Rnur 138 Ob Unit 1 Practice Test Question

Front 1

After a spontaneous abortion, a woman who's Rh-negative would be given: A) magnesium sulfate; B) RhoGam; C) terbutaline; D) betamethasone

Back 1

B - RhoGam.

Front 2

A nurse is collecting data on a client who is pregnant w/ twins. The client has a healthy 5 y.o. child delivered @ 38 wks. She tells the nurse that she has no history of abortion or fetal demise. What is her GTPAL? A) 32001; B) 21001; C) 11101; D 20001

Back 2

B - 21001

Front 3

A pregnant is experiencing irregular contractions. The nurse determines they are Braxton Hicks. What is the appropriate action? A) contact the physician; B) bedrest for the remainder of the pregnancy; C) Tell client these are normal and may occur throughout pregnancy; D) Call the maternity unit & inform them that the client will be admitted in pre-term labor.

Back 3

C - Inform client that these are common & may occur throughout the pregnancy.

Front 4

A nurse is reviewing the record of a client who has just been told that a pregnancy test is positive. The physician has documented Goodell's sign. The nurse determines this means: A) a softening of the cervix; B) the presence of fetal movement; C) The presence of hCG in the urine; D) A soft blowing sound that corresponds to the maternal pulse during auscultation of the uterus.

Back 4

A - A softening of the cervix

Front 5

A client arrives at the clinic for the first prenatal assessment. The client tells a nurse that the first day of her LMP was October 19, 2012. Using Nagele's rule, what is her EDD? A) July 12, 2012; B) July 26, 2013; C) August 12, 2013; D) August 26, 2013

Back 5

B - July 26, 2013

Front 6

A nurse-midwife is assessing a pregnant client for the presence of ballottment. To make this determine she does what? A) Auscultates for fetal heart sounds; B) Assesses the cervix for compressibility; C) Palpates the abdomen for fetal movement; D) Initiates a gentle upward tap on the cervix

Back 6

D - Initiates a gentle upward tap on the cervix.

Front 7

A pregnant client asks a nurse at what gestation will she begin to feel the uterus move. The nurse responds: A) 6-8 wks; B) 8-10 wks; C) 10-12 wks; D) 16-20 wks

Back 7

D - 16 to 20 weeks

Front 8

A nurse is performing an assessment of a primigravida who is being evaluated in a clinic during her second trimester of pregnancy. What would be an abnormal finding? A) Quickening; B) Braxton-Hicks; C) FHR of 180 bpm; D) Consistent increase in fundal height

Back 8

C - FHR of 180 bpm

Front 9

A nurse is checking a client who suspects she is pregnant. Which are the probable signs of pregnancy? (Select all that apply) A) Ballottment; B) Chadwick's Sign; C) Uterine Enlargement; D) Braxton Hicks Contractions; E) FHR detected by non-electronic device; F) Outline of fetus on ultrasound

Back 9

A, B, C & D

Front 10

A nurse is providing instructions to a client who is scheduled for Amniocentesis. She tells the client: A) Strict bed rest is required post-procedure; B) An informed consent needs to be signed before the procedure; C) Hospitalization is necessary for 24 hrs after the procedure; D) A fever is expected after the procedure

Back 10

B - Informed consent needs to be signed before the procedure

Front 11

A pregnant client in her 1st trimester calls the clinic & reports a thin, colorless vaginal drainage. The nurse tells her: A) Come to the clinic immediately; B) Report to the ER at the maternity center immediately; C) The vaginal discharge may be bothersome but it is normal; D) Use tampons if the discharge is bothersome, but change the tampons q 2 h.

Back 11

C) The vaginal discharge may be bothersome but is normal. It is called Leukorrhea.

Front 12

A nurse has performed a non-stress test on a pregnant client & is reviewing the fetal monitor strip. The nurse interprets the test as reactive and understands that this indicates: A) Normal findings; B) Abnormal findings; C) The nee for further evaluation; D) That the findings were difficult to interpret.

Back 12

A - Normal Findings.

Front 13

A nonstress test is performed on a client who is pregnant, and the results of the test indicate nonreactive findings. The physician prescribes a contraction stress test, and the results are documented as negative. A nurse interprets the findings as indicating: A) a normal test result; B) An abnormal test result; C) A high risk for fetal demise; D) The need for a cesarean delivery

Back 13

A - A normal test result.

Front 14

A physician has prescribed transvaginal ultrasonography for a client in the first trimester of pregnancy and the client asks a nurse about the procedure. The nurse tells her: A) The procedure takes about 2 hrs; B) It will be necessary to drink 1-2 quarts of water before the exam; C) Gel is spread over the abdomen, and a round disk transducer will be moved over the abdomen to obtain the picture; D) The probe will be inserted into the vagina will be covered with a disposable cover and coated with a gel.

Back 14

D - The probe will be inserted into the vagina will be covered with a disposable cover and coated with gel.

Front 15

A nurse in a clinic is instructing a client how to perform "kick counts". Which statement indicates a need for further instruction? A) I will record the # of movements or kicks. B) I need to lie flat on my back to perform the procedure. C) If I count fewer than 10 kicks in a 2 hr period, I need to contact the physician. D) I should place my hands on the largest part of my abdomen & concentrate on the fetal movements to count the kicks.

Back 15

B - I need to lie flat on my back to perform the procedure.

Front 16

A nurse is describing cardiovascular changes to a client in her 2nd trimester. Which finding would be normal? A) Increase in pulse rate. B) Increase in BP. C) Frequent bowel elimination; C) Decrease in RBC production

Back 16

A - Increase in pulse rate.

Front 17

A rubella titer result 1-day postpartum is 1:8, a rubella virus vaccine is ordered. Which information should the nurse provide the client? (Select all) A) Breast-feeding must be stopped for 3 months; B) Pregnancy needs to be avoided for 3 months; C) The vaccine is administered by a subcutaneous route; D) A hypersensitivity reaction can occur if the client has an allergy to eggs; E) Exposure to immunosuppressed individuals needs to be avoided; F) The area of injection needs to be covered with a sterile gauze for 1 week.

Back 17

B, C, D & E

Front 18

Presumptive signs of pregnancy are: A) all the objective signs; B) Those perceived by the HC provider; C) Physiological changes perceived by the woman; D) Those attributed to the fetus

Back 18

C - Physiological changes perceived by the woman

Front 19

RhoGam would be administered during pregnancy at 28 weeks gestation to women with the following: A) Blood type O+; B) Blood type A+; C) Blood type O-; D) Blood type AB

Back 19

C - Blood type O-

Front 20

Blood volume increases during pregnancy by: A) 500 mL; B) 1,000 mL; C) 1,500 mL; D) 2,000 mL

Back 20

C - 1500 mL

Front 21

A woman present for prenatal care @ 10 wks and reports N/V. Self-care measures include: A) Suggest a high protein diet; B) Suggest avoiding eating early in the day; C) Suggest increasing fluid intake; D) Suggest small, frequent meals.

Back 21

D - Suggest small frequent meals.

Front 22

The following tests would require RhoGam to Rh- woman post procedurally. (Select all that apply) A) Umbilical Artery Doppler Flow; B) Chorionic Villus Sampling ; C) Magnetic Resonance Imaging; D) Amniocentesis

Back 22

B & D

Front 23

The nurses role in antepartal testing includes: A) Interpreting results; B) Obtaining consent; C) Explaining how & why test is performed; D) Referring the woman's question to a physician.

Back 23

C - Explaining how & why test is performed.

Front 24

Screening tests are designed to: A) Be offered to all women; B) Identify those not affected by a disease; C) Identify a particular disease; D) Make a specific diagnosis

Back 24

B - Identify those not affected by a disease.

Front 25

Amniocentesis performed after 15 wks gestation is associated with a fetal death rate of: A) < 1%; B) < 5%; C) > 1%; D) Approximately 5%

Back 25

A - <1%

Front 26

Daily fetal movement counts are done: A) only in high-risk pregnancies; B) By care providers during prenatal visits; C) As soon as the pregnancy is confirmed; D) to identify potentially hypoxic fetuses

Back 26

D - To identify potentially hypoxic fetuses.

Front 27

How many weeks is the gestational period of a full-term pregnancy? A) 33-35 wks, B) 35-37 wks, C) 38-42 wks, D) More than 42 wks.

Back 27

C - 38-42 wks.

Front 28

A large number of neural tube defects may be prevented if a pregnant woman includes which supplement in her diet? A) Folic Acid; B) Vitamin A; C) Vitamin D; D) Vitamin E

Back 28

A - Folic Acid

Front 29

How many weeks is the gestational period of a full-term pregnancy? A) 33-35 wks, B) 35-37 wks, C) 38-42 wks, D) More than 42 wks.

Back 29

C - 38-42 wks.

Front 30

A large number of neural tube defects may be prevented if a pregnant woman includes which supplement in her diet? A) Folic Acid; B) Vitamin A; C) Vitamin D; D) Vitamin E

Back 30

A - Folic Acid