NUR-308, OB EXAM 3 Practice Questions and Correct Answers
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Course
NUR 308
Institution
NUR 308
Placenta previa When the placenta does not implant in the lower area of the uterus and over the cervical os
A young lady arrives at the emergency room with pelvic pressure abdominal cramping. Her cervix is 35% effaced. What is happening? Cervical insufficiency
Cervical insufficiency Premature dil...
NUR-308, OB EXAM 3 Practice
Questions and Correct Answers
Placenta previa ✅When the placenta does not implant in the lower area of the uterus
and over the cervical os
A young lady arrives at the emergency room with pelvic pressure abdominal cramping.
Her cervix is 35% effaced. What is happening? ✅Cervical insufficiency
Cervical insufficiency ✅Premature dilation of the cervix involving pelvic pressure
The charge nurse is caring for a patient who is 38 weeks pregnant. The patient has
informed the nurse she has had heavy, red vaginal bleeding for the last two hours, but
does not complain of contractions. The nurse tells the patient an ultrasound needs to be
done to... ✅Check the location of the placenta
The client is 35 weeks gestation and is having painless, bright red, vaginal bleeding.
This is... ✅Placenta previa
Why is an ultrasound done first before an amniocentesis? ✅To check the location of
the placenta and baby
The patient has experienced abruptio placentae and now there is bleeding around her
IV access site. What is the patient at risk for? ✅Disseminated intravascular
coagulation
The client reports continuous abdominal pain and vaginal bleeding. The nurse should
recognize that the client may have... ✅Abruptio placentae
A 27 week patient with intact membranes is admitted to the hospital with contractions
every four to nine minutes, lasting 32 seconds, 1 cm dilated, 33% effaced, -3 station.
What medication is ordered? ✅Magnesium sulfate
The patient needs to be induced but before starting the oxytocin (Pitocin), the nurse
checks the labs and noticed a low platelet count, elevated aspartate transaminase level,
and drop in hematocrit. What does the patient have? ✅HELLP Syndrome
HELLP syndrome ✅- (Hemolysis, Elevated Liver enzymes and Low Platelets)
- A variant of preeclampsia where hematologic conditions coexist with severe
preeclampsia and hepatic dysfunction.
Symptoms of magnesium sulfate toxicity ✅-Absent deep tendon reflex
, -Respirations less than 9 breaths/minute, Shortness of breath, Respiratory arrest
-Urinary output less than 30 ml/hour
Antidote for magnesium sulfate ✅calcium gluconate
A patient comes in for her first OB visit. Her OB history indicates she has had two
previous babies that were 9 lbs and there is a family history of type II diabetes. What is
the first thing the nurse should do? ✅Obtain a random blood sugar and Hgb A1C
screening
What helps with iron absorption? ✅Vitamin C (Orange juice)
The patient is 12 weeks gestation. BP is 144/94. She is overweight and her diet is
horrible. What is the provider concerned about? ✅Chronic hypertension
Besides ordering a creatinine, CBC, and hepatic enzymes, what else should be
ordered? ✅A urinalysis
What is the difference between mild preeclampsia and severe pre-eclampsia? ✅The
amount of proteinuria
What medication is used to treat or prevent seizures and also controlling BP?
✅Magnesium sulfate
The medication for first line choice for hypertension pregnancy is ✅labetalol
Education for control of gestational diabetes ✅-Diet changes
- Lifestyle modification
- Pharmacologic therapy as needed
What medication is preferred to manage glucose because it does not cross the
placenta? ✅metformin
You are assessing your patient who is 31 weeks pregnant. Reflexes are absent. Temp
is 98.1° F, HR 62, Resp. 9, BP 99/62. The patient also has a decreased LOC.
Magnesium sulfate has been ordered to run until tomorrow. What is the nurses priority
action? ✅Turn off the magnesium sulfate IV immediately
The patient just had a three hour GTT. The nurse understands that the patient will be
diagnosed with gestational diabetes if the patient has... ✅At least two abnormal lab
values
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