OB MIDTERM + FINAL EXAM NEWEST LATEST
VERSIONS 2024 200 QUESTIONS AND CORRECT
ANSWERS
A nurse is caring for a client who is in active labor and whose birth plan requests only non-
pharmacological pain relief strategies. Which of the following strategies should the nurse offer as a form
of cutaneous stimulation?
A. Breathing techniques
B. Counter-pressure
C. biofeedback
D. Use of a focal point - B. Counter pressure
other cutaneous stimulation include walking, effleurage, water therapy and hot/cold therapy. Breathing
techniques are sensory stimulation, biofeedback is cognitive stimulation, and use of a focal point is
sensory stimulation.
A nurse is assessing a client who is in the first stage of labor and has preeclampsia. Which of the
following findings should the nurse expect?
A. Severe hypotension
B. Proteinuria
C. Elevated platelet count
D. Seizures - B. Proteinuria
,A nurse is caring for a client in active labor whose membranes have ruptured. The fetal monitoring
tracing reveals late decelerations. Which of the following actions should the nurse take first?
A. Turn the client onto her left side
B. Palpate the client's uterus
C. Administer oxygen to the client
D. Increase the client's IV fluids - A. Turn the client onto her left side
A nurse in the prenatal clinic is reviewing the laboratory results of a client who is at 33 weeks of
gestation. For which of the following results should the nurse notify the provider?
A. hgb 11.3 g/dL
B. platelet count 135,000/mm^3
C. WBC count 10,500/mm^3
D. HCT 38% - B. platelet count 135,000/mm^3
a low platelet count can be a sign of preeclampsia or HELLP syndrome.
A nurse is providing teaching to a client that has come to the family-planning clinic requesting an
intrauterine device (IUD). Which of the following pieces of information should the nurse provide the
client?
A. "If you lose weight, you will need to have your IUD refitted."
B. "An IUD provides protection from certain sexually transmitted infections."
C. "Your risk for ectopic pregnancy increases with an IUD."
D. "You shouldn't use an IUD if you want kids later." - C. "Your risk for ectopic pregnancy increases with
an IUD."
A nurse in an outpatient setting is providing education to a client who is pregnant. Which of the
following statements should the nurse include in the teaching?
A. "During the last trimester, you should sleep mainly on your back."
B. "During the second trimester, you will notice increased urinary frequency and urgency."
C. "You will probably first notice your baby moving when you are around 20 weeks gestation."
D. "You should plan to gain 40-45 pounds during your pregnancy" - C. "You will probably first notice your
baby moving when you are around 20 weeks gestation." ( also called quickening)
,A nurse is caring for a client who is 35 weeks gestation and is scheduled to undergo an amniocentesis.
Which of the following statements should the nurse make?
A. "You will need to drink 3-5 8-ounce glasses of water to fill your bladder."
B. "This procedure will not rupture your membranes or cause premature labor."
C. "You might feel a little pressure during the collection of a blood sample from the baby."
D. "You will feel some minor discomfort during the procedure." - D. "You will feel some minor discomfort
during the procedure."
A nurse is caring for a pregnant client who reports nausea and vomiting. Which of the following
instructions should the nurse share with the client?
A. "You should eat some crackers before rising from bed in the morning."
B. "You should eat foods served at warm temperatures."
C. "You should sip whole milk with breakfast."
D. "You should brush your teeth immediately after each meal." - A. "You should eat some crackers before
rising from bed in the morning."
A nurse is caring for a client whose last menstrual period (LMP) began on July 8. Using Naegele's rule,
what is the client's estimated date of birth (EDB)?
A. October 1st
B. April 1st
C. October 15th
D. April 15th - D. April 15th
A nurse is planning care for a client who is in active labor whose fetus is in an occipital brow
presentation. Which of the following complications should the nurse anticipate as a result of this fetal
presentation?
A. Precipitous labor
B. Prolonged labor
C. Hypertonic uterine dysfunction
D. Umbilical cord prolapse - B. Prolonged labor
, A nurse is providing counseling for a couple experiencing infertility issues. Which of the following
statements by the nurse is appropriate?
A. "Even though you can't have children biologically, you can still adopt."
B. "You need to take a break from these attempts to conceive."
C. "You might want to join our support group for couples who are experiencing similar problems."
D. "why didn't you get your immunizations when you were younger?" - C. "You might want to join our
support group for couples who are experiencing similar problems."
A nurse is caring for a client who is in labor and has received epidural analgesia. The client's blood
pressure is 88/50mmHg, and the fetal heart tracing shows late decelerations. Which of the following
actions should the nurse take?
A. Assist the client to the bathroom to empty her bladder.
B. Increase the rate of of the primary IV infusion
C. Position the client in a semi-fowlers position
D provide glucose via oral hydration or IV - B. Increase the rate of of the primary IV infusion
A nurse is teaching a client during the client's first prenatal visit. Which of the following instructions
should the nurse include?
A. "A fetal stethoscope can first detect your baby's heartrate at 22 weeks."
B. "After week 16, we can see if your baby is a boy or a girl."
C. "A doppler device can first detect your baby's heart rate at 12 weeks."
D. "You will first feel the baby move at about 8 weeks." - C. "A doppler device can first detect your baby's
heart rate at 12 weeks."
A nurse is preparing a client who is in labor for the insertion of an intrauterine pressure catheter. The
client asks why this type of monitoring is needed. Which of the following responses should the nurse
make?
A. "This type of monitoring is necessary for timing the frequency of your contractions."
B. "This type of monitoring is noninvasive, so it is the best way to monitor your labor contractions."
C. "This type of monitor allows us to evaluate your baby's heart rate while you are in labor."
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