OB Exam 1 Questions Verified Solutions
1. Pregnancy Signs:
A 22-year-old client is in the clinic, claiming her period is 10 days late and she has breast tenderness.
What is the most accurate response by the nurse? - A. "Those are positive signs of pregnancy." - B. "Those are presumptive signs...
OB Exam 1 Questions Verified Solutions
1. Pregnancy Signs:
A 22-year-old client is in the clinic, claiming her period is 10 days late and she has breast tenderness.
What is the most accurate response by the nurse?
- A. "Those are positive signs of pregnancy."
- B. "Those are presumptive signs of pregnancy." ✔️
- C. "Those are probable signs of pregnancy."
- D. "Those are negative signs of pregnancy."
2. Postpartum Assessment Findings:
A client delivered a term infant 7 hours ago. Which assessment finding indicates normal postpartum
progression?
- A. Firm fundus at 1-2 fingerbreadths above the umbilicus with moderate lochia rubra. ✔️
- B. Firm fundus at the umbilicus and midline with moderate lochia rubra.
- C. Firm fundus at 1-2 fingerbreadths below the umbilicus, deviated to the right with moderate lochia
rubra.
- D. Soft fundus at 1-2 fingerbreadths below the umbilicus with severe lochia rubra.
3. Deviated Fundus in Postpartum Client:
A client delivered 39 weeks ago and the nurse observes a soft, boggy fundus deviated to the left. What
is the most appropriate action for the nurse?
- A. Massage the fundus until firm.
- B. Call the healthcare provider immediately.
- C. Assist the woman to the restroom. ✔️
- D. Increase Pitocin per healthcare provider’s order.
4. Nursing Actions for Decelerations:
A client in active labor has cervical findings of 7/80/-1 and a baseline fetal heart rate of 130 bpm, with
four early decelerations noted in the last hour. What is the most appropriate nursing action?
- A. Position the client on her back for accurate monitoring.
, - B. Perform a vaginal exam.
- C. Turn the client on her left side.
- D. Document and continue to monitor both fetal heart rate and laboring woman. ✔️
5. RhoGAM Administration:
A nurse administers RhoGAM to a 35-year-old primigravida at 28 weeks of pregnancy. Which situation
requires this action?
- A. Rh positive mother and Rh negative father.
- B. Rh negative mother and Rh positive father. ✔️
- C. Rh positive mother and Rh positive father.
- D. Rh negative mother and Rh negative father.
6. Priority Nursing Action in Third Stage of Labor:
A client just entered the third stage of labor. What nursing action has the highest priority?
- A. Encourage the client to push.
- B. Administer Pitocin.
- C. Place the baby skin to skin with the mother. ✔️
- D. Assess maternal vital signs every hour.
7. Estimated Due Date Calculation:
A client's last menstrual period began on July 18, 2015. What is her estimated due date?
- A. April 18, 2016.
- B. May 23, 2016.
- C. April 25, 2016. ✔️
- D. March 25, 2016.
8. Postpartum Care for Episiotomy:
A primigravida woman delivered 12 hours ago and has a 3rd degree midline episiotomy. She reports
moderate discomfort with a pain level of 2/10. What is the most appropriate nursing intervention?
, - A. Instruct the patient to apply ice packs to the perineum. ✔️
- B. Encourage a sitz bath.
- C. Call the provider.
- D. Give ordered acetaminophen (Tylenol) for prophylaxis.
9. Prioritizing Nursing Actions for VBAC:
A woman in her second pregnancy wants to attempt a vaginal birth after a previous cesarean section.
What is the priority action for the nurse?
- A. Call the provider and inform them of the patient's wishes.
- B. Assess her abdominal C/S incision.
- C. Review the patient’s chart for notes regarding her first delivery. ✔️
- D. Perform a vaginal exam.
10. DVT Precautions Teaching:
A postpartum patient's statement about DVT precautions that requires further teaching is:
- A. "I need to change positions frequently in bed and avoid prolonged knee flexion."
- B. "I will let my husband massage my legs for pain relief." ✔️
- C. "I can keep breastfeeding while I'm on heparin."
- D. "I will evaluate my legs and apply moist heat to decrease discomfort."
11. Teaching on Placental Perfusion:
An L&D nurse is teaching a nursing student about placental perfusion. Which statements should be
included? (Select all that apply)
- A. "Lateral recumbent position is ideal for placental perfusion."
- B. "Low maternal MAP can decrease uterine blood flow."
- C. "Contractions that last more than 2 minutes need immediate action." ✔️
12. Water Breaking:
A woman at 36 weeks gestation reports that her "water broke." What is the priority nursing action?
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