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OB

Quiz by Haley Rabold

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15 questions
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  • Q1
    The nurse has noted 600mL of blood loss in a vaginal delivery. Priority intervention?
    Call physician immediately
    Massage fundus
    Chart findings
    Administer IV fluids
    30s
  • Q2
    Priority intervention for baby born prematurely
    Obtain axillary temperature
    Obtain weight and height
    Obtain blood glucose level
    Cover with blanket and hat
    30s
  • Q3
    8 minutes post-birth, baby exhibits tachycardia, low temp, poor muscle tone. The nurse astutely associates these symptoms with:
    Hypoglycemia
    Prematurity
    IUGR
    Low birth weight
    30s
  • Q4
    A newborn has poor skin turgor, increased hematocrit, very low subcutaneous fat, and dry skin. The nurse associates these symptoms with:
    Low birth weight
    Prematurity
    Polycythemia
    SGA
    30s
  • Q5
    All of these symptoms are associated with SGA except:
    Respiratory distress syndrome
    No voiding 24hrs after birth
    Increased morbidity
    Poor catch up ability
    30s
  • Q6
    A nurse has just performed a vaginal examination on a client in labor. The nurse palpates the baby’s buttocks as facing the mother’s right side. Where should the nurse place the external fetal monitor electrode?
    Right upper quadrant (RUQ).
    Right lower quadrant (RLQ).
    Left lower quadrant (LLQ).
    Left upper quadrant (LUQ).
    30s
  • Q7
    A 2-day-old breastfeeding baby born via normal spontaneous vaginal delivery has just been weighed in the newborn nursery. The nurse determines that the baby has lost 3.5% of the birth weight. Which of the following nursing actions is appropriate?
    Do nothing because this is a normal weight loss.
    Advise the mother to bottlefeed the baby at the next feed.
    Notify the neonatalogist of the significant weight loss.
    Assess the baby for hypoglycemia with a glucose monitor.
    30s
  • Q8
    Four newborns were admitted into the neonatal nursery 1 hour ago. They are all sleeping in overhead warmers. Which of the babies should the nurse ask the neona- talogist to evaluate?
    The neonate with white spots on the bridge of the nose.
    The neonate with raised white specks on the gums.
    The neonate with a temperature of 97.9oF and weight of 3000 grams.
    The neonate with respirations of 72 and heart rate of 166.
    30s
  • Q9
    A baby is just delivered. Which of the following physiological changes is of highest priority?
    Spontaneous respirations.
    Thermoregulation.
    Successful feeding.
    Extrauterine circulatory shift.
    30s
  • Q10
    The nurse is evaluating the involution of a woman who is 3 days postpartum. Which of the following findings would the nurse evaluate as normal?
    4. Fundus 3 cm below the umbilicus, lochia serosa.
    1. Fundus 1 cm above the umbilicus, lochia rosa.
    2. Fundus 2 cm above the umbilicus, lochia alba.
    3. Fundus 2 cm below the umbilicus, lochia rubra.
    30s
  • Q11
    Why are obstetric clients most at high risk for cardiovascular compromise during the one hour immediately following a delivery?
    Because the weight of the uterine body is significantly reduced.
    Because the cervix is fully dilated and the lochia flows freely.
    Because the excess blood volume from pregnancy is circulating in the woman’s periphery.
    Because the maternal blood pressure drops precipitously once the baby’s head emerges.
    30s
  • Q12
    A woman has just been admitted to the emergency department subsequent to a head-on automobile accident. Her body appears to be uninjured. The nurse carefully monitors the woman for which of the following complications of pregnancy?
    Severe preeclampsia.
    Placenta previa.
    Placental abruption.
    Transverse fetal lie.
    30s
  • Q13
    A nurse is caring for four prenatal clients in the clinic. Which of the clients is high risk for placenta previa?
    Smoker carrying fraternal triplets.
    Registered professional nurse.
    Jogger with low body mass index.
    Police officer on foot patrol.
    30s
  • Q14
    Which of the following is a probable sign of pregnancy?
    B. Quickening
    D. Goodell’s Sign
    A. Fetal heart rate detected by electronic device
    C. Amenorrhea
    30s
  • Q15
    You are doing an assessment on a female patient. She tells you she gave birth to twin girls at 39 weeks. You would chart the following regarding parity?
    A. Primipara
    B. Gravida
    D. Nullipara
    C. Multipara
    30s

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