Practice Questions: OB

Question 1

The nurse is admitting a client who is 10-weeks pregnant. An ultrasound has been scheduled and the client asks the nurse why this test is necessary. which are the appropriate responses from the nurse? Select all that apply.

Answer 1

1) To verify your gestational age
2) To make sure the baby has a strong heartbeat.
3) To make sure the baby is inside your uterus and not in the fallopian tube.
4) To see if you are carrying more than one baby.

Question 2

The nurse is obtaining a 24-hour diet history from a pregnant client. which food consumed by the client would indicate the need for further teaching by the nurse?

Answer 2

Alfafa sprouts

Question 3

The nurse is planning care for a group of clients. Which client would need to receive Rho (D) Immune Globulin (RhoGAM)?

Answer 3

O- negative

Question 4

During a prenatal appointment, the nurse assesses the client’s blood pressure and obtains a reading of 152/94 mmHg. The nurse should assess for which additional symptoms? Select all that apply.

Answer 4

1) Facial Edema
2) vision Changes
3) Severe headache

Question 5

The nurse is educating a 34-week gestation client about danger signs to report to her health care provider. Which symptom would be added to the nursing care?

a) Blurry vision or seeing “floaters”
b) Edema in her feet and ankles after being on her feet at work.
c) Frequent urination
d) occasional nausea and vomiting

Answer 5

Blurring vision or seeing “floaters” (preeclampsia)

Question 6

To avoid supine hypotensive syndrome while measuring fundal height, where would you position a pillow under a client?

Answer 6

Hip

Question 7

The nurse will be focusing on ‘self-care’ during a preconception counseling session with women who are seeking to get pregnant. Which advice should the nurse include in the counseling session? Select all that apply.

Answer 7

a) Discontinue the use of herbal supplements before pregnancy
b) ensure that smoke alarms and carbon monoxide detectors are in working order.
c) maintain optimal oral health and treat any periodontal disease before pregnancy

Question 8

The nurse assesses two pregnant clients. One client has no previous pregnancy affected by neural tube defect (NTD), and the other has a previous pregnancy affected by NTD. Which action is the nurse expected to take?

Answer 8

Recommend 0.6 mg of folic acid/day for client with no previous history of NTD and 4 mg of folic acid/day for the client with history of NTD.

Question 9

After completing a physical examination of a pregnant women, the nurse states, “You are definitely pregnant.” Which positive finding would have prompted the nurse to make that statement?

1) enlarged abdomen
2) hyperpigmentation
3) The palpation of fetal movement
4) An increase in the vascularity of breasts

Answer 9

The palpation of fetal movement

Question 10

A woman visits the clinic and states that she has missed four menstrual periods and is unsure if she is pregnant. The nurse informs her that a ballottement test will be done to diagnose pregnancy. How can a ballottement test assist the nurse in confirming a pregnancy?

Answer 10

1) softening of the cervix and vagina (goodell’s sign)
2) softening of lower uterine segment (Hegar Sign)
3) Bluish-purplish coloration of the vaginal mucosa (Chadwick`)

Question 11

A woman visits the clinic and stated that she has missed four menstrual periods and remains unsure whether or not she is pregnant. The nurse informs her that a ballottement test will be done to diagnose whether or not she is pregnant. How can a ballottement test assist the nurse in confirming a pregnancy?

Answer 11

By tapping on the cervix the fetus will rise in the amniotic fluid and then rebound to its original position.

Question 12

A client with a history of amenorrhea lasting more than a month was booked to have an ultrasound examination done for the purpose of diagnosing her pregnancy. Which other data in the client’s history should the nurse use to determine the need for this procedure? Select all that apply.

Answer 12

1) having ectopic pregnancy a year a go

2) Vaginal bleeding since 2 days ago

Question 13

The urine culture of a client who is at 36 weeks gestation revealed a urinary tract infection. The client’s medical records also show that this is the third occurrence since the onset of pregnancy. which advice should the nurse give her on preventing a reoccurrence? Select all that apply.

Answer 13

1) urinate immediately before and after sexual intercourse

2) Drink at least 8 glasses of liquid each day

Question 14

The nurse is discussing the physiological changes of pregnancy with a group of adolescent mothers. One clients ask the nurse if her skin will be affected also. Which statement by the nurse is correct about the changes that will take place in the integumentary system?

Answer 14

You will have some skin changes such as linea nigra, melasma, and striae gravidarum

Question 15

A pregnant client at term visits the clinic and tells the nurse that she is feeling tired all the time. A review of her laboratory results show that her hematocrit level is low. The nurse documented “Fatigue” in the client’s health records. Which recommendations by the nurse is correct?

Answer 15

1) Eat iron-rich foods, ask for assistance from family, and get adequate rest.

Question 16

A spouse calls the birthing center stating that his wife who is 36 weeks gestation is going into premature labor. Which data from the spouse would assist the nurse in determining that premature labor is imminent? Select all that apply.

1) “Her headache is not responding to the medication.”
2. “She is having abdominal cramps every 6 minutes.”
3. “She is having low back pain with pelvic pressure.”
4. “Her bag of membranes has just ruptured.”
5. She has generalized edema.”

Answer 16

2. “She is having abdominal cramps every 6 minutes.”
3. “She is having low back pain with pelvic pressure.”
4. “Her bag of membranes has just ruptured.”

Question 17

A student nurse in developing a plan of care documented, “Altered pattern of elimination” for a pregnant client who complained of not having regular bowel movements. Which nursing action by the student nurse is appropriate for the client to resume regular bowel patterns? Select all that apply.

1. Advise the client to avoid high-fat and spicy food.
2. Assist the client to establish regular time for bowel movement.
3. Suggest the client eat small, frequent meals instead of large meals.
4. Encourage the client to eat high-fiber foods and fresh vegetables.
5. Discuss with the client prior strategies used successfully to relieve constipation.

Answer 17

2. Assist the client to establish regular time for bowel movement.
3. Encourage the client to eat high-fiber foods and fresh vegetables.
4. Discuss with the client prior strategies used successfully to relieve constipation.

Question 18

The nurse is caring for a primiparous client in her first trimester. which information regarding sexual intercourse is most important for the nurse to include in teaching this client?

“All women’s sexual desire changes when they get pregnant, due to the rising levels of estrogen.”

“You may need to modify intercourse positions for your comfort.”

“Your genitals may change after the birthing process.”

“You should abstain from sexual intercourse if you are having vaginal bleeding.”

Answer 18

“You should abstain from sexual intercourse if you are having vaginal bleeding.”

Question 19

A pregnant client has experienced a 10 lb weight gain in the first 6 months of her pregnancy. During a routine prenatal appointment, the woman begins crying and states that she feels fat and undesirable. which would be the most therapeutic response by the nurse?

“You are beautiful. Please don’t be too hard on yourself.”

“Your weight gain so far is appropriate for your pre- pregnancy weight.”

“I can see you are upset. Have you discussed your concerns with your partner?”

Answer 19

“I can see you are upset. Have you discussed your concerns with your partner?”

Question 20

The nurse notices a client’s husband commonly interrupts her and rarely lets her answer questions when asked. which is the priority action by the nurse?

Tell the husband he needs to leave the room for the remainder of the appointment.

Document the findings in the client’s record.

Ask the husband why he is answering the questions for his wife.

Call security and have them escort the husband off the premises.
Document the findings in the client’s record.

Answer 20

Document the findings in the client’s record.

Question 21

A nurse is caring for a G1P1 lesbian client 24 hours post vaginal delivery. When preparing the client and her partner to discharge from the hospital, it is most important for the postpartum nurse to provide education regarding:

Reproductive health

Postpartum depression

Newborn care

Stress management

Answer 21

Newborn care

Question 22

A nurse is caring for a pregnant client who currently lives with her husband and his three children from a previous marriage. which information is important for the nurse to understand?

Nursing care of this client should include all members of her blended family.

Although there are other members in this stepparent family, the woman remains the highest priority of the nurse.

The new pregnancy is stressful for the other children in the family and they may require extra attention.

The events of pregnancy and childbirth are not considered a developmental crisis in the life of a family

Answer 22

Nursing care of this client should include all members of her blended family.

Question 23

A client reports decreased interest in sexual activity during her pregnancy. Which statements made by the nurse are true regarding sexual interest and activity during pregnancy? Select all that apply.

“All of the changes happening in your body can affect your sexual desires and responses.”

“You may find yourself wanting to have sex more often as the end of the pregnancy draws near.”

“Sometimes pregnant women feel more beautiful and desirable as the pregnancy advances.”

“It is important for us to discuss how your sexual desire and activity is being affected by the pregnancy.”

“During the second trimester, you may see an even further decrease in your sexual interest

Answer 23

“All of the changes happening in your body can affect your sexual desires and responses.”

“Sometimes pregnant women feel more beautiful and desirable as the pregnancy advances.”

“It is important for us to discuss how your sexual desire and activity is being affected by the pregnancy.”

Question 24

Which barriers might an American-born nurse face when caring for a client of a different nationality? Select all that apply.

Egocentrism
Ethnocentrism
Sterotyping
Communication
Knowledge deficit

Answer 24

Ethnocentrism
Stereotyping
Communication