Obstetrics Questions

The nurse is preparing to administer phytonadione to a newborn. Which statement made by the parents indicates understanding why the nurse is administering this medication? A. Improve insufficient dietary intake. B. Stimulate the immune system. C. Prevent hemorrhagic disorders. D. Help an immature liver.

The nurse is caring for a postpartum client who is exhibiting symptoms of a spinal headache 24 hours following delivery of a normal newborn. Prior to the anesthesiologists arrival on the unit, which action should the nurse perform? A. Cleanse the spinal injection site. B. Place procedure equipment at bedside. C. Apply an abdominal binder. D. Insert an indwelling Foley catheter.

Upon admission to the nursery, the nurse places a newborn supine under a radiant warmer, an external heat source. What intervention should the nurse implement to ensure safe thermoregulation? A. Wrap the infant in two blankets and place the radiant warmer on low. B. Dry the newborn's scalp and place a stockinet cap on the head. C. Move temperature probe over the ribs when turning to a lateral position. D. Place temperature probe on the abdomen in line with the radiant heat source.

A woman who is 38 weeks gestation is receiving magnesium sulfate for severe preeclampsia. Which assessment finding warrants immediate intervention by the nurse?a. Dizziness when standing.b. Sinus tachycardia. c. Absent patellar reflexes. d. Lower back pain.

A primipara client at 42 weeks gestation is admitted for induction. Within one hour after initiating an oxytocin infusion, her cervix is 100% effaced and 6 cm dilated, contractions are occurring every 1 minute with a 75 second duration. The nurse stops the oxytocin and starts oxygen. After 30 minutes of uterine rest, the contractions are occurring every 5 minutes with 20 second duration. What intervention should the nurse implement? A. Notify nursery about the client's response. B. Check for clonus in both feet. C. Stop oxygen per cannula. D. Restart oxytocin infusion rate per protocol.

A pregnant client presents to the antepartum clinic complaining of brownish vaginal bleeding. The nurse notes that she has a greatly enlarges uterus and is complaining of severe nausea. The client reports that her period was "about 2 and a half months ago". Vital signs are: temperature 98.7F, pulse rate 70bpm, rr 18, and bp 190/110 mmHg. Based on these findings, what laboratory value should the nurse review? A. HcG values. B. Hematocrit. C. Vaginal secretions culture. D. Glucose in the urine.

The nurse is caring for a client following an emergency cesarean delivery under general anesthesia. Which assessment finding occurring in the first 8 hours after deliver is most critical and requires immediate intervention? A. Mild nausea and anorexia. B. Respiratory rate of 12bpm. C. A positive Homan's sign. D. Uterine atony.

At 6 weeks gestation, the rubella titer of a client indicates she is non-immune. When is the best time to administer a rubella vaccine to this client? A. Early postpartum, within 72hrs of delivery. B. Immediately, at 6-weeks gestation, to protect this fetus. C. After the client reaches 20-weeks gestation. D. After the client stops breastfeeding.

A woman who is trying to get pregnant tells the nurse that she was very disappointed several months ago when she was informed that her positive pregnancy test was a false positive. Which method of testing provides the greatest degree of accuracy? A. Visualization of implantation by vaginal ultrasound. B. Presence of amenorrhea for 2 months. C. Maternal blood serum tests positive for alpha-fetoprotein. D. Complaints of feeling tired all of the time.

An ambulatory client at 39-weeks gestation presents to the emergency center with an obvious injury to her arm that occurred as the result of a fall. Which concurrent symptom is a priority for the nurse to assess. A. Ecchymotic knees. B. Dribbling urine. C. 1+ pedal edema. D. Pain in the forearm.

A client at 35 weeks gestation complains of a "pain whenever the baby moves". On assessment, the nurse notes the client's temperature to be 101.2F with severe abdominal or uterine tenderness on palpation. The nurse knows that these findings are indicative of which condition? A. Round ligament strain. B. Viral infection C. Abruptio placenta D. Chorioamnionitis

A new mother asks the nurse about an area of swelling on her baby's head near the posterior fontanel that lies across the suture line. How should the nurse respond? A. "That is called caput succedaneum. It will have to be drained." B. "That is called caput succedaneum. It will absorb and cause no problems." C. "That is called a cephalhematoma. It will cause no problems." D. "That is called a cephalhematoma. It can cause jaundice as it is absorbed."

A 16 year old gravida 1, para 0 client has just been admitted to the hospital with a diagnosis of eclampsia. She is not presently convulsing. Which intervention should the nurse plan to include in this client's nursing care plan? A. Assess temperature every hour. B. Monitor blood pressure, pulse, and respirations every 4 hours. C. Keep an airway at the bedside. D. Allow family visitation

A newborn's assessment reveals spina bifida occulta. Which maternal factor should the nurse identify as having the greatest impact on the development of this newborn complication?A. Folic acid deficiency B. Preeclampsia C. Tobacco use D. Short interval pregnancy

A primigravida client with gestational hypertension and a Bishop score of 3 is scheduled for induction of labor. The nurse administers misoprostol at 0700, then observes regular contractions with cervical changes at 0900. Which action should the nurse take?A. Administer misoprostol every 2hrs. B. Ambulate the client after administration of misoprostol. C. Start oxytocin infusion immediately. D. Begin oxytocin 4hrs after misoprostol is given.

While assessing a 40-week gestation primigravida in active labor, the client's membranes rupture spontaneously and the nurse notices that the amniotic fluid is meconium stained. Which additional finding is most important for the nurse to report to the healthcare provider? A. Maternal blood pressure of 130/85 mmHg.B. Fetal heart rate of 100 to 110 bpm.C. Vaginal exam reveals a cervix 6cm dilated. D. Contractions occurring every 2-3 minutes.

The nurse notes on the fetal monitor that a laboring client has a variable deceleration. Which action should the nurse implement first?A. Assess cervical dilation. B. Administer oxygen via facemask. C. Change the client's position. D. Turn off the oxytocin infusion.

Following a minor motor vehicle collision, a client at 36-weeks gestation is brought to the emergency center. She is lying supine on a backboard, is awake, and denies any complaints. Her blood pressure is 80/50 mmHg and heart rate is 130 bpm. Which action should the nurse implement first? A. Palpate the abdomen for contractions. B. Tilt the backboard sideways to displace the uterus laterally. C. Obtain a blood sample for complete blood count. D. Infuse 1,000 mL normal saline using a large bare IV.

The nurse is planning discharge teaching for 4 mothers. Which postpartum client is at highest risk for psychological difficulties during the postpartum period? A. A multiparous client who lives with her husband and his family members. B. A primiparous woman who has recently immigrated to the U.S. with her spouse. C. A multiparous female with a large family living in the community. D. A primiparous adolescent living at home with her parents and significant other.

The nurse is caring for a 35-week gestation infant delivered by cesarean section 2 hours ago. The nurse observes the infant's respiratory rate is 72 breaths/minute with nasal flaring, grunting, and retractions. The nurse should recognize these findings indicate which complication? A. Persistent pulmonary hypertension of the newborn. B. Transient tachypnea of the newborn. C. Meconium aspiration syndrome. D. Bronchopulmonary dysplasia.