vein. 10.The nurse is conducting a staff in-service on multifetal pregnancy. Which statement regarding dizygotic twin development should the nurse include in the teaching session? Ans. Dizygotic twins arise from two fertilized ova and may be the same sex or different sexes. 11.The nurse is explaining the function of the placenta to a pregnant patient. Which statement indicates to the nurse that further clarification is necessary? Ans. “The placenta helps maintain a stable temperature for my baby.” 12.An expectant mother says to the nurse, “When my sister’s baby was born, it was covered in a cheese-like coating. What is the purpose of this coating?” The correct response by the nurse is to explain that the purpose of vernix caseosa is to Ans. protect the fetal skin from the amniotic fluid. 13.A pregnant patient asks the nurse how her baby gets oxygen to breathe. What is the nurse’s best response? Ans. “Oxygen-rich blood is delivered through the umbilical vein to the baby.” 14.During vital sign assessment of a pregnant patient in her third trimester, the patient complains of feeling faint, dizzy, and agitated. Which nursing intervention is most appropriate? Ans. Have the patient turn to her left side and recheck her blood pressure in 5 minutes. 15.A pregnant woman notices that she is beginning to develop dark skin patches on her face. She denies using any different type of facial products as a cleansing solution or makeup. What would the priority nursing intervention be in response to this situation? Ans. Let the patient know that this is a common finding that occurs during pregnancy. 16.While providing education to a primiparous patient regarding the normal changes of pregnancy, what is an important information for the nurse to share regarding Braxton Hicks contractions? Ans. These occur throughout pregnancy, but you may not feel them until the third trimester. 17.Physiologic anemia often occurs during pregnancy due to Ans. Dilution of hemoglobin concentration. 18.Which comment made by a patient in her first trimester indicates ambivalent feelings? Ans. “I wanted to become pregnant, but I’m scared about being a mother.” 19.An expectant patient in her third trimester reports that she developed a strong tie to her baby from the beginning and now is really in tune to her baby’s temperament. The nurse interprets this as the development of which maternal task of pregnancy? Ans. Developing attachment with the baby. 20.The patient has just learned that she is pregnant and overhears the gynecologist saying that she has a positive Chadwick’s sign. When the patient asks the nurse what this means, how would the nurse respond? Ans. “This sign occurs normally in pregnancy, when estrogen causes increased blood flow in the area of the cervix.” 21.An expected change during pregnancy is a darkly pigmented vertical midabdominal line. The nurse recognizes this alteration as Ans. Linea nigra. 22.Which finding is a positive sign of pregnancy? Ans. Visualization of fetus by ultrasound. 23.Which advice to the patient is one of the most effective methods for preventing venous stasis? Ans. Rest often with the feet elevated. 24.A gravida 1 patient at 32 weeks of gestation reports that she has severe lower back pain. What should the nurse’s assessment include? Ans. Observation of posture and body mechanics. 25.When documenting a patient encounter, which term will the nurse use to describe the woman who is in the 28th week of her first pregnancy? Ans. Primigravida. 26.Determine the obstetric history of a patient in her fifth pregnancy who has had two spontaneous abortions in the first trimester, one infant at 32 weeks’ gestation, and one infant at 38 weeks’ gestation. Ans. G5 T1 P1 A2 L2. 27.The nurse is scheduling the next appointment for a healthy primigravida currently at 28 weeks gestation. When will the nurse schedule the next prenatal visit? Ans. 2 weeks. 28.Which type of cutaneous stimulation involves massage of the abdomen? Ans. Effleurage. 29.Which patient would require additional calories and nutrients? Ans. A 20-year-old female who had a vaginal birth 5 months ago and is breastfeeding. 30.Which effect is a common response to both smoking and cocaine use in the pregnant patient? Ans. Vasoconstriction. 31.What does a birth plan help the parents accomplish? Ans. Taking an active part in planning the birth experience. 32.When explaining the recommended weight gain to your patient, the nurse’s teaching should include which statement? Ans. “Weight gain in pregnancy is based on the patient’s prepregnant body mass index.” 33.Uncontrolled maternal hyperventilation during labor results in Ans. Respiratory alkalosis. 34.A pregnant patient asks the nurse if she can double her prenatal vitamin dose because she does not like to eat vegetables. What is the nurse’s response regarding the danger of taking excessive vitamins? Ans. Has toxic effects on the fetus. 35.Which technique would provide the best pain relief for a pregnant woman with an occiput posterior position? Ans. Sacral pressure. 36.Which fetal position may cause the laboring patient increased back discomfort? Ans. Left occiput posterior. 37.Which physiologic event is the key indicator of the commencement of true labor? Ans. Cervical dilation and effacement. 38.To improve placental blood flow immediately after the injection of an epidural anesthetic, the nurse should Ans. Place a wedge under the woman’s right hip. 39.The clinic nurse is reviewing charts on prenatal patients. Which patient histories indicate that a referral to a genetic counselor is warranted? (Select all that apply.) Ans. -A family history of unexplained stillbirths, -A patient with a family history of birth defects, -A patient who is a carrier of an X-linked disorder. 40.A nurse is conducting prenatal education classes for a group of expectant parents. Which information should the nurse include in her discussion of the purpose of amniotic fluid? (Select all that apply.) Ans. -Cushions the fetus, -Allows for buoyancy for fetal movement, -Maintains a stable temperature for the fetus. 41.Which clinical finding should the nurse expect to assess in the third stage of labor that indicates the placenta has separated from the uterine wall? (Select all that apply.) Ans. -A gush of blood appears, -The uterus rises upward in the abdomen, - The cord descends further from the vagina. 42.The United States ranks poorly in terms of worldwide infant mortality rates. Which factor has the greatest impact on decreasing the mortality rate of infants? Ans. Ensuring early and adequate prenatal care. 43.The nurse is interviewing a patient who is 6-weeks pregnant. The patient asks the nurse, “Why is elective abortion considered such an ethical issue?” Which response by the nurse is most appropriate? Ans. There is a conflict between the rights of the woman and the rights of the fetus. 44.Which patient will most likely seek prenatal care? Ans. A 20-year-old who is in her first pregnancy and has access to a free prenatal clinic. 45.With regard to an obstetric litigation case, a nurse working in labor and birth is found to be negligent. Which intervention performed by the nurse indicates that a breach of duty has occurred? Ans. The nurse did not document fetal heart tones (FHR) during the second stage of labor. 46.A nurse is working in the area of labor and birth. Her assignment is to take care of a gravida 1 para 0 woman who presents in early labor at term. Vaginal exam reflects the following: 2 cm, cervix posterior, –1 station, and vertex with membranes intact. The patient asks the nurse if she can break her water so that her labor can go faster. The nurse’s response, based on the ethical principle of nonmaleficence, is which of the following? Ans. Instruct the patient that only a physician or certified midwife can perform this procedure. OB Exam 1 version 2 1. A pregnant client tells the nurse that she is worried about the blotchy, brownish coloring over her cheeks, nose, and forehead. The nurse can reassure the client that this is a normal condition related to hormonal change, commonly called the mask of pregnancy or, significantly, known as? a) Chloasma (Melasma) b) Linea Nigra c) Strise gravidarum d) Palmar erythema 2. A pregnant patient is admitted to the hospital for hyperemesis. The provider orders intravenous fluid hydration with 1 L of lactated ringer’s every eight hours, with a 250 mL bolus over 30 minutes. The nurse should infuse the first 250 mL at how many drops per minute using a 10 gtt/mL drop factor? a) 21 gtt/min b) 42 gtt/min c) 64 gtt/min d) 83 gtt/min 3. The nurse encourages this patient to consume more of which food in order to increase calcium intake? a) Fresh apricots b) Canned clams c) Spaghetti with meat sauce d) Canned sardines 4. The nurse is providing care for the laboring woman should understand that the fetal heart rate (FHR) decelerations can be caused by; (select all that apply) a) Altered fetal cerebral blood flow b) Maternal position to her left side c) Umbilical cord compression d) Uteroplacental insufficiency e) Fetal heart accelerations 5. The diagnosis of pregnancy is based on which positive signs of pregnancy? (Select all that apply) a) Identification of fetal heartbeat b) Palpation of fetal outline c) Visualization of the fetus d) Verification of fetal movement e) Positive hCG test 6. A patient has just moved to the United States from Central America. She is 3 months pregnant and has arrived for her first prenatal visit. During the assessment interview, the nurse discovers that she has not had any immunizations. Which immunizations should she receive at this stage? (Select all that apply) a) Tetanus b) Diphtheria c) Chickenpox d) Rubella e) Hepatitis B 7. Signs that precede labor include; (Select all that apply) a) Lightening b) Exhaustion c) Bloody show d) Rupture of membranes e) Decreased fetal movement 8. A pregnant patient is seen in the prenatal clinic and has the following obstetrical history; one was born at 39 weeks of gestation, twins were born at 34 weeks of gestation, and another child was born at 35 weeks of gestation and all alive and well. One miscarriage at 18 weeks. What is gravidity and parity using the GTPAL system? a) 3-1-1-1-3 b) 4-1-2-0-4 c) 4-1-2-1-4 d) 4-2-1-0-3 9. When teaching a patient about structure and function of the placenta, which information should the nurse include? a) As the placenta widens, it gradually things to allow easier passage of air and nutrients. b) As one of its early functions, the placenta acts as an endocrine gland. c) The placenta is able to keep out most potentially toxic substances, such as cigarette smoke, to which the mother is exposed. d) Optimal blood circulation is achieved through the placenta when the woman is lying on her back or standing. 10.A pregnant patient at 18 weeks of gestation calls the clinic to report experiencing occasional backaches of mild to moderate intensity. The nurse recommends which action? a) Kegel exercises b) Pelvic rock exercises c) Use a softer mattress d) Stay in bed for 24 hours 11.Assessment of a pregnant patient’s nutritional status includes a diet history, medication regimen, physical examination, and relevant laboratory tests. What should a maternity nurse performing such an assessment consider? a) Oral contraceptive use my interfere with the absorption of iron b) Illnesses that have created nutritional deficits, such as phenylketonuria, may require nutritional care before conception c) The woman’s socioeconomic status and educational level are not relevant to her examination; they are the province of the social worker d) The only nutrition-related laboratory test most pregnant women need is testing for diabetes 12.During the initial visit with the client beginning prenatal care, what should the nurse consider? a) The first interview is a relaxed, get-acquainted affair in which nurses gather some general impressions b) If nurses observe handicapping conditions, they should be sensitive and not inquire about them because the client will do that in her own time c) Nurses should be alert to the appearance of potential parenting problems, such as depression or lack of family support d) Because of legal complications, nurses should not ask about the legal drug use; that is left to the physicians 13.When working with pregnant clients of various cultures, a nurse practitioner has observed various practices that seem strange or unusual and has learned that cultural rituals and practices during pregnancy seem to have one purpose in common. Which statement best describes that purpose? a) To promote healthy habits during pregnancy b) To ward off the “evil eye” c) To appease the gods of fertility d) To protect the whole family 14.What are the components of the umbilical cord? a) Two arteries, one vein, Wharton’s jelly b) One artery, two veins, Wharton’s jelly c) One vein, one artery, Wharton’s jelly d) Two veins, two arteries, Wharton’s jelly 15.The doctor writes an order for vancomycin 1 g to be given over 120 minutes. Pharmacy sends up vancomycin 250 mL. What rate should be infusion pump be set at? a) 110 b) 115 c) 120 d) 125 16.Determine the infusion time for 1500 mL of D5W at a rate of 10 mL/hr. a) 150 b) 19 c) 23 d) 27 17.A pregnant client is admitted to the hospital for dehydration. The physician orders 1000 mL D5 1/2 NS to run over six hours via a micro drip infusion set tubing. Calculate the flow rate in gtt/min. a) 167 b) 177 c) 187 d) 197 18.The physician orders Solu-Medrol 125 mg IM to be given at 10am. The nursery constitutes 250 mg with 5 mL bacteriostatic water. How many mL should be drawn up and administered? a) 1 b) 1.5 c) 2 d) 2.5 19.A client arrives at the clinic for a pregnancy test. The last menstrual period was December 2016 when is the expected date of birth? ** a) September 21, 2017 b) October 7, 2017 c) November 21, 2016 d) September 28, 2017 20.How does the clients family most impact the maternity nurse? a) They paid the bills so make the decisions about care b) Nurse will assess which family member to avoid c) Can determine which mothers will really care for the children d) Family culture and structure will influence nursing care decisions 21.____ use/abuse during pregnancy causes vasoconstriction and decreased placental perfusion, resulting in maternal and neonatal complications. a) Alcohol b) Caffeine c) Tobacco d) Chocolate 22.Sexual assault is best described by which phrase? a) Limited to rape b) Act of force in which an unwanted and uncomfortable sexual act occurs c) Legal term for non-consensual sexual violence d) Active violence in which the partner is unknown 23.A nurse should be aware that a partner’s main role in pregnancy is which action? a) Provide financial support b) Protect the pregnant woman from “old wives tales” c) Support and nurture the pregnant woman d) Make sure the pregnant woman keeps prenatal appointments 24.A 27-year-old pregnant patient had a preconceptual body mass index of 20. The nurse knows that the total recommended weight gain during pregnancy should be at most which amount? a) 20 kg (44 lb.) b) 16 kg (35 lb.) c) 12.5 kg (27.5 lb.) d) 10 kg (22 lb.) 25.Which information regarding work and travel should the nurse informed pregnant clients? a) Women should sit for as long as possible and cross their legs at the knees from time to time for exercise b) Women should avoid seatbelts and show the restaurants in the car because they press on the fetus c) Metal detectors at airport security checkpoints can harm the fetus if the woman passes through them a number of times d) While working or traveling in a car or on a plane, women should arrange to walk around at least every hour or so 26.With regard to fetal positioning during labor, nurses should be aware that: a) Position is a measure of the degree of descent of the presenting part of the fetus through the birth canal. b) Engagement is the term used to describe the beginning of labor. c) The largest transverse diameter of the presenting part is The suboccipital bregmatic diameter. d) Birth is imminent when the presenting part is at +4 to +5 cm below the ischial spine. 27.Identify the term that describes maternity nursing care that is based on knowledge gained through research and clinical trials. a) Nursing intervention classification b) Evidence-based practices c) Concepts of traditional nursing d) Telemedicine 28.What is an unexpected negative occurrence involving death or serious physical or psychological injury? a) The standard of care b) Risk management c) A sentinel event d) Failure to rescue 29.The nurse who provides preconception care implements which concept? a) Is designed for women who have never been pregnant b) Includes risk factor assessments for potential medical and psychological problems c) Avoids teaching about safe sex to avoid political controversy d) Could include interventions to reduce substance use and abuse 30.A first time mother at 18 weeks of gestation is in for a regularly scheduled prenatal visit. The client tells the nurse that she is afraid that she is going into premature labor because she is beginning to have regular contractions. Which information is most correct for teaching the client about Braxton Hicks contractions? a) This type of contraction is painless b) Increase with walking c) Causes cervical dilation d) Impedes oxygen flow to the fetus 31.The nurse should include which in the patient teaching regarding weight gain during pregnancy? a) The patient’s height is not a factor in determining her target weight b) Obese patients may have their health concerns, but their risk of giving birth to a child with major congenital defects is the same as with normal weight women c) Pregnant patients with inadequate weight gain have an increased risk of delivering an infant with intrauterine growth restriction d) Greater than expected weight gain during pregnancy is almost always due to old-fashioned overeating 32.A nurse is assessing a client during her first prenatal visit to the clinic. The nurse takes the clients temperature: 100.2°F. Which of the following actions on the part of the nurse is appropriate? a) Notify the physician b) Documenting the temperature and follow up c) Retaking the temperature rectally d) Obtain an order for antibiotics 33.Which are positive signs of pregnancy? a) Determined by ultrasound b) Observed by the healthcare provider c) Reported by the client d) Determined by diagnostic tests 34.Prenatal testing for human immunodeficiency virus is recommended for which woman? a) All women, regardless of risk factors b) A woman who has had more than one sexual partner c) A woman who has had a sexually transmitted infection d) A woman who is monogamous with her partner 35.A pregnant patient is at 22 weeks of gestation. The nurse expects to palpate the fundus at which level? a) Not palpable above the symphysis at this time b) Slightly above the symphysis at this time c) At the level of the umbilicus d) Slightly above the umbilicus 36.A woman in week 34 of pregnancy reports that she is very uncomfortable because of heartburn. The nurse would suggest that the woman: a) Substitute other calcium sources for milk in her diet b) Lie down after each meal c) Reduce the amount of fiber she consumes d) Eat five small meals a day 37.The nurse has received a report about a woman in labor. The woman’s last vaginal examination was recorded as 3 cm, 50%, and -2. The nurse’s interpretation of this assessment is that: a) The cervix is effaced 3 cm, it is dilated 50%, and the presenting part is 2 cm above the ischial spine b) The cervix is effaced 3 cm, it is dilated 50%, and the presenting part is 2 cm below the ischial spine c) The cervix is dilated 3 cm, it is effaced 50%, and the presenting part is 2 cm below the ischial spine d) The cervix is 3 cm dilated, it is effaced 50%, and the presenting part is 2 cm above the ischial spine 38.A woman in labor has just received an epidural block. The most important nursing Intervention is to: a) Limit parenteral fluids b) Monitor the fetus for possible tachycardia c) Monitor the maternal pulse for possible bradycardia d) Monitor the maternal blood pressure for possible hypotension 39.A woman can expect to experience what change with pregnancy? a) Center of gravity will shift sideways b) Will have increased lordosis c) Increased abdominal muscle tone d) Notice decreased mobility of pelvic joints 40.During the first trimester a woman can expect which change in sexual desire? a) Increase, because of enlarging breasts b) Decrease, because of nausea and fatigue c) No change generally occurs d) Increase, because of increased levels of female hormones 41.Which statement about pregnancy is accurate? a) A normal pregnancy lasts about 10 lunar months b) A trimester is 1/3 of a year c) The prenatal period extends from fertilization to conception d) The estimated date of confinement is time of isolation 42.Identify the term that describes when the fetus begins to descend and drop into the pelvis. a) Hegar’s Sign b) Lightening c) Ballottment d) Quickening 43.The nurse is collecting data from a client who is 32 weeks gestation. The nurse measures the fundal height in centimeters and expects the findings to be which height? a) 22 cm b) 28 cm c) 32 cm d) 40 cm 44.A pregnant client calls the nurse at the providers office and reports that she has noticed a thin, colorless, vaginal drainage. Which information would be best for the nurse to provide to the client? a) Come to the clinic immediately b) Report to the emergency department at the maternity center immediately c) The vaginal discharge may be bothersome but it is a normal occurrence d) Use tampons if the discharge is bothersome but be sure to change the tampons every two hours 45.The nurse teaches a pregnant woman about the presumptive, probable, and positive signs of pregnancy. The woman demonstrates understanding of the nurses instructions if she states that a presumptive sign of pregnancy is: a) A positive pregnancy test b) Fetal movement palpated by the nurse midwife c) Hegar’s sign d) Fetal heart rate heard on sonogram 46.Due to the musculoskeletal system adaptation to the changes that occur during pregnancy, which is the highest risk potential? a) Muscle tension b) Falls c) Kyphosis d) Scoliosis OB Exam 1 version 3 1. A woman's obstetric history states that she is currently pregnant. She also states she has a 5 year old twins at home was born at 38 weeks of gestation, one baby was born at 36 weeks gestation, and another child was born at 30 weeks gestation. She also had 1 miscarriage at 19 weeks. What is her gravidity and parity using the GTPAL system? Page 170 A.G3-T1-P1-A1-L3 B G5-T1-P2-A1-L4 C G5-T1-P2-AO-L4 D.G7-T2-P1-A0-L3 2. The same female states he last menstrual period (LMP) began on October 8, 2017. Using her (LMP) what is her estimated date of delivery (EDD)? Page 192 A September 11, 2018 B September 20, 2018 C July 15, 2018 D October 17, 2017 3. A patient is 26 weeks pregnant. She needs NS to start @ 12 midnight. The doctor order is 1000ml NS to run for 8 hours. The nurse uses a drop factor of 60 gtt/minute. How many gtt/minute would she receive? Round off to the nearest whole number. A 125 gtt/min B 26 gtt/min C 60 gtt/min D 8 gtt/min 1,000 mL × 60 gtts/mL ÷ 480 (8×60) minute = 125 gtts/min- Volume (ml) X gtt factor divided by time in minutes 4. Which blood pressure (BP) finding during the second trimester indicates a risk for pregnancy-induced hypertension? A Baseline BP 120/80, current BP 126/85 B Baseline BP 108/72, current BP 139 /88 C Baseline BP 140/85, current BP 130/80 D Baseline BP 110/60, current BP 115/66 5. A pregnant multigravida female states that her grandmother told her that the round shape of her abdomen indicates that she will be having a male child. Although the nurse may not be able to confirm this information, at what gestation age may a sonogram identity external genitalia? Page149 A 10 weeks gestation B 5 weeks gestation C 16 weeks gestation D 8 weeks gestation 6. A 21-year-old female states that she might be 16 weeks pregnant. The nurse knows that there are the presumptive, probable and positive signs of pregnancy. Which of the following is the presumptive sign of pregnancy? Page 172 A "I hear my baby heart beat when the nurse did the Non Stress Test" B "I can't keep any food down especially in the morning" C "I could see my baby on the sonogram" D "My pregnancy test is positive 7. Nurse intervention and implementation (such as skin-to-skin with baby and mother after birth improves thermoregulation) that has been research and validated is considered which of the following? A Sentinel events B Safe motherhood C Evidence Based Practice D Cultural Sensitivity 8. A 27-year-old pregnant woman had a pre-conceptual body mass index (BMI) of 18.0. The nurse knows that this woman's total recommended weight gain during pregnancy should be at most: A 20 kg (44 Ibs). B 16 kg (35 Ibs). C 12.5 kg (27.5 lbs). D 10 kg (22 Ibs). 9. Prenatal testing for the human immunodeficiency virus (HIV) is recommended for which pregnant women? A All women, regardless of risk factors B A woman who has had more than one sexual partner C A woman who has had a sexuallv transmitted infection D A woman who is monogamous with her partner 10. With regard to the initial visit with a patient who is beginning prenatal care, nurses should be aware that: A The first interview is a relaxed, get-acquainted affair in which nurses gather some general impressions. B If nurses observe handicapping conditions, they should be sensitive and not inquire about them because the patient will do that in her own time. C Nurses should be alert to the appearance of potential parenting problems such as depression or lack of family support. D Because of legal complications, nurses should not ask about illegal drug use; that is left to physicians. 11. With regard to the position of the laboring woman, maternity nurses should be able to tell the woman that: A The supine position commonly used in the United States increases blood flow. B The "all fours" position, on her hands and knees, is hard on her back. C Frequent changes in position will help relieve her fatigue and increase her comfort. D In a sitting or squatting position her abdominal muscles will have to work harder. 12. In her prenatal care the mother was given azithromycin (Zithromax). The medication was given for a positive Chlamydia result. The MD orders 1000 mg tablet of the medication to be taken once. Each capsule is 250 mg. The nurse knows that the total amount of the tablet/s is; A 1 B 3 C 4 D 2 13. The two primary areas of risk for sexually transmitted infections (STIs) are: A Sexual orientation and socioeconomic status. B Age and educational level. C Large number of sexual partners and race. D Risky sexual behaviors and inadequate preventive health behaviors. 14. The nurse has received a report about a woman in labor. The woman's last vaginal examination was recorded as 9 cm, 80%, and +3 (9/80/+3). The nurse's interpretation of this assessment is that: A The cervix is effaced 9 cm, it is dilated 80%, and the presenting part is 3 cm above the ischial spines. B The cervix is 9 cm dilated, it is effaced 80%, and the presenting part is 3 cm above the ischial spines. C The cervix is effaced 9 cm, it is dilated 80%, and the presenting part is 3 cm below the ischial spines. D The cervix is dilated 9 cm, it is effaced 80%, and the presenting part is 3 cm below the ischial spines. 15. A 30-year-old mother is 27 week pregnant. This is her first appointment in the prenatal clinic. This mother is concerned about immunization during pregnancy. Which information provided by the nurse is CORRECT? A MMR (Measles, Mumps and Rubella) is recommended for all mothers during pregnancy B Mother who receives Influenza vaccine puts the baby at risk C Tetanus vaccine is recommended during pregnancy D Chicken Pox is recommended for mother during pregnancy 16. A 21-year prima gravida mother is in labor. She is in the 2nd stage of labor. The nurse is teaching a new nurse about the stages of labor. The nurse knows that the new nurse needs additional teaching if she states which of the following: page 279 A The 2nd stage of labor is 100% effaced and 10 cm dilated B The 2nd stage of labor ends with the delivery of the baby C The 2nd stage of labor start after the placenta is delivered D Crowning of the neonate is seen in the 2nd stage of pregnancy 17. With regard to the structure and function of the placenta, the maternity nurse should be aware that: A As the placenta widens, it gradually thins to allow easier passage of air and nutrients. B As one of its early functions, the placenta acts as an endocrine gland. C The placenta is able to keep out most potentially toxic substances such as cigarette smoke to which the mother is exposed. D Optimal blood circulation is achieved through the placenta when the woman is lying on her back or standing. 18. A 22-year-old mother is 39 weeks pregnant and is in labor but is having problem with delivery. The anesthesiology speaks to the mother about pain management during labor. What information about general anesthesia is INCORRECT? A General anesthesia is not recommended for vaginal delivery B The patient may need to be NPO (nothing by mouth) before administration C General anesthesia is widely used for vaginal delivery D The patient may need oxygen during the procedure 19. A woman is at 23 weeks of gestation. The nurse would expect to palpate the fundus at which level? A Not palpable above the symphysis at this time B Slightly above the symphysis pubis C At the level of the umbilicus D Slightly above the umbilicus 20. A woman in labor has just received an epidural block. The most important nursing intervention is to: Chapter 10 A Limit parenteral fluids. B Monitor the fetus for possible tachycardia. C Monitor the maternal blood pressure for possible hypotension D Monitor the maternal pulse for possible bradycardia. 21. With regard to fetal positioning during labor, nurses should be aware that: A.Position is a measure of the degree of descent of the presenting part of the fetus through the birth canal. B Birth is imminent when the presenting part is at +4 to +5 cm, below the spine. C The largest transverse diameter of the presenting part is the suboccipitobregmatic diameter. D Engagement is the term used to describe the beginning of labor. 22. In her work with pregnant women of various cultures, a nurse practitioner has observed various practices that seemed strange or unusual. She has learned that cultural rituals and practices during pregnancy seem to have one purpose in common. Which statement best describes that purpose? A To promote family unity B To ward off the "evil eve" C To appease the gods of fertility D To protect the mother and fetus during pregnancy 23. A patient needs to be started on D5RL post- cesarean surgery. Dr. Mann orders D5RL (Dextrose 5 with Ringer's Lactate) continuous at 125ml/hour. The nurse hangs 1000 ml of the IVF. How long will the 1000 ml last? A 5 B 8 C 4 D 2 24. A hospital is investigating report of a sentinel event to prevent such situation from occurring. Based on the nurse's knowledge of sentinel event which of the following would be classified as sentinel event? A A 23-year-old female with pre-existing congenital heart disease developed complication from heart disease after developing C/S (Cesarean section) B A 45-year-old healthy female who had delivered a healthy baby boy start having a fever 1 day after C/S (Cesarean section) C A healthy 43 year old female developed DVT (Deep Vein Thrombosis) after giving birth vaginally to a preterm baby girl at 39 weeks gestation D A 35 female had an quantitative blood loss (QBL) of 200 ml after giving birth to a baby girl at 38 weeks gestation 25. A woman is in her seventh month of pregnancy. She has been complaining of nasal congestion and occasional epistaxis. The nurse suspects that: A This is a normal respiratory change in pregnancy caused by elevated levels of estrogen. B This is an abnormal cardiovascular change, and the nosebleeds are an ominous sign. C The woman is a victim of domestic violence and is being hit in the face by her partner. D. The woman has been using cocaine intranasally. 26. A pregnant woman at 18 weeks of gestation calls the clinic to report that she has been experiencing occasional backaches of mild-to-moderate intensity. The nurse would recommend that she: A Do Kegel exercises. B Do pelvic rock exercises. C Run for 20 minutes every day D Lie flat on her back 27. To reassure and educate pregnant patients about the functioning of their kidneys in eliminating waste products, maternity nurses should be aware that: A Increased urinary output makes pregnant women less susceptible to urinary infection. B Increased bladder sensitivity and then compression of the bladder by the enlarging uterus results in the urge to urinate even if the bladder is almost empty. C Renal (kidney) function is more efficient when the woman assumes a supine position. D Using diuretics during pregnancy can help keep kidney function regular. 28. With regard to work and travel during pregnancy, nurses should be aware that: A Women should sit for as long as possible and cross their legs at the knees from time to time for exercise. B Women should avoid seat belts and shoulder restraints in the car, because they press on the fetus. C Metal detectors at airport security checkpoints can harm the fetus if the woman passes through them a number of times. D While working or traveling in a car or on a plane, women should arrange to walk around at least every hour or so. 29. Which statement about multifetal pregnancy is NOT accurate? A The expectant mother often develops anemia because the fetuses have a greater demand for iron. B Twin pregnancies come to term with the same frequency as single pregnancies. C The mother should be counseled to increase her nutritional intake and gain more weight. D Backache and varicose veins often are more pronounced. 30. Which time-based description of a stage of development in pregnancy is accurate? A Viability-22 to 37 weeks since the last menstrual period (LMP) (assuming a fetal weight is greater than 500 g) B Term-pregnancy from week 36 of gestation to the end of week 42 C Preterm-pregnancy from 20 to 28 weeks D Postdate-pregnancy that extends beyond 42 weeks 31.To help a woman reduce the severity of nausea caused by morning sickness, the nurse might suggest that she: chapter 8 A Try a tart food or drink such as lemonade or salty foods such as potato chips. B Drink plenty of fluids early in the day. C Brush her teeth immediately after eating D Never snack before bedtime. 32. A woman who is week 34 of pregnancy reports that she is very uncomfortable because of heartburn. The nurse would suggest that the woman: A Substitute other calcium sources for milk in her diet. B Lie down after each meal. C Reduce the amount of fiber she consumes D Eat five small meals daily. 33. The phenomenon of someone other than the mother-to-be experiencing pregnancy-like symptoms such as nausea and weight gain applies to the: A Mother of the pregnant woman. B Couple's teenage daughter. C Sister of the pregnant woman. D Expectant father. 34. To assess the health of the mother accurately during labor, the nurse should be aware that: A The woman's blood pressure will increase during contractions and fall back to pre-labor normal between contractions. B Use of the Valsalva maneuver is encouraged during the second stage of labor to relieve fetal hypoxia. C Having the woman point her toes will reduce leg cramps. D The endogenous endorphins released during labor will raise the woman's pain threshold and production 35. The health care facility is training its staff about cultural sensitivity. Which of the following Does NOT promote cultural sensitivity? A Provided a facility trained interpreter in the patient language to interpret B Ask the patient about dietary restriction that the staff needs to be aware C Inform the patient mother's that she cannot pray in the delivery room D Limit access to the room of the Jewish patient on Saturday at her request 36. The factors that affect the process of labor and birth, known commonly as the five Ps, include all except: A Passenger B Passageway C Position D Palpation 37. A 20 years old is 30 weeks pregnant as a result of sexual assault. The nurse explains to the patient about sexual assault. Which of the following is INCORRECT about sexual assault Page 44 A Substance abuse may be associated with sexual assault B Patients are always ready to report the perpetrator of sexual assault C Women can experience Post Traumatic Stress Syndrome as a result of sexual assault D Sexual assault includes unwanted and uncomfortable sexual act occurs 38. A 31 year old is 29-week gestation. She complains of difficulty in ambulation. The nurse knows that because of the shift in musculoskeletal system, the nurse should include which of the following in the care plan? A Urinary Incontinent B Skin integrity C High Risk for fall D Preterm labor 39. During the first trimester a woman can expect which of the following changes in her sexual desire? A An increase, because of enlarging breasts B A decrease, because of nausea and fatigue C No change D An increase, because of increased levels of female hormones 40. A day after vaginal delivery of a baby boy a 25-year-old woman developed a temperature of 100.9 degree Fahrenheit. The order Acetaminophen 650 mg orally every 4 hours as needed for temperature over 100.4 degree Fahrenheit. The medication is available in 325mg tablet. How many tablets should the nurse administer per dose? A 1 B 3 C 2 D 5 41. A pregnant woman at 25 weeks of gestation tells the nurse that she dropped a pan last week and her baby jumped at the noise. Which response by the nurse is most accurate? Pages 163-165 A "That must have been a coincidence: babies can't respond like that.' B "The fetus is demonstrating the aural reflex. C "Babies respond to sound starting at about 24 weeks of gestation. D "Let me know if it happens again; we need to report that to your midwife. 42. A pregnant woman's diet history indicates that she likes the following list of foods. The nurse would encourage this woman to consume more of which food to increase her calcium intake? A Fresh apricots B Canned clams C Spaghetti with meat sauce D Kale 43. With regard to medications, herbs, shots, and other substances normally encountered, the maternity nurse should be aware that: A Both prescription and over-the-counter (OTC) drugs that otherwise are harmless can be made hazardous by metabolic deficiencies of the fetus. B The greatest danger of drug-caused developmental deficits in the fetus is seen in the final trimester. C Killed-virus vaccines (e.g., tetanus) should not be given during pregnancy, but live-virus vaccines (e.g., measles) are permissible. D No convincing evidence exists that secondhand smoke is potentially dangerous to the fetus. 44. What represents a typical progression through the phases of a woman's establishing a relationship with the fetus? A Accepts the fetus as distinct from herself-accepts the biologic fact of pregnancy-has a feeling of caring and responsibility B Fantasizes about the child's gender and personality- views the child as part of herself becomes introspective C Views the child as part of herself- has feelings of well-being-accepts the biologic fact of pregnancy D "I am pregnant." -"I am going to have a baby."-"I am going to be a mother. 45. Signs that precede labor include (choose all that apply); A Lightening B Tiredness C Bloody show D Rupture of membranes E Decreased fetal movement 46. A 25-year-old female tells the nurse that she has difficult with getting pregnancy so she wants to know what she can do. After the interview, the necessary lab tests were taken and physical examination was, the nurse begins her preconception teaching. Which of the following should be included in the teaching? A It is important to take folic acid to reduce neural tube deficit B Avoid alcohol and "recreational" drug abuse C Stress is a normal phenomena in life so avoidance of such is not necessary D Avoid behaviors that that will put her at high risk for Sexual Transmitted Disease(STD) F Explore her immigration status and refer her as needed 47. The nurse is teaching a new mother about the function of the placenta. Which of the following are the functions of the placenta. (Choose all that applies) PAGE 156 -157 A It is important for cardiovascular function. B It carries waste away from the mother, C It supplies the baby with oxygen D It supplies the fetus with nutrient E. It protect the fetus from viruses 48. The nurse who is evaluating the woman for potential abuse should be aware that intimate partner violence includes (choose all that apply): page 44 A Physical abuse B Sexual abuse C Emotional abuse D Psychological abuse E Education abuse 49. Some non-pharmacological interventions for pain relief may include which of the following. A Water therapy B General anesthesia C Music Therapy D Vaginal examination E Heat and cold application 50. Most women with uncomplicated pregnancies can use the nurse as their primary source for nutritional information. The nurse or midwife should refer a patient to a registered dietitian for indepth nutritional counseling when which of the following exist(s)? (Choose all that apply.) A Preexisting or gestational illness such as diabetes B Ethnic or cultural food patterns C Mothers with psychiatric problems D Vegetarian diets E Mothers with sickle cell anemia   Ob Exam 2 1- Which maternal condition should be considered an unfavorable condition for the application of internal monitoring devices? Maternal HIV 2- The nurse is reviewing the electronic monitor tracing of a client in active labor. The nurse should know that a fetus receives more oxygen when which of the following appears on the tracing? Relaxation between uterine contraction 3- The nurse is concerned that a patients uterine activity is too intense and that her obesity is preventing accurate assessment of contractions. Based on this information, which action should the nurse take? Obtain an order from the health care provider for an intrauterine pressure catheter 4- If the position of a fetus in a cephalic presentation is right occiput anterior, the nurse should assess the fetal heart rate in which quadrant of the maternal abdomen? Right lower 5- In which situation would the baseline fetal heart rate of 160 to 170 bpm be considered a normal finding? The fetus is at 30 weeks of gestation 6- When the mother’s membranes rupture during active labor, the fetal heart rate should be observed for the occurrence of which periodic pattern? Variable decelerations 7- The fetal heart rate baseline increases 20 bmp after vibroacoustic stimulation. The best interpretation of this is that the fetus is showing An expected response 8- Which of the following is the priority intervention for a supine patient whose monitor strip shows decelerations that begin after the peak of the contraction and return to the baseline after the contraction ends? Reposition to left side-lying position 9- Decelerations that mirror the contractions are present with each contraction on the monitor strip of a multipara who received epidural anesthesia 20 minutes ago. The nurse should Maintain the normal assessment routine 10- A nurse is caring for a patient who is experiencing incomplete uterine relaxation between hypertonic contractions. The nurse should identify that this contraction pattern increases the risk for which of the following complications? Reduced fetal oxygen supply 11- The nurse is reviewing an electronic fetal monitor tracing from a patient in active labor and notes the fetal heart rate gradually drop to 20 bpm below the baseline at the peak of contractions and returns to the baseline after the completion of the patients contractions. How will the nurse document these findings? Late decelerations 12- A patient at 41 weeks gestation is undergoing an induction of labor with an IV administration of oxytocin. The fetal heart rate starts to demonstrate a recurrent pattern of late decelerations with moderate variability. What is the nurse’s priority action? Stop the infusion of Pitocin 13- The nurse admits a laboring patient at term. On review of the prenatal record, the patients pregnancy has been unremarkable and she is considered low risk. In planning the patients care, at what interval will the nurse intermittently auscultate the fetal heart rate during the second stage of labor? Every 15 minutes 14- The nurse is monitoring a patient in labor and notes the fetal heart rate pattern on the electronic fetal monitoring strip. What is the most appropriate nursing action? Administer oxygen with a face mask at 8 to 10 L/minute 15- The nurse is preparing to perform Leopold’s maneuvers. Please select the rationale for the consistent use of these maneuvers by obstetric providers? To determine the best location to assess the fetal heart rate 16- A patient is 26 weeks pregnant. The doctor orders 1000ml NS to infuse for 8 hours. The nurse uses a drop factor of 15 gtt/ml. How many gtt/minute would she receive? 31 gtt/min 17- A primigravida at 39 weeks of gestation is observed for 2 hours in the intrapartum unit. The fetal heart rate has been normal. Contractions are 5 to 9 minutes apart, 20 to 30 seconds in duration, and of mild intensity. Cervical dilation is 1 to 2 cm and uneffaced. Membranes are intact. The nurse should expect the patient to be discharged home to await the onset of labor. Which nursing assessment indicates that a patient who is in the second stage of labor is almost ready to give birth? The vulva bulges and encircles the fetal head 18- A 25 year old primigravida patient is in the first stage of labor. She and her husband have been holding hands and breathing together through each contraction. Suddenly, the patient pushes her husbands hand away and shouts, “Don’t touch me”. The behavior is most likely Common during the transition phase of labor 19- At 1 minute after birth, the nurse assesses the newborn to assign an Apgar score. The apical heart rate is 110 bpm, and the infant is crying vigorously with limbs flexed. The infants trunk is pink and the hands and feet are blue. The Apgar score for this infant is 9 20- The nurse thoroughly dries the infant immediately after birth primarily to Reduce heat loss from evaporation 21- The nurse notes that a patient who has given birth 1 hour ago is touching her infant with her fingertips and talking to him softly in high-pitched tones. Based on this observation, which action should the nurse take? Document this evidence of normal early maternal-infant attachment behavior 22- The nurse is reviewing the cardinal maneuvers of labor and birth with a group of nursing students. Which maneuver will immediately follow the birth of a baby’s head? Restitution 23- The nurse explaining the technique of internal version to a nursing orientee. Which statement best describes the technique of internal version? Manipulation of the second twin from a transverse lie to a breech presentation during vaginal birth 24- For which patient should the oxytocin infusion be discontinued immediately? A patient in active labor with contractions every 1-2 minutes lasting 80-90 seconds each 25- While assisting with a vacuum extraction birth, which alteration should the nurse immediately report to the obstetric provider? Persistent fetal bradycardia below 100 bpm 26- The labor nurse is developing a plan of care for a patient admitted in active labor with spontaneous rupture of the membrane 6 hours prior to admission with clear fluid. On admission, vital signs were as follows, maternal heart rate 92 bpm, fetal heart rate baseline, 150 to 160 bpm, 124/76 mm Hg, temp 37.2. What is the priority nursing action for this patient? Assess temp every 2 hours 27- A patient with polyhydramnios is admitted to a postpartum unit. Her membranes rupture and the fluid is clear and odorless, however, the fetal heart monitor indicates bradycardia and variable decelerations with umbilical cord visible at the perineum. Which action should be taken next? Perform a vaginal examination 28- Which technique is most effective for the patient with persistent occiput posterior position? Rocking the pelvis back and forth while on hands and knees 29- Which patient situation presents the greatest risk for the occurrence of hypotonic dysfunction during labor? A multiparous patient at 39 weeks of gestation who is expecting twins 30- Which nursing action should be initiated first when there is evidence of prolapse cord? Reposition the mother with her hips higher than her head 31- Which factor should alert the nurse to the potential for prolapse umbilical cord? Presenting part at a station -3 32- The fetus in a breech presentation is often born by cesarean birth because Compression of the umbilical cord is more likely 33- A patient who is 32 weeks pregnant telephones the nurse at her obstetrician’s office and complains of constant backache. She asks what pain reliever is safe for her to take. The best nursing response is “You should come into the office and let the doctor check you” 34- Which is the priority nursing assessment for the patient undergoing tocolytic therapy with terbutaline? Fetal heart rate, maternal pulse, and blood pressure 35- A pregnant patient who has had a prior obstetric history of preterm labors is pregnant with her third child. The physician has ordered a fetal fibronectin test. Which instruction should be given to the patient regarding this clinical test? Patient should refrain from sexual activity prior to testing 36- A labor patient has been diagnosed with cephalopelvic disproportion following attempts at pushing for 2 hours with no progress. Based on this information, which birth method is most appropriate? Cesarean section 37- A 20-year-old gravida 1, para 0 woman, is evaluated to be at 42 weeks’ gestation on admission to the labor birth unit. The patient is not in labor at the current time; however, she has been sent over by the physician to be admitted for the induction of labor. The patient indicates to you that she would rather go home and wait for natural labor to start. How should the nurse response to the patient’s request. Inform the patient that there are a number of serious concerns related to postdate pregnancy and that she should be better off to be monitored in a clinical setting 38- Which assessment finding indicates a complication in patient attempting a vaginal birth after cesarean (VBAC)? Complain of pain between scapulae 39- A pregnant woman develops hypertension. The nurse monitors the blood pressure closely at subsequent visits because the nurse is aware that hypertension is associated with which complication Placental insufficiency 40- A patient needs to be started on D5RL post cesarean surgery Dr. Mann orders D5RL continuous at 125ml/hr. the nurse hangs 1000ml of the IVF. How long will the 1000ml last? 8hrs 41- If the patient white blood cell count is 25,000/mm3 on her second postpartum day. Which action should the nurse take? Document the finding 42- A postpartum patient ask “Will the stretch marks ever go away?”. Which is the nurse best Response? They will fade to silvery lines but won’t disappear completely 43- The nurse has completed a postpartum assessment on a patient who delivered 1 hour ago. Which amount of lochia consist of a light amount? 2.5 to 10 cm (1 to 4 inch) stain on the pad 44- An example of claiming during the postpartum period is a New mother telling her friends all about her labor and birth experience Which medications could potentially cause hyper-stimulation of the uterus during labor (Select all that apply) Oxytocin (Pitocin) Misoprostol (cytotec) Dinoprostone (cervidil) Methylergonovine maleate (Methergine 45- A laboring patient is 10m dilated, however she does not feel the urge to push. The nurse understands that according to laboring down the advantages of waiting until an urge to push ae which of the following (select all) Less maternal fatigue Less birth canal injuries Decreased pushing time 46- The nurse is monitoring a patient in the active stage of labor. Which condition associated with fetal compromise should the nurse monitor (select all) Maternal hypotension Meconium-stained amniotic fluid Maternal fever 38-degree Celsius (100.4) or higher 47- The nurse is caring for a patient in the fourth stage of labor. Which assessment findings should the nurse identify as a potential complication? (select all) Soft boggy uterus High uterine fundus displaced to the right Intense vaginal pain unrelieved by analgesics 48- Which vaccinations are indicated for the postpartum patient if she does not have immunity (select all) Rubella Diphtheria (Tdap) Varicella Pertusis KING OB EXAM 3 A woman who is 36 weeks pregnant asks the nurse to explain the vibroacoustic stimulator test. What should the nurse include in the response? Vibroacoustin stimulation can be repeated, the test may confirm nonreactive nonstress, the test uses sound to elicit fetal movements The nurse should be alert to the blood group incompatibility if? Mother is B positive and infant is O negative To prevent breast engorgement, what should the new breast-feeding mother be instructed to do? Breast feed frequently and for adequate lengths of time A multiparous patient arrives to the labor unit and urgently states, “ The baby is coming RIGHT NOW!”. The nurse assists the patient into a comfortable position and delivers the infant. To prevent heat loss from conduction what is the priority nursing action? Place the baby on the patients abdomen until the cord is cut The nurse must continually assess the infant who has meconium aspiration syndrome for the complication of Persistent pulmonary hypertension A nursing student is helping the mother baby nurse with morning vital signs. A baby born 10 hours ago via cesarean birth is found to have moist lung sounds. Which is the best interpretation of this information? The lungs of a baby delivered by cesarean birth may sound moist for 24 hours after birth Most newborns receive a prophylactic injection of vitamin K soon after birth. Which site is optimal for the newborn? Vastus lateralis muscle A nurse who discovers unequal movement or uneven gluteal skinfolds of a newborn during the ortolan maneuver would Alert the physician that the infant needs further evaluation The nurse is assessing 4 newborns in the nursery. Which assessment would warrant the nurse to take immediate action? A temperature of 96.6 degrees Fahrenheit An infant at 39 weeks gestation was just delivered, included in the protocol for a term infant is an initial blood glucose assessment. The nurse obtains the blood sample and the reading is 58 mg/dL. What is the priority nursing action based upon this reading? Document the finding in the newborns chart A yellow crust has formed over the circumcision site. The mother calls the hotline at the local hospital 5 days after her son was circumcised. She is very concerned. Which response by the nurse is most appropriate? The yellow crust is an early sign of granulation The primary reason for evaluating chronic villus sampling levels is to determine whether the fetus has which condition? Hemophilia The nurse is teaching new parents’ strategies to help with newborn colic. Which interventions should the nurse suggest? Burp the infant frequently, Feed the infant in an upright Which information should the nurse teach to new parents regarding the use of a bulb syringe? Wash thoroughly after each use A new patient asks, “why are you doing gestation age assessment on my baby?” The nurse’s best response is “It helps us identify who are at risk for any problems.” A newborn assessment finding that would support the nursing diagnosis of prematurity would be Presence of lunago Inspection of a newborn’s head following birth reveals a hard ridged area and significant molding. The anterior and posterior formulas show no sign of depression. Delivery history indicates that the mother was pushing for over 3 hours and had epidural anesthesia. A vacuum extraction was necessary. Based on this information the nurse would Contact the pediatric provider The nurse is performing a gestational age assessment on a newborn. Which characteristic indicates the greatest gestational maturity? There is some peeling and cracking of the skin A new born that is a small for gestation age infant is in which percentile for weight? Less than 10th A newborn is admitted to the neonatal intensive unit with cold stress. Which life threatening condition should the nurse monitor in her assessment of the baby? Metabolic acidosis As the nurse assists a newly discharged patient and her infant to the waiting car, the nurse notes that the infant seat is in the front seat of the car facing the front and secured by the seatbelt. The nurse should explain to the parents that the car seat should be placed In the back seat facing the rear of the car The nurse is preparing a patient for a nonstress test. Which intervention should the nurse plan to implement? Instruct the patient, Have the patient sit, Apply electronic monitoring equipment What is the purpose of amniocentesis for a patient hospitalized at 34 weeks gestation with pregnancy-induced hypertension? Determine fetal lung maturity The nurse is explain the risk of hypothermia in the newborn to a group of nursing students. Which statement best describes the manifestations of hypothermia in the newborn? Newborns have increased glucose demands A new mother is preparing for discharge from the birthing center and relays to the nurse her concerns about how she will handle the baby’s episodes of crying. What is the nurses best response? “Crying is the way your baby communicates with you. It is important for you to meet your baby’s needs consistently and promptly.” A new mother is preparing for discharge from the birthing center and relays to the nurse her concerns about how she will handle the baby’s episode of crying. Crying is the way your baby communicates with you….. Which newborn reflex is elicited by a newborn baby who automatically turns toward the stimulus when the cheek is touched Rooting In caring for the preterm infant which complication is thought to be a result of high arterial blood oxygen level Respiratory of prematurity The clinic nurse is obtaining a health history on a newly pregnant patient. which is an indication for fetal diagnostic procedures Previous infant weighing more than 4000 During prenatal education class regarding infant home care. The nurse is reviewing the simulated setting created by new mothers for putting baby to bed. Which observation indicates to the nurse that the new mother understood the nurse’s teaching The baby mannequin is in the supine position A breastfeeding patient who was discharged yesterday calls to ask about tender hard areas on her right breast. What should the nurses first response be Try massaging the are and apply heat it is probably clogged tubes In preparing a pregnant patient for a nonstress test NST. which of the following should be included in the patient care Position the patient for comfort. Adjusting the tocotransducer belt to locate fetal heart rate The nurse is instructing a patient on how to perform kick counts which information would the nurse include in her teaching (select all ) You should be on your side place your hand on the largest part of the abdomen and… Use a clock or timer when performing kick counts Protocols can provide a structure…. The nurse is assessing newborn delivered 24 hours ago for jaundice what are the best way to evaluate for this finding Depress the tip of the nose The nurse Is preparing to administer vitamin K to the infant after birth which statement is important to understand regarding the properties of this medication It is not initially synthesized because of a sterile bowl at birth A pregnant patient has received her results of her triple-screen testing and it is positive. She provides you with a copy of the test results that she obtained from the lab. What would the nur