OB

Question 1

What to do if a labor’s patient electronic fetal monitor detects increasing late decelerations?

Answer 1

reposition the woman and notify the physician

Question 2

What is one purpose of ultrasound imaging during pregnancy?

Answer 2

to rule out fetal abnormalities

Question 3

How many days are between conception and implantation?

Answer 3

7

Question 4

How many days after does ovulation occur after the start of menstrual period?

Answer 4

14

Question 5

Determine the first day of the last menstrual period (LMP), count backward 3 months, add 7 days, ( correct the year if needed)

Answer 5

Nagele’s rule

Question 6

how many days does the fertilized ovum stays in the fallopian tube for before it implants in the uterine wall?

Answer 6

about 4 days

Question 7

Hegar’s sign

Answer 7

When the uterus becomes globular in shape, softens and flexes easily over the cervix, is a probable sign of pregnancy

Question 8

cervical softening due to increased vascularity, congestion and edema, is a probable sign of pregnancy

Answer 8

Goodell’s sign

Question 9

Chadwick’s sign

Answer 9

the bluish discoloration of cervix, is a probable sign of pregnancy

Question 10

The legal point of viability of the fetus is

Answer 10

22 weeks

Question 11

10 weeks to 12 weeks gestation

Answer 11

Auscultation of fetal heart beat by Doppler or ultrasonic transmitter is done at

Question 12

A normal fetal heart rate is between

Answer 12

120 and 160 beats per minute

Question 13

Early amniocentesis is performed at?

Answer 13

sixteenth week of pregnancy

Question 14

The presence of biochemical or chromosomal abnormalities such as fetal lung maturity and genetic studies

Answer 14

What is Amniocentesis is used to detect?

Question 15

done to evaluate the response of the fetal heart rate to periods of fetal movement

Answer 15

non-stress test (NST)

Question 16

Contraction stress test

Answer 16

used to induce uterine contraction

Question 17

Hyperemesis Gravidarum

Answer 17

excessive and persistent vomiting during pregnancy resulting in dehydration and starvation

Question 18

To minimize heartburn the pregnant woman should sit up for

Answer 18

30 minutes after eating

Question 19

Seizures and coma are associated with an

Answer 19

Eclamptic condition

Question 20

a symptom of pregnancy-induced hypertension and should be reported to health care provider

Answer 20

Blurred vision

Question 21

Gestational diabetes

Answer 21

an abnormal glucose tolerance due to decreased effectiveness of insulin during the second and third trimesters

Question 22

A normal fetal heart rate is between

Answer 22

120 and 160 heats/minute

Question 23

A pregnant client with known cardiac problems should be observed for

Answer 23

dyspnea and increased heart rate

Question 24

The four components of the birth process

Answer 24

“four P’s” are the powers, the passage, the passenger and the psyche

Question 25

A fetoscope can be used to auscultate the fetal heart rate at

Answer 25

18 weeks of gestation

Question 26

The purpose of Leopold’s maneuvers is to determine

Answer 26

presentation and position of the fetus

Question 27

The woman with placentae previa is more likely than others to have

Answer 27

infection or hemorrhage after birth

Question 28

Preeclampsia progresses to eclampsia when

Answer 28

convulsions (seizures) occur

Question 29

A woman can continue having sexual intercourse through out her pregnancy as long as

Answer 29

she remains comfortable

Question 30

definite signs of true labor

Answer 30

Progressive uterine contractions are the

Question 31

Increase in (HCG) human chorionic gonodotropin in a woman blood and urine is

Answer 31

indicative of pregnancy

Question 32

Urine test kit purchased at the pharmacy to test for pregnancy,

Answer 32

detects for the presence of HCG

Question 33

Anesthesia such as epidural pain relief is administered during

Answer 33

the first stage

Question 34

An analgesic drug should not be given until

Answer 34

the cervix is dilated to at least 4cm

Question 35

Complication of an epidural block include

Answer 35

maternal hypotension

Question 36

Maternal bradycardia is commonly seen in the first

Answer 36

six to ten days postpartum

Question 37

The main disadvantage of home birth is

Answer 37

lack of emergency equipment

Question 38

stimulates the secretion of milk from the mammary glands

Answer 38

Prolactin

Question 39

The early sign of labor is

Answer 39

the passage of the mucus plug or a bloody show as the cervix ripens

Question 40

The nurse caring for a client who is receiving oxytocin (Pitocin) should monitor the

Answer 40

fetal heart rate

Question 41

The duration of contraction is measured

Answer 41

from the time the uterus begins to contract until it relaxes

Question 42

Oxytocin produces uterine contractions, which can cause

Answer 42

fetal anoxia

Question 43

neural tube defect

Answer 43

An elevated alpha-fetoprotein (AFP) level is consistent with

Question 44

Self-care instruction for a pregnant woman to lessen backache should include

Answer 44

wearing low-heeled shoes

Question 45

Patient teaching before an NST includes,

Answer 45

the patient should eat, empty bladder and lie in SIMS position

Question 46

Painless vaginal bleeding, usually bright red is the main characteristics of

Answer 46

placenta previa

Question 47

Loss of more than 500cc of blood at time of delivery or immediately thereafter indicates

Answer 47

postpartum hemorrhage

Question 48

Progressive uterine contraction is the

Answer 48

definitive sign of true labor

Question 49

Naloxone (Narcan)

Answer 49

An opoid antagonist used to counteract respiratory depression in the newborn is

Question 50

The umbilical cord normally contains

Answer 50

two arteries and one vein

Question 51

First day postpartum, the fundus should be found

Answer 51

firm at midline