OB MATERNITY /MATERNAL OB EXIT FINAL EXAM
LATEST TEST BANK 2024-2025 ACTUAL EXAM 75
QUESTIONS AND CORRECT DETAILED ANSWERS
AND RATIONALES
A nurse in a prenatal clinic is caring for a client who is at 38 weeks of gestation and
undergoing a contraction stress test. The test results are negative. Which of the
following interpretations of this finding should the nurse make?
A. There is no evidence of uteroplacental insufficiency.
B. There are less than 3 uterine contractions in a 10-min period.
C. There is evidence of cervical incompetence.
D. There is no evidence of two or more accelerations in fetal heart rate in 20 min. -
Answers-A. There is no evidence of uteroplacental insufficiency.
A nurse is caring for a client who is 16 -hr postpartum and states "My baby has been
breathing funny, fast and slow, off and on." Which of the following responses should the
nurse provide? Group of answer choices
A. "Most new mothers feel somewhat anxious about things like this." B. "Let's sit here
together and observe your baby while you feed him." C. "Why do you think there is
something wrong with that?"
D. "There's nothing for you to worry about. Newborns often breathe this way." -
Answers-B. "Let's sit here together and observe your baby while you feed him."
A nurse is caring for a client who is 12 hr postpartum. Which of the following findings
should alert the nurse to the possibility of a postpartum complication?
A. Heart rate 110/min
B. Orthostatic hypotension
C. Fundus palpable at the umbilicus
D. Urine output of 3,000 mL in 12 hr. - Answers-A. Heart rate 110/min
A nurse is caring for a client who is in labor and assists the provider who performs an
amniotomy. Which of the following is the priority action by the nurse following the
procedure?
A. Monitor the client's temperature.
B. Assess the fetal heart rate.
C. Assess the odor of the amniotic fluid.
D. Provide clean, dry underpads. - Answers-B. Assess the fetal heart rate.
A nurse is caring for a client who has just delivered her first newborn. The nurse
anticipates hyperbilirubinemia due to Rh incompatibility. The nurse should understand
,that hyperbilirubinemia occurs with Rh incompatibility for which of the following
reasons?
A. The client's anti-A and anti-B antibodies cross the placenta and cause the destruction
of the fetal red blood cells.
B. The client's blood contains the Rh factor and the newborn's does not, and antibodies
that destroy red blood cells are formed in the fetus.
C. The client has a history of receiving a transfusion with Rh-negative blood.
D. The client's blood does not contain the Rh factor, so she produces anti-Rh antibodies
that cross the placental barrier and cause hemolysis of red blood cells in newborns. -
Answers-D. The client's blood does not contain the Rh factor, so she produces anti-Rh
antibodies that cross the placental barrier and cause hemolysis of red blood cells in
newborns.
The nurse is caring for a 32 week G 1 P 0 with moderate Pregnancy Induced
Hypertension. Her BP is 169/98, pulse 90, resps. 18, DTRs 3+, 1 beat of clonus. The
nurse is to start an IV infusion of Magnesium Sulfate at 1.5 grams/hour. The medication
is available 40 grams of Magnesium Sulfate in 500 mL of Lactated Ringers. How many
mL/hr will the nurse set the IV pump? (Round to the nearest tenth) - Answers-18.8
mL/hr
The nurse is caring for a patient whose labor is being augmented with oxytocin. The
nurse has an order to increase the medication to 5 mu/min. The medication is available
Pitocin 30 units in 500 mL of Lactated Ringers. How many mL/hr will the nurse set the
pump? - Answers-5 mL/hr
A nurse is caring for a client who is at 18 weeks of gestation. The client tells the nurse
that she felt fluttering movements in her abdomen 3 days ago. The nurse should
interpret this finding as which of the following?
A. Lightening
B. Ballottement
C. Chloasma
D. Quickening - Answers-D. Quickening
A nurse is preparing to administer methylergonovine IM to a client who experienced a
vaginal delivery. The nurse should explain to the client that the purpose of this
medication is to prevent which of the following conditions?
A. Postpartum infection
B. Hypertension
C. Thromboembolic events
D. Postpartum hemorrhage - Answers-D. Postpartum hemorrhage
, A nurse is caring for a client who is beginning to breastfeed her newborn after delivery.
The new mother states, "I don't want to take anything for pain because I am
breastfeeding." Which of the following statements should the nurse make?
A. "All medications are found in breast milk to some extent."
B. "You have the option of not taking pain medication if you are concerned.
C. "You need to take pain medications so you are more comfortable." D. "We can time
your pain medication so that you have an hour or two before the next feeding." -
Answers-D. "We can time your pain medication so that you have an hour or two before
the next feeding."
A nurse in a community clinic is counseling a client who received a positive test result
for chlamydia. Which of the following statements should the nurse provide?
A. "You have to avoid sexual relations for 3 days."
B. "If your sexual partner has no symptoms, no medication is needed." C. "You need to
return in 6 months for retesting."
D. "This infection is treated with one dose of azithromycin." - Answers-D. "This infection
is treated with one dose of azithromycin."
A nurse is reviewing contraception options for four clients. The nurse should identify that
which of the following clients has a contraindication for receiving oral contraceptives?
A. A 26-year-old client who has migraine headaches at the start of each menstrual cycle
B. A 38-year-old client who reports smoking one pack of cigarettes every day
C. A 32-year-old client who has benign breast disease
D. A 28-year-old client who has a history of pelvic inflammatory disease - Answers-B. A
38-year-old client who reports smoking one pack of cigarettes every day
A nurse is instructing a female client about how to check basal temperature in order to
determine if the client is ovulating. The nurse should instruct the client to check her
temperature at which of the following times?
A. Every morning before arising
B. Before going to bed every night
C. On days 13 to 17 of her menstrual cycle
D. 1 hour following intercourse - Answers-A. Every morning before arising
A nurse in a clinic is caring for a client who is at 11 weeks of gestation and reports that
she has had slight occasional vaginal bleeding over the past 2 weeks. Following an
examination by the provider, the client is told that the fetus has died and that the
placenta, fetus, and tissues remain in the uterus. How should the nurse document these
findings?
A. Missed miscarriage
B. Incomplete miscarriage
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