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All practice questions from OB (OB final exam)

Terms in this set (707)

A nurse is assessing a pregnant woman at 10 weeks of gestation who jogs three or four times per week. The client expresses concern about the effect of exercise on the fetus. How should the nurse respond?
A. "you don't need to modify your exercising any time during your pregnancy."
B. "jogging is too hard on your joints; switch to walking now."
C. "you may find that you need to modify your exercise to walking later in your pregnancy, around the 7th month."
D. "stop exercising, because it will harm the fetus."
C
The nurse is reviewing danger signs of pregnancy with a client who is 32 weeks pregnant. What information should the nurse tell the client to observe for?
A. Edema in the ankles and feet at the end of the day
B. Alteration in the pattern of fetal movement
C. Constipation
D. Heart palpitations
C
A woman who is 14 weeks pregnant tells the nurse that she always had a glass of wine with dinner before she became pregnant. She has abstained during her first trimester and would like to know whether it is safe for her to have a drink with dinner now. How should the nurse respond?
A. "One drink every night is too much. One drink three times a week should be fine."
B. "Because no one knows how much or how little alcohol it takes to cause fetal problems, the best course is to abstain throughout your pregnancy."
C. "Because you're in your second trimester, there's no problem with having one drink with dinner."
D. "Because you're in your second trimester, you can drink as much as you like."
B
A nurse is working with a pregnant client. Which behavior if observed by the nurse indicates that a woman is "seeking safe passage" for herself and her infant?
A. She keeps all prenatal appointments.
B. She "eats for two."
C. She wears only low-heeled shoes.
D. She drives her car slowly.
A
A nurse is reviewing barriers to prenatal care. What type of cultural concern should the nurse identify as being the most likely deterrent?
A. Modesty
B. Ignorance
C. Belief that physicians are evil
D. Religion
A
A maternity nurse's role is to help guide a woman's acceptance of pregnancy. What information should the maternity nurse understand related to potential effects of maternal feeling as they relate to acceptance of pregnancy?
A. Mood swings are most likely the result of worries about finances and a changed lifestyle, as well as profound hormonal changes.
B. Ambivalent feelings during pregnancy are usually seen only in emotionally immature or very young mothers.
C. Nonacceptance of the pregnancy very often equates to rejection of the child.
D. Conflicts such as not wanting to be pregnant or childrearing and career-related decisions need not be addressed during pregnancy because they will resolve themselves naturally after birth.
A
A maternity nurse is working with a father of a pregnant client to assist with acceptance of the pregnancy and preparation for childbirth. What should the nurse understand related to the father's role in pregnancy?
A. In the last 2 months of pregnancy, most expectant fathers suddenly get very protective of their established lifestyle and resist making changes to the home.
B. The father goes through three phases of acceptance of his own.
C. Typically men remain ambivalent about fatherhood right up to the birth of their child.
D. The father's attachment to the fetus cannot be as strong as that of the mother because it does not start until after birth.
B
With regard to medications, herbs, shots, and other substances normally encountered, the maternity nurse should be aware that during pregnancy:
A. The greatest danger of drug-caused developmental deficits in the fetus is seen in the final trimester.
B. Prescription and over-the-counter (OTC) drugs that otherwise are harmless can be made hazardous by metabolic deficiencies of the fetus.
C. Killed-virus vaccines (e.g., tetanus) should not be given, but live-virus vaccines (e.g., measles) are permissible.
D. No convincing evidence exists that secondhand smoke is potentially dangerous to the fetus.
B
Which statement should the nurse identify as not being accurate regarding multifetal pregnancy?
A. Twin pregnancies come to term with the same frequency as single pregnancies.
B. Backache and varicose veins are often more pronounced.
C. The mother should be counseled to increase her nutritional intake and gain more weight.
D. The expectant mother often experiences anemia because the fetuses have a greater demand for iron.
A
Which information should the nurse provide to the woman who wants to have a nurse-midwife provide obstetric care?
A. She will have to give birth at home.
B. She must see an obstetrician as well as the midwife during pregnancy.
C. She must be having a low-risk pregnancy.
D. She will not be able to have epidural analgesia for labor pain.
C
An expectant couple asks the nurse about intercourse during pregnancy and whether it is safe for the baby. How should the nurse respond?
A. Intercourse is safe until the third trimester.
B. Intercourse and orgasm are often contraindicated if a history or signs of preterm labor are present.
C. Safer-sex practices should be used once the membranes rupture.
D. Intercourse should be avoided if any spotting from the vagina occurs afterward.
B
The nurse has given information about relief of leg cramps to a pregnant client. Which client action if observed by the nurse indicates that the client has understood the instructions?
A. Applies cold compresses to the affected leg.
B. Avoids weight bearing on the affected leg during the cramp.
C. Wiggles and points her toes during the cramp.
D. Extends her leg and dorsiflexes her foot during the cramp.
D
An expectant father confides in the nurse that his pregnant wife, at 10 weeks of gestation, is driving him crazy. "One minute she seems happy, and the next minute she is crying over nothing at all. Is there something wrong with her?" What is the nurse's best reponse?
A. "This is normal behavior and should begin to subside by the second trimester."
B. "This is called emotional lability and is related to hormone changes and anxiety during pregnancy. The mood swings will eventually subside as she adjusts to being pregnant."
C. "You seem imclient with her. Perhaps this is precipitating her behavior."
D. "She may be having difficulty adjusting to pregnancy; I will refer her to a counselor I know."
B
A group of nurses are discussing trends in health care. What would the nurses identify as not being a trend in the delivery of health care in the United States?
A. Acute care is increasingly provided through home-based services.
B. Greater emphasis has been placed on curing disease and disability than on preventing them.
C. Hospital stays for many conditions have been shortened.
D. Hospital-based nurses are increasingly involved in follow-up care after discharge.
B
A 23-year-old African-American woman is pregnant with her first child. On the basis of the statistics for infant mortality, which plan is most important for the nurse to implement?
A. Refer the woman to a social worker.
B. Perform a nutrition assessment.
C. Advise the woman to see an obstetrician, not a midwife.
D. Explain to the woman the importance of keeping her prenatal care appointments.
D
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