OB CMS EXAM WITH NGN LATEST QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) ALREADY GRADED
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OB CMS WITH NGN 2024
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OB CMS WITH NGN 2024
OB CMS EXAM WITH NGN LATEST QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) ALREADY GRADEDOB CMS EXAM WITH NGN LATEST QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) ALREADY GRADEDOB CMS EXAM WITH NGN LATEST QUESTIONS AND CORRECT DETAILED ANSWERS ...
OB CMS EXAM WITH NGN
LATEST QUESTIONS AND
CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED
ANSWERS) ALREADY GRADED
The is assisting a patient who just delivered a healthy baby boy weighing 7 pounds.
Upon cord traction of placenta, she notices a sudden gushing of a large amount of
blood and the fundus is no longer palpable in the abdomen. What are useful nursing
interventions if uterine inversion is suspected?
1. Administering oxytocic
2. Assess vital signs
3. Discontinue uterotonic drugs
4. Do not attempt to remove the placenta
5. Establish IV access and fluids - CORRECT ANSWER>>>>2. Assess vital signs
3. Discontinue uterotonic drugs
4. Do not attempt to remove the placenta
5. Establish IV access and fluids
Rationale: Never attempt to remove the placenta if it is still attached, because this
will only create a larger surface area for bleeding. When an inversion occurs a
large amount of blood suddenly gushes from the vagina. The fundus is not
palpable in the abdomen. If the loss of blood continues unchecked, the woman
will immediately show signs of blood loss. Uterine inversion may occur after the
birth if traction is applied to the umbilical cord too soon or if the pressure is
applied to the uterine fundus when the uterus is not contracted. Administering an
oxytocic drug only compounds the inversion. Uterotonic drugs should be
discontinued to allow uterine relaxation for replacement. IV fluids should be
commenced to support blood pressure.
A nurse is reviewing her assignments. Which patient should she assess first?
1. A 12-hour infant who is small for gestational age.
2. Four hour infant with a cardiac defect.
3. 9 hour old infant who has not voided
4. 3 day old infant waiting for discharge - CORRECT ANSWER>>>>2. Four hour
infant with a cardiac defect
Rationale: The infant with a cardiac defect is at the most risk for complications
and should be assessed first.
, At 32 weeks' gestation a 15-year-old primigravid client who is 5'2", has gained 20 lbs,
with a 1 lb weight gain in the last 2 weeks. Urinalysis reveals negative glucose and a
trace of protein. The nurse should advise the client that which of the following factors
increases her risk for preeclampsia?
1. Total weight gain
2. Short stature
3. Adolescent age group
4. Proteinuria - CORRECT ANSWER>>>>3. Adolescent age group
Rationale: Client's with increased risk for preeclampsia include primigravid clients
younger than 20 years or older than 40 years, clients with 5 or more pregnancies,
women of color, women with multifetal pregnancies, women with diabetes or
heart issues. A total weight gain of 20 lbs in the at 32 weeks gestation with a 1 lb
weight gain in the last 2 weeks is within normal limits. Trace amounts of protein
in the urine is common during pregnancy but amounts of +1 or more may be
pregnancy induced hypertension.
A patient has meconium-stained amniotic fluid. Fetal scalp sampling indicates a blood
pH of 7.12 and fetal bradycardia is present. Based on these findings, the nurse should
take which action?
1. Administer amnioinfusion.
2. Prepare for cesarean section.
3. Reposition the patient.
4. Start IV as prescribed. - CORRECT ANSWER>>>>2. Prepare for cesarean section.
Rationale: Infants with meconium-stained amniotic fluid may have respiratory
difficulties and bradycardia at birth. Based on this assessment, fetal metabolic
acidosis is present. These findings pose a great threat to the newborn's well-
being. A cesarean section is required. Amnioinfusion is an infusion of sterile
isotonic solution into the uterine cavity during labor to reduce umbilical cord
compression. This is also done to dilute meconium in the amniotic fluid, reducing
the risk that the infant will aspirate thick meconium at birth. The procedure is not
sufficient in this scenario neither is the IV.
What is premature rupture of membranes? - CORRECT ANSWER>>>>Premature
rupture of the membranes is spontaneous rupture of the amniotic membrane
before the onset of labor. When the rupture of membranes is before term
infection becomes a risk.
What hormones are secreted by the corpus luteum? - CORRECT ANSWER>>>>The
corpus luteum secretes estrogen and progesterone during the remaining 14 days
of the cycle.
What is the normal intrauterine fetal attitude? - CORRECT ANSWER>>>>It is the
relationship of the fetal body parts to one another. The normal intrauterine
attitude is flexion, in which the fetal back is rounded, the head is forward on the
chest, and the arms and legs are folded in against the body.
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