OB Exam 1 ACTUAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS WITH WITH
COMPLETE SOLUTIONS (VERIFIED ANSWERS) |
ALREADY GRADED A+
A 12-year-old girl expresses concern to the nurse because she
has not begun her period yet. The nurse notes that the girl has
grown 6 inches in the past year and a half and is beginning to
develop breast buds. Which response by the nurse is
appropriate?
"It is normal for females to begin menstruating between the
ages of 12 and 15."
"It's difficult to say when you'll get your period but you should
not be concerned at this time."
"The average age to being you period is 12. I will notify the
primary health care provider."
"You sound concerned about not having your period. Is there a
bigger issue bothering you?" Correct Answer It is normal for
females to begin menstruating between the ages of 12 and 15
A 22-year-old client comes to the walk-in clinic complaining of
fatigue, breast heaviness and extreme tenderness, and a clear
vaginal discharge. What question would the nurse ask this
client?
Are you taking oral contraceptives?
Do you have vaginal itching?
Do you have a family history of breast cancer?
Have you been sexually active in the past 2 months? Correct
Answer Have you been sexually active in the past 2 months?
,A 24-year-old client presents in labor. The nurse notes there is
an order to administer Rho(D) immune globulin after the birth of
her infant. When asked by the client the reason for this injection,
which reason should the nurse point out?
stimulate maternal D immune antigens.
prevent fetal Rh blood formation.
promote maternal D antibody formation.
prevent maternal D antibody formation. Correct Answer
prevent maternal D antibody formation.
A 25-year-old woman who underwent genetic testing has
learned that she is heterozygous dominant for Huntington
disease. Her male partner, however, who also underwent the
testing, is free from the trait. What statement by the woman
would indicate an understanding of the risk of their child
developing Huntington disease?
"Each of our children has a 75% chance of developing
Huntington disease."
"Since my partner does not carry the trait and I do, there is a
50% chance that each of our children will either carry the trait or
develop the disease."
"Because I am heterozygous dominant and my partner is not,
each of our children will not develop or be a carrier of the
disease."
"Since one of us carries the trait and the other does not, there is
a 25% chance each of our children will be a carrier of the trait."
Correct Answer "Since my partner does not carry the trait and I
,do, there is a 50% chance that each of our children will either
carry the trait or develop the disease."
A 32-year-old gravida 3 para 2 at 36 weeks' gestation comes to
the obstetric department reporting abdominal pain. Her blood
pressure is 164/90 mm Hg, her pulse is 100 beats per minute,
and her respirations are 24 per minute. She is restless and
slightly diaphoretic with a small amount of dark red vaginal
bleeding. What assessment should the nurse make next?
Palpate the fundus and check fetal heart rate.
Check deep tendon reflexes.
Measure fundal height.
Obtain a voided urine specimen and determine blood type.
Correct Answer Palpate the fundus and check fetal heart rate.
A 35-year-old client is seen for her 2-week postoperative
appointment after a suction curettage was performed to evacuate
a hydatidiform mole. The nurse explains that the human
chorionic gonadotropin (hCG) levels will be reviewed every 2
weeks and teaches about the need for reliable contraception for
the next 6 months to a year. The client states, "I'm 35 already.
Why do I have to wait that long to get pregnant again?" What is
the nurse's best response?
"After a curettage procedure, it is recommended that you give
your body some time to build up its stores."
"Since you are at the end of your reproductive years, it is
suggested that you don't try to have any more pregnancies."
"You may need chemotherapy, so we don't want to risk
pregnancy."
, "A contraceptive is used so that a positive pregnancy test
resulting from a new pregnancy will not be confused with the
increased level of hCG that occurs with a developing ma
Correct Answer "A contraceptive is used so that a positive
pregnancy test resulting from a new pregnancy will not be
confused with the increased level of hCG that occurs with a
developing malignancy."
A 41-year-old pregnant woman and her husband are anxiously
awaiting the results of various blood tests to evaluate the fetus
for potential Down syndrome, neural tube defects, and spina
bifida. Client education should include which information?
The blood tests are definitive.
Further testing will be required to confirm any diagnosis.
Treatment can be started once the test results are back.
A second set of screening tests can be obtained to confirm
results. Correct Answer Further testing will be required to
confirm any diagnosis.
A 44-year-old client has lost several pregnancies over the last 10
years. For the past 3 months, she has had fatigue, nausea, and
vomiting. She visits the clinic and takes a pregnancy test; the
results are positive. Physical examination confirms a uterus
enlarged to 13 weeks' gestation; fetal heart tones are heard.
Ultrasound reveals that the client is experiencing some bleeding.
Considering the client's prenatal history and age, what does the
nurse recognize as the greatest risk for the client at this time?
preterm labor
premature birth
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