Obstetrics Questions

What contributes the most to the level of noise in a NICU?A. The sound of medical equipmentB. ConversationC. The crying of babies

What method can be utilized to evaluate the autonomic function in a newborn baby?A. Blood pressure monitoringB. Heart rate variabilityC. Body temperature measurement

What condition would likely occur if a near-term fetus generates between 200 to 400 mL of urine each day?A. OligohydramniosB. Hydrops fetalisC. Polyhydramnios

A newborn baby, immediately after birth, shows signs of severe blueness due to decreased blood flow to the lungs and a mixture of oxygen-rich and oxygen-poor blood. The baby also has difficulty feeding or crying, which further intensifies the blueness. What condition do these symptoms suggest?A. Atrial Septal DefectB. Ventricular Septal DefectC. Tetralogy of Fallot

During labor, at what rate would a fetal heart rate be categorized as experiencing tachycardia?A. >160 bpm for ≥10 minutesB. <120 bpm for ≥10 minutesC. 120-160 bpm for ≥10 minutes

Is the following statement true or false? The second stage of labor is the longest stage. a. True b. False

What combination of medications can be safely administered together via IV?A. Phenytoin (Dilantin) with Lactated Ringer's solutionB. Phenytoin (Dilantin) with Normal SalineC. Phenytoin (Dilantin) with D5W

How would you describe the characteristics of gestational hypertension?A. Hypertension after 20 weeks with proteinuriaB. Hypertension before 20 weeks with proteinuriaC. Hypertension after 20 weeks without proteinuria

When should a couple or patient be referred to genetic counseling?

The nurse's assessment of a preterm infant reveals decreased muscle tone, signs of respiratory difficulty, irritability, and mottled, cool skin. Which intervention should the nurse implement first? A. Assess the infant's blood glucose level. B. Nipple feed 1oz 5% glucose in water. C. Place the infant in a side-lying position. D. Position a radiant warmer over the crib.

A woman in her third trimester of pregnancy has been in active labor for the past 8 hours and has dilated 3cm. The nurse's assessment findings and electronic fetal monitoring(EFM) are consistent with hypotonic dystocia, and the healthcare provider prescribed and oxytocin drip. Which data is most important for the nurse to monitor? A. Preparation for emergency cesarean birth. B. Client's hourly blood pressure. C. Checking the perineum for bulging. D. Intensity, interval, and length of contractions.

A newborn's head circumference is 12inches and his chest measurement is 13 inches. The nurse notes that this infant has no molding, and was a breech presentation delivered by Cesarean section. What action should the nurse take based on these data? A. No action need be taken. It is normal for an infant born by Cesarean section to have a small head circumference. B. Notify the pediatrician immediately. These findings support the possibility of hydrocephalus. C. Call these findings to the attention of the pediatrician. The head/chest ratio is abnormal. D. Record the findings on the chart. They are within normal limits.

A client at 18-weeks gestation was informed this morning that she has an elevated alpha-fetoprotein(AFP) level. After the healthcare provider leaves the room, the client asks what she should do next. What information should the nurse provide? A. Reassure the client that the AFP results are likely to be a false reading. B. Explain that a sonogram should be scheduled for definitive results. C. Discuss options for intrauterine surgical correction of congenital defects. D. Inform her that a repeat alpha-fetoprotein(AFP) should be elevated

A new mother who is breastfeeding her 4-week-old infant and has type 1 diabetes, reports that her insulin needs have decreased since the birth of her child. Which action should the nurse implement? A. Inform her that a decreased need for insulin occurs while breastfeeding. B. Counsel her to increase her caloric intake. C. Advise the client to breastfeed more frequently. D. Schedule an appointment for the client with the diabetic nurse educator.

Following the vaginal delivery of a 10-pound infant, the nurse assesses a new mother's vaginal bleeding and finds that she has saturated two pads in 30 minutes and has a boggy uterus. What action should the nurse take first?A. Increase oxytocin IV infusion. B. Have the client empty her bladder. C. Perform fundal massage until firm. D. Inspect the perineum for lacerations.

The nurse is conducting a home health visit of a client who delivered 3 weeks ago and is formula feeding the infant. Which observations should the nurse find most concerning?A. The client notes infant feeds every 2-3 hours and voids 5-6 times per day. B. The client is in pajama's and infant is freshly bathed. C. Used bottles are in the kitchen and infant is in a swing. D. The clients eyes are red from crying and infant is fussing in the crib.

An unlicensed assistive personnel (UAP) reports to the charge nurse that a client who delivers a 7-pound infant 12 hours ago is reporting a severe headache. The client blood pressure is 110/70 mmHg, respiratory rate is 18 breaths/minute, heart rate is 74 bpm, and temperature is 98.6F. The client's fundus is firm and one fingerbreadth above the umbilicus. Which action should the charge nurse implement first?A. Notify the healthcare provider of the assessment findings.B. Obtain a STAT hemoglobin and hematocrit. C. Assign a practical nurse (PN) to reassess the client's vital signs. D. Determine if the client received anesthesia during delivery.

The nurse is caring for a client whos is 10 weeks gestation and palpates the fundus at 2 fingerbreadths above the pubic symphysis. The client reports nausea, vomiting, and scant dark brown vaginal discharge. Which action should the nurse take? A. Measure vital signs.B. Recommend bed rest. C. Collect urine sample urinalysis. D. Obtain human chronic gonadotropin levels.

The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds, 14 ounces, has a head circumference of 13 inches, and a chest circumference of 10 inches. Based on these physical findings, assessments for which condition has the highest priority? A. Hyperbilirubinemia B. Polycythemia C. Hyperthermia D. Hypoglycemia

A client who is 32 weeks gestation arrives at the clinic reporting nausea and vomiting for the past 24 hours. The nurse reviews the records and observes there has been a rapid weight gain over 6 weeks. Which action should the nurse implement next? A. Ask for a 24 hour diet recall.B. Obtain a blood pressure. C. Inspect for pedal edema. D. Listen to fetal heart rate.