OB/Maternity Practice Exam 34 Questions with Verified Answers
A) The clients readiness to learn. - CORRECT ANSWER Client teaching is an important part
... [Show More] of the maternity nurse's role. Which factor has the greatest influence on successful teaching of the gravid client?
A) The clients readiness to learn.
B) The clients educational background.
C) The order in which the information is presented
D) the extent to which the pregnancy was planned
C) move about every hour - CORRECT ANSWER A 38-week primigravida who works as a secretary and sits at a computer 8 hours each day tells the nurse that her feet have begun to swell. Which instruction would be most effect in preventing pooling of blood in the lower extremities?
A) wear support stockings
B) Reduce salt in her diet
C) move about every hour
D) avoid constrictive clothing
B) lower birth weights - CORRECT ANSWER During a prenatal visit, the nurse discusses with a client the effects of smoking on the fetus. When compared with nonsmokers, mothers who smoke during pregnancy tend to produce infants who have
A) lower Apgar scores
B) lower birth weights
C) respiratory distress
D) a higher rate of congenital anomalies
C) tachycardia and a feeling of nervousness - CORRECT ANSWER A 26-year-old, gravida 2, para 1 client is admitted to the hospital at 28-weeks gestation in preterm labor. She is given 3 doses of terbutaline sulfate (Brethine) 0.25 mg subcutaneously to stop her labor contractions. The nurse plans to monitor for which primary side effect of terbutaline sulfate?
A) drowsiness and bradycardia
B) depressed reflexes and increase respirations
C) tachycardia and a feeling of nervousness
D) a flushed, warm feeling and a dry mouth
C) correctly place the infant on the breast - CORRECT ANSWER A mother who is breastfeeding her baby receives instructions from the nurse. Which instruction is most effective to prevent nipple soreness?
A) wear a cotton bra
B) increase nursing time gradually
C) correctly place the infant on the breast
D) manually express a small amount of milk before nursing
B) infant's condition at birth and treatment received - CORRECT ANSWER A full term infant is transferred to the nursery from labor and delivery. Which information is most important for the nurse to receive when planning immediate care for the newborn?
A) length of labor and method of delivery
B) infant's condition at birth and treatment received
C) feeding method chosen by the parents
D) history of drugs given to the mother during labor
D) anterior fontanel closes 12-18 and the posterior by the end of the second month - CORRECT ANSWER In developing a teaching plan for the expectant parents, the nurse plans to include information about when the parents can expect the infant fontanels to close. The nurse bases the explanation on knowledge that for the normal newborn, the
A) anterior fontanel closes at 2-4 months and the posterior by the end of the first week
B) anterior fontanel closes at 5-7 months and the posterior by the end of the second week
C) anterior fontanel closes at 8-11 months and the posterior by the end of the first month
D) anterior fontanel closes 12-18 and the posterior by the end of the second month
D) 30-weeks gestation - CORRECT ANSWER When assessing a client who is at 12-weeks gestation, the nurse recommends that she and her husband consider attending childbirth preparation classes. When is the best time for the couple to attend these classes?
A) 16-weeks gestation
B) 20-weeks gestation
C) 24-weeks gestation
D) 30-weeks gestation
C) the cervix is completely dilated - CORRECT ANSWER The nurse should encourage the laboring client to begin pushing when
A) there is only an anterior or posterior lip of cervix
B) the client describes the need to have a bowel movement
C) the cervix is completely dilated
D) the cervix is completely effaced
A) two weeks before menstruation - CORRECT ANSWER The nurse is counseling a couple who has sought information about conceiving. For teaching purposes, the nurse should know that ovulation usually occurs
A) two weeks before menstruation
B) immediately after menstruation
C) immediately before menstruation
D) three weeks before menstruation
C) have the client breathe into her cupped hands - CORRECT ANSWER The nurse instructs a laboring client to use accelerated-blow breathing. The client begins to complain of tingling fingers and dizziness. What action should the nurse take?
A) administer oxygen by face mask
B) notify the healthcare provider of the client's symptoms
C) have the client breathe into her cupped hands
D) check the client's blood pressure and fetal heart rate
C) vernix is a white, cheesy substance, predominantly located in the skin folds - CORRECT ANSWER When preparing a class on newborn care for expectant parents, what content should the nurse teach concerning the newborn infant at term gestation?
A) milia are red marks made by forceps and will disappear within 7-10 days
B) meconium is the first stool and is usually yellow gold in color
C) vernix is a white, cheesy substance, predominantly located in the skin folds
D) pseudo-strabismus found in newborns is treated by minor surgery
A) a cephalhematoma, caused by forceps trauma and may last up to 8 weeks - CORRECT ANSWER 24 hours after admission to the newborn nursery, a full-term male infant develops localized edema on the right side of his head. The nurse knows that, in the newborn, an accumulation of blood between the periosteum and skull which does not cross the suture line is a newborn variant known as
A) a cephalhematoma, caused by forceps trauma and may last up to 8 weeks
B) a subarachnoid hematoma, which requires immediate drainage to prevent further complications
C) molding, caused by pressure during labor and will disappear within 2-3 days
D) a subdural hematoma which can result in lifelong damaga
D) let him know that these behaviors are part of normal maternal/fetal bonding which occur once the mother feels fetal movement - CORRECT ANSWER An expectant father tells the nurse that his wife "is losing her mind." He states she is constantly rubbing her abdomen and talking to the baby, and that she actually reprimands the baby when it moves too much. What recommendation should the nurse make to this expectant father?
A) reassure him that these are normal reactions to pregnancy and suggest that he discuss his concerns with the childbirth education nurse
B) help him to understand that his wife is experiencing normal symptoms of ambivalence about the pregnancy and no action is needed
C) ask him to observe his wife's behavior carefully for the next few weeks and report any similar behavior to the nurse at the next prenatal visit
D) let him know that these behaviors are part of normal maternal/fetal bonding which occur once the mother feels fetal movement
C) "That is normal; the head will return to a round shape within 7-10 days" - CORRECT ANSWER A new mother who has just had her first baby says to the nurse, "I saw the baby in the recovery room. She sure had a funny looking head." Which response by the nurse is best?
A) "This is not an unusual shaped head, especially for a first baby"
B) " It may look funny to you, but newborn babies are often born with heads like your baby's"
C) "That is normal; the head will return to a round shape within 7-10 days"
D) " Your pelvis was too small, so the baby's head had to adjust to the birth canal"
B) " Your milk is sufficient if the baby is voiding pale straw-colored urine 6-10 times a day" - CORRECT ANSWER A new mother asks the nurse, " How do I know that my daughter is getting enough breast milk?" Which explanation will the nurse provide?
A) " Weigh the baby daily and if she is gaining weight, she is eating enough."
B) " Your milk is sufficient if the baby is voiding pale straw-colored urine 6-10 times a day"
C) " Offer the baby extra bottle milk after her feeding, and see if she is still hungry"
D) " If you're concerned, you might consider bottle feeding so that you can monitor her intake"
D) Meet the mother's physical needs and demonstrate warmth toward the infant - CORRECT ANSWER A client who gave birth to a healthy 8 lb infant 3 hours ago is admitted to the postpartum unit. Which nursing plan is best in assisting this mother to bond with her newborn infant?
A) Encourage the mother to provide total care for her infant
B) Provide privacy so the mother can develop a relationship with the infant
C) Encourage the father to provide most of the infant's care during hospitalization
D) Meet the mother's physical needs and demonstrate warmth toward the infant
C) Shoulder pain - CORRECT ANSWER A couple, concerned because the woman has not been able to conceive, is referred to a healthcare provider for a fertility workup and a hysterosalpingography is scheduled. What complaint would indicate to the nurse that the woman's fallopian tubes are patent?
A) Back pain
B) Abdominal pain
C) Shoulder pain
D) Leg Cramps
A) lying prone with a pillow on the abdomen - CORRECT ANSWER Which nursing intervention would be most helpful in relieving postpartum uterine contractions of "afterpains?"
A) lying prone with a pillow on the abdomen
B) using a breast pump
C) massaging the abdomen
D) giving oxytocic medications
B) her arms and hands receive the infant and she then traces the infant's profile with her fingertips - CORRECT ANSWER Which maternal behavior is the nurse most likely to see when a new mother receives her infant for the first time?
A) she eagerly reaches for the infant, undresses the infant, and examines the infant completely
B) her arms and hands receive the infant and she then traces the infant's profile with her fingertips
C) her arms and hands receive the infant and she then cuddle the infant to her own body
D) she eagerly reaches for the infant and then holds the infant close to her own body
A) November 22 - CORRECT ANSWER On admission to the prenatal clinic, a 23 yo woman tells the nurse that her last menstrual period began on February 15, and that previously her periods were regular. Her pregnancy test is positive. This client's expected date of delivery (EDD) would be
A) November 22
B) November 8
C) December 22
D) October 22
C) January 30-31 - CORRECT ANSWER The nurse is counseling a woman who wants to become pregnant. The woman tells the nurse that she has a 36-day menstrual cycle and the first day of her last menstrual period was January 8. The nurse correctly calculates that the woman's next fertile period will be
A) January 14-15
B) January 22-23
C) January 30-31
D) February 6-7
C) a decrease in RR from 24 to 16 - CORRECT ANSWER A client at 32-weeks gestation is hospitalized with severe pregnancy-induced hypertension (PIH), and magnesium sulfate is prescribed to control the symptoms. Which assessment finding would indicate the therapeutic drug level has been achieved?
A) 4+ reflexes
B) UOP of 50ml/hr
C) a decrease in RR from 24 to 16
D) a decreased body temperature
C) place the woman in a lateral position - CORRECT ANSWER Twenty minutes after a continuous epidural anesthetic is administered, a laboring client's blood pressure drops from 120/80 to 90/60. What action will the nurse take?
A) Notify the healthcare provider or anesthesiologist
B) continue to assess the blood pressure Q 5 min
C) place the woman in a lateral position
D) turn off the continuous epidural
A) come to the clinic today for an ultrasound - CORRECT ANSWER A client at 28-weeks gestation calls the antepartal clinic and states that she is experiencing a small amount of vaginal bleeding which she describes as bright red. She further states that she is not experiencing any uterine contractions or abdominal pain. What instruction should the nurse provide?
A) come to the clinic today for an ultrasound
B) go immediately to the emergency room
C) lie on your left side for about one hour and see if the bleeding stops
D) bring a urine specimen to the lab tomorrow to determine if you have a urinary tract infection
D) put the newborn to breast - CORRECT ANSWER An off-duty nurse finds a woman in a supermarket parking lot delivering an infant while her husband is screaming for someone to help his wife. Which intervention has the highest priority?
A) use a thread to tie off the umbilical cord
B) provide as much privacy as possibly for the woman
C) reassure the husband and try to keep him calm
D) put the newborn to breast
A) " Complete bedrest decreases oxygen needs and demands on the heart muscle tissue." - CORRECT ANSWER A pregnant client with mitral stenosis Class III is prescribed complete bedrest. The client asks the nurse, "Why must I stay in bed all the time?" Which response is best for the nurse to provide this client?
A) " Complete bedrest decreases oxygen needs and demands on the heart muscle tissue."
B) " We want your baby to be healthy, and this is the only way we can make sure that will happen."
C) " I know you're upset. Would you like to talk about some things you could do while in bed?"
D) " Labor is difficult and you need to use this time to rest before you have to assume all child-caring duties"
C) Gonorrhea - CORRECT ANSWER The nurse is teaching care of the newborn to a group of prospective parents and describes the need for administering antibiotic ointment into the eyes of the newborn. Which infectious organism will this treatment prevent from harming the infant?
A) Herpes
B) Staphylococcus
C) Gonorrhea
D) Syphillis
C) check the infant's oxygen saturation rate - CORRECT ANSWER A newborn infant is brought to the nursery from the birthing suite. The nurse notices that the infant is breathing satisfactory but appears dusky. What action should the nurse take first?
A) notify the pediatrician immediately
B) suction the infant's nares, then oral cavity
C) check the infant's oxygen saturation rate
D) position the infant on the right side
D) Provide assistance to the mother to begin breastfeeding as soon as possible after delivery - CORRECT ANSWER Just after delivery, a new mother tells the nurse, "I was unsuccessful breastfeeding my first child, but I would like to try with this baby." Which intervention is best for the nurse to implement first?
A) assess the husband's feelings about his wife's decision to breastfeed their baby
B) Ask the client to describe why she was unsuccessful with breastfeeding their last child
C) Encourage the client to develop a positive attitude about breastfeeding to help success
D) Provide assistance to the mother to begin breastfeeding as soon as possible after delivery
A) Between the time the temperature falls and rises - CORRECT ANSWER The nurse is teaching a woman how to use her basal body temperature (BBT) pattern as a tool to assist her in conceiving a child. Which temperature pattern indicates the occurence of ovulation, and therefore, the best time for intercourse to ensure conception?
A) Between the time the temperature falls and rises
B) between 36-48 hours after temperature rises
C) when temperature falls and remains low for 36 hours
D) within 72 hours after temperature falls
D) take prescribed multivitamin and mineral supplements - CORRECT ANSWER A woman who had miscarriage 6 months ago becomes pregnant. Which instruction is most important for the nurse to provide this client?
A) elevate lower legs while resting
B) increase caloric intake by 200-300 calories/day
C) increase water intake to 8 full glasses per day
D) take prescribed multivitamin and mineral supplements
C) a persistent cold - CORRECT ANSWER A newborn, whose mother is HIV positive, is scheduled for follow-up assessments. The nurse knows that the most likely presenting symptom for a pediatric client with AIDS is
A) shortness of breath
B) joint pain
C) a persistent cold
D) organomegaly
A) edema, basillar rales, and an irregular pulse - CORRECT ANSWER The nurse is caring for a woman with a previously diagnosed heart disease who is in the second stage of labor. Which assessment findings are of greatest concern?
A) edema, basillar rales, and an irregular pulse
B) increased UOP and tachycardia
C) shortness of breath, bradycardia, and hypertension
D) regular heart rate and hypertension [Show Less]