OB Midterm - purple lizard questions with complete solutions
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The nurse is assessing a client with a tentative diagnosis of hydatidiform mole. Which clinical finding should the nurse anticipate?
Hypotension
Decreased fetal heart rate
Unusual uterine enlargement
Painless, heavy vaginal bleeding
Unusual uterine enlargement
A laboring client re...
ob midterm purple lizard questions with complete solutions
the nurse is assessing a client with a tentative diagnosis of hydatidiform mole which clinical finding should the nurse anticipate
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OB Midterm - purple lizard questions
The nurse is assessing a client with a tentative diagnosis of hydatidiform mole. Which
clinical finding should the nurse anticipate?
Hypotension
Decreased fetal heart rate
Unusual uterine enlargement
Painless, heavy vaginal bleeding - Answer Unusual uterine enlargement
A laboring client reports low back pain. Which intervention should the nurse recommend
to the client's coach to promote the most comfort for this client?
Instruct her to flex her knees.
Place her in the supine position.
Apply pressure to her back during contractions.
Perform neuromuscular control exercises with her. - Answer Apply pressure to her back
during contractions
A pregnant woman is admitted in active labor. What should the nurse instruct her coach
to do when the client complains of back pain?
Position her with her legs elevated.
Apply pressure to the sacrum during contractions.
Encourage performance of a panting-breathing pattern.
Encourage her to do Kegel exercises between contractions. - Answer Apply pressure to
the sacrum during contractions.
A client at 12 weeks' gestation arrives in the prenatal clinic complaining of cramping and
vaginal spotting. A pelvic examination reveals that the cervix is closed. Which probable
diagnosis should the nurse expect?
Missed abortion
Inevitable abortion
Incomplete abortion
Threatened abortion - Answer Threatened abortion
,OB Midterm - purple lizard questions
A 36-year-old woman comes to the emergency department complaining of severe
abdominal cramping and heavy bleeding. She informs the nurse that she is 10 weeks
pregnant. Cervical examination reveals heavy bleeding; the cervical as is open and
tissue is present. Which type of abortion is the client experiencing?
Missed
Complete
Inevitable
Threatened - Answer Inevitable
The nurse is caring for a client in preterm labor who reports that she fell down the stairs.
Bruises are apparent on the left part of the client's lower abdomen, the back of each
shoulder, and on both wrists. After instituting electronic fetal monitoring, starting
tocolytic therapy, and examining the monitor strips, what action should the nurse take
next?
Ambulating the client to promote circulation
Inserting two small-bore intravenous catheters
Determining whether the client feels safe at home
Ensuring that the client has her glasses to ambulate - Answer Determining whether the
client feels safe at home
While a multiparous client is in active labor, her membranes rupture spontaneously. The
nurse notes a loop of umbilical cord protruding from her vagina. What is the priority
nursing action at this time?
Monitoring the fetal heart rate
Covering the cord with a saline dressing
Pushing the cord back into the vaginal vault
Holding the presenting part away from the cord - Answer Holding the presenting part
away from the cord
The nurse is reviewing the obstetric history of a client who has had an abruptio
placentae. Which prenatal condition does the nurse expect to find in this client's history?
Cardiac disease
, OB Midterm - purple lizard questions
Hyperthyroidism
Physical assessment of a client in active labor reveals that the cervix is dilated 3 to 4 cm
and 50% effaced, the fetus is in the right sacrum anterior (RSA) position, and
contractions are 5 minutes apart. Where should the nurse place the stethoscope to best
locate the fetal heart tones?
*picture of abdomen* - Answer a
The nurse is caring for a pregnant client with type 1 diabetes. Which complication is the
result of type 1 diabetes?
Increased risk of hypertensive states
Abnormal placental implantation
Excessive weight gain because of increased appetite
Decreased amount of amniotic fluid as the pregnancy progresses - Answer Increased
risk of hypertensive states
While monitoring the fetal heart rate (FHR) of a client in labor, the nurse identifies an
increase of 15 beats more than the baseline rate of 135 beats per minute that lasts 15
seconds. How should the nurse document this event?
An acceleration
An early increase
A sonographic motion
A tachycardic heart rate - Answer An acceleration
A primigravida is admitted to the emergency department with a sharp, shooting pain in
the lower abdomen and vaginal spotting. A ruptured tubal pregnancy is diagnosed.
During what week of gestation does this condition most commonly occur?
Sixth
Twelfth
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