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Exam 1 Practice Questions- OB

Terms in this set (90)

Which of the following are adverse effects of implantable progestins? SATA

a. tinnitus
b. irregular vaginal bleeding
c. weight gain
d. nausea
e. gingival hyperplasia
b. irregular vaginal bleeding
c. weight gain
d. nausea
Which of the following data would the nurse assess at an infertility clinic? SATA

a. occupation
b. menstrual history
c. childhood infections diseases
d. history of falls
e. recent blood transfusions
a. occupation
b. menstrual history
c. childhood infections diseases- eg mumps!
Which of the following urinary symptoms does the pregnant woman most frequently experience during the first trimester?

■Dysuria
■Frequency
■Incontinence
■Burning
■Frequency
On which of the following areas would the nurse expect to observe chloasma?
■Breasts, areola, and nipples
■Chest, neck, arms, and legs
■Abdomen, breast, and thighs
■Cheeks, forehead, and nose
■Cheeks, forehead, and nose

*mask of pregnancy
Which of the following represents the average amount of weight gained during pregnancy?
■12-22lbs
■15-25 lbs
■20-30 lbs
■25-35 lbs
■25-35 lbs
Which of the following would be the nurse's best response to a woman who at 5 months gestation, reports that she has felt intermittent, painless, irregular contractions of her uterus?
■It is important to time these contractions because it may be the beginning of labor
■If these contractions occur again, call your physician immediately
■The contractions help stimulate the movement of blood through the placenta
■They are called braxton hicks contractions. They may occur throughout the pregnancy
■They are called braxton hicks contractions. They may occur throughout the pregnancy

*Give her knowledge- know what to look for w/ TRUE contractions + signs of labor
When talking with a pregnant woman who has aching, swollen leg veins, the nurse would explain that this is most probably the result of which of the following
■Thrombophlebitis
■PIH
■Pressure on blood vessels from the enlarging uterus
■The force of gravity pulling down on the uterus
■Pressure on blood vessels from the enlarging uterus
Cervical softening and a positive hCG are classified as which of the following?
■Diagnostic signs
■Presumptive signs
■Probable signs
■Positive signs
■Probable signs
Which of the following would the nurse identify as a presumptive sign of pregnancy?
■Chadwick's sign
■Nausea and vomiting
■Braxton Hicks contractions
■Positive serum pregnancy test
■Nausea and vomiting
The nurse is palpating the uterus of a client who is 20 weeks pregnant to measure fundal height. Where on the abdomen should the nurse expect to feel the uterine fundus?
At umbilicus
A nurse is completing an admission assessment for a patient who is 39 weeks and reports fluid leaking from the vagina for 2 days. Which of the following conditions is the patient at risk for developing?

a. cord prolapse
b. infection
c. postpartum hemorrhage
d. hydraminos
b. infection

*rupture of membranes longer than 24 hr before delivery increases risk of infection
A nurse is caring for a client who is in active labor, irritable, and reports the urge to have a bowel movement. The client vomits and states, "I can't take this anymore". Which stage of labor is the client experiencing?

a. second stage
b. fourth stage
c. transitional phase
d. latent phase
c. transitional phase
A nurse is caring for a client at 40 weeks gestation and experiencing contractions every 3-5 min and becoming stronger. A vaginal exam reveals that the client's cervix is 3 cm dilated, 80% effaced, and -1 station. The client asks for pain medication. Which of the following actions should the nurse take? SATA

a. encourage the use of patterned breathing techniques
b. insert an indwelling catheter
c. administer opioid analgesic medications
d. suggest application of cold
e. provide ice chips
a. encourage the use of patterned breathing techniques
c. administer opioid analgesic medications
d. suggest application of cold

*is able to get pain medications at this point in labor as long as baby looks good
A nurse is caring for a client who is using patterned breathing during labor. The client reports numbness and tingling of the fingers. Which of the following actions should the nurse take?

a. administer O2 via nasal cannula at 2 L/min
b. apply a warm blanket
c. assist the client to a side-lying position
d. place an O2 mask over the client's nose and mouth
d. place an O2 mask over the client's nose and mouth

*for hyperventilation = not to GIVE O2, but to help patient breathe in CO2 which is what they really need! Paper bag would also do the trick
When assessing the fetus using Leopold's maneuvers, the nurse feels a round, firm, and movable fetal part in the fundal portion of the uterus and a long, smooth surface in the mother's right side close to midline. What is the position of the fetus?

a. ROA
b. LSP
c. RSA
d. LOA
c. RSA

R = facing Mom's right side
S = sacral (butt) facing down
A = anterior, close to midline is facing the front
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