Final (OB|GYN)

Question 1

Which vaccine should be avoided

Answer 1

Live Vaccines
- Measles, Mumps, Rubella (MMR)
- Varicella (VZV))

Question 2

Which vaccines may be given to a pregnant mother?

Answer 2

1 - COVID
2 - FLU
3 - TDAP

Question 3

Nursing interventions for Late Decelerations on fetal monitor strip.

Answer 3

1 - Reposition
2 - Increase IV Fluids
3 - Oxygen

Question 4

How long should you avoid pregnancy after receiving a Rubella Vaccine?

Answer 4

3 months

Question 5

What is the reflection of fetal cerebral oxygenation and fetal reserve?

Answer 5

Variability

Question 6

Which STI is contraindicated for breastfeeding?

Answer 6

HIV

Question 7

CNS depressant; relaxes smooth muscle; inhibits uterine activity. Neuro protection of the neonate.

Answer 7

Magnesium Sulfate

Question 8

Beta-Adrenergic Agonist; Relaxes smooth muscle; Inhibits uterine activity; Bronchodilator

Answer 8

Terbutaline

Question 9

Painless bright red vaginal bleeding during second or third trimester from stretching or thinning of lower uterine segment.

Answer 9

Placenta Previa

Question 10

How is Placenta Previa diagnosed?

Answer 10

Ultrasound

Question 11

The placenta is implanted in the lower uterine segment such that it completely or partially covers the cervix or is close enough to the cervix to cause bleeding when the cervix dilates or the lower uterine segment effaces.

Answer 11

Placenta Previa

Question 12

Placenta Previa:
Abdominal examination usually reveals a _____, _______, non-tender ______ with ________ tone.

Answer 12

Abdominal examination usually reveals a soft, relaxed, non tender uterus with normal tone.

Question 13

3 things that should be avoided if a patient has placenta previa.

Answer 13

1 - Vaginal Exams
2 - Rectal Exams
3 - Intercourse

Question 14

What is the premature separation of the placenta.

Answer 14

Placenta Abruption

Question 15

Painful vaginal bleeding; Abdominal pain; Uterine tenderness; Board-like abdomen

Answer 15

Placenta Abruption

Question 16

Mild-to-severe uterine hypertonicity is present. Pain is mild to severe and localized over one region of the uterus or diffusely over the uterus with board-like abdomen.

Answer 16

Placenta Abruption

Question 17

Shortening and thinning of the cervix during the first stage of labor is?

Answer 17

Effacement

Question 18

The enlargement or widening of the cervical opening and the cervical canal that normally occurs once labor has begun is?

Answer 18

Dilation

Question 19

What marks the end of the first stage of labor?

Answer 19

Full cervical dilation

Question 20

What is the first stage of labor?

Answer 20

Cervical DIlation

Question 21

What is stage 2 of labor?

Answer 21

Delivery of the baby

Question 22

What is stage 3 of labor?

Answer 22

Placenta Delivery

Question 23

What is stage 4 of labor?

Answer 23

Post-Partum (Recovery)

Question 24

Which is the longest stage of labor?

Answer 24

Stage 1

Question 25

As the cervix is stretched what is released that stimulates contractions?

Answer 25

Oxytocin

Question 26

This stage of labor is from the time the cervix is fully dilated to the birth of the infant.

Answer 26

Second Stage

Question 27

What are the two phases in the first stage of labor?

Answer 27

1 - Latent 2 - Active

Question 28

This stage of labor lasts from the infant's birth to expulsion of the placenta.

Answer 28

3rd Stage of Labor

Question 29

This stage of labor begins with the delivery of the placenta and includes at least the 1st 2 hours after birth.

Answer 29

4th Stage of Labor

Question 30

This stage of labor is more progress in effacement of the cervix and little increase in descent.

Answer 30

1st Stage of Labor (Latent Phase)

Question 31

This stage of labor is more rapid dilation of the cervix and increased rate of descent of the presenting part.

Answer 31

1st Stage of Labor (Active Phase)

Question 32

Which stage of labor is the fetus continues to descend passively through the birth canal and rotate to an anterior position as a result of ongoing uterine contractions?

Answer 32

2nd Stage of Labor (Latent Phase)

Question 33

Which stage of labor is the woman has strong urges to bear down as the presenting part of the fetus descends and presses on the stretch receptors of the pelvic floor?

Answer 33

2nd Stage of Labor (Active Pushing Phase)

Question 34

Which stage of labor does the placenta normally separates from the uterine wall?

Answer 34

3rd Stage of Labor

Question 35

Which stage of labor does the woman begins to recover physically from birth?

Answer 35

4th Stage of Labor

Question 36

Normal range of FHR at term?

Answer 36

110 -160bpm

Question 37

When does the anterior fontanel close?

Answer 37

18 months

Question 38

When does the posterior fontanel close?

Answer 38

6 - 8 weeks

Question 39

What is the newborn priority if a mother has pre gestational or gestational diabetes?

Answer 39

Check blood glucose 1hr after birth

Question 40

What is the first sign of respiratory distress in newborns?

Answer 40

Tachypnea

Question 41

This edematous area, present at birth, extends across suture lines of the skill and usually disappears spontaneously within 3-4 days.

Answer 41

Caput Succedaneum

Question 42

This hematoma at birth is firmer and better defined, does not cross a cranial suture line, and resolves in 2-8 weeks.

Answer 42

Cephalhematoma

Question 43

What can occur as a hematoma resolves in an newborn, hemolysis of RBCs occurs and this may result?

Answer 43

Hyperbilirubinemia

Question 44

When should Rubella vaccine be given to a mother who just delivered?

Answer 44

In the hospital before discharge

Question 45

What is the onset of hypertension without proteinuria after week 20 of pregnancy?

Answer 45

Gestational Hypertension

Question 46

What is pregnancy-specific condition In which hypertension and proteinuria develop after 20 weeks of gestation?

Answer 46

Preeclampsia

Question 47

What is the onset of seizure activity in a woman with preeclampsia?

Answer 47

Eclampsia

Question 48

Women may be diagnosed with this once it is evident that hypertension persists after the postpartum period?

Answer 48

Chronic Hypertension

Question 49

The goal of therapy for women with gestational hypertension and preeclampsia without severe features.

Answer 49

To ensure maternal safety and to deliver a healthy newborn as close to term as possible.

Question 50

Women diagnosed with severe levels of gestational hypertension or preeclampsia with severe features should be hospitalized immediately for a thorough evaluation of maternal-fetal status and placed on which medication?

Answer 50

Magnesium Sulfate

Question 51

What medication prevents eclamptic seizures?

Answer 51

Magnesium Sulfate

Question 52

Women with severe levels of gestational hypertension who are less than 34 weeks of gestation have no indication for giving birth immediately may be candidates for which medications?

Answer 52

1 - Magnesium Sulfate 2 - Corticosteroids

Question 53

Why is dexamethasone given to a mother with severe levels of gestational hypertension that is less than 34 weeks?

Answer 53

To enhance fetal lung maturation

Question 54

What is the priority for a patient with severe features of preeclampsia to reduce the risk of pulmonary edema?

Answer 54

IV and oral fluids should NOT exceed 125mL/hr

Question 55

You are monitoring a patient who is receiving intravenous magnesium sulfate therapy for severe pre-eclampsia. You observe that her previously normal deep tendon reflexes are now undetectable, she is breathing at a significantly slower rate, and she is not responding to verbal stimuli as promptly as before. Question: Considering these observations, what complication should be immediately suspected and addressed?

Answer 55

Magnesium Toxicity

Question 56

Which medication has been found to reduce preeclampsia and adverse outcomes in selected-high-risk women?

Answer 56

Low-Dose Aspirin

Question 57

Which medication is given to reverse magnesium toxicity?

Answer 57

Calcium Gluconate

Question 58

What is the term for the rhythmic, oscillating movements observed in response to sustained muscle stretching, often seen in patients with significant neurological hyperexcitability, such as severe pre-eclampsia?

Answer 58

Clonus

Question 59

What is the term for a family structure that results from divorce and remarriage, typically consisting of stepparents, stepchildren, and stepsiblings?

Answer 59

Married-Blended Family

Question 60

What is the term used to describe a traditional family structure consisting of a husband, wife, and their biological or adopted children?

Answer 60

Nuclear Family

Question 61

What term describes a family structure that includes grandparents, parents, and grandchildren, living together or maintaining close relationships?

Answer 61

Multigenerational Family

Question 62

What is the term for a family structure that encompasses not only the nuclear family but also other relatives such as grandparents, aunts, uncles, and cousins, who may or may not reside together?

Answer 62

Extended Family

Question 63

What is the term used to describe amniotic fluid that is tinged with fetal stool, indicating that the fetus may have experienced stress or hypoxia in utero?

Answer 63

Meconium-Stained Amniotic Fluid

Question 64

What are the essential steps and maneuvers a healthcare provider should perform when encountering shoulder dystocia during delivery?

Answer 64

1 - McRoberts Maneuver (Flex legs on abdomen) 2 - Apply suprapubic pressure (NOT fundal pressure)

Question 65

What are the crucial nursing interventions in the event of an umbilical cord prolapse?

Answer 65

1 - Manually elevate the presenting part of the fetus off the cord if, using a sterile gloved hand, inserting 2 fingers. 2 - Promptly position the mother to relieve pressure on the cord (Modified Sims, Trendelenburg, or Knee-Chest) 3 - Oxygen

Question 66

What is the gold standard method for breast cancer screening and early detection, widely recognized for its effectiveness?

Answer 66

Mammography

Question 67

What diagnostic procedure is typically used to confirm the diagnosis of a suspected pathology, such as a tumor or a suspicious lesion?

Answer 67

Needle Biopsy

Question 68

What is the most common benign breast condition, often found to varying degrees in healthy women, characterized by lumpy, sometimes tender breasts, especially in response to hormonal changes?

Answer 68

Fibrocystic Breast Changes

Question 69

What is the name of the most common solid benign breast mass, typically seen in adolescents and young women, characterized as a discrete, usually solitary lump that is generally less than 3 cm in diameter?

Answer 69

Fibroadenoma

Question 70

hat is the term for a benign, often bilateral, spontaneous nipple discharge that is milky and sticky, commonly seen in pregnancy, but can also occur in other conditions?

Answer 70

Galactorrhea

Question 71

What is the name of the benign condition characterized by unilateral, spontaneous nipple discharge that can be serous, serosanguineous, or bloody, typically originating in the terminal nipple ducts?

Answer 71

Intraductal Papilloma

Question 72

What is the condition called where the breast presents as painful, red, and inflamed, often with thickened skin that feels warm or hot to the touch, typically caused by Staphylococcus aureus?

Answer 72

Cellulitis

Question 73

Which specific genetic mutations significantly elevate a woman's lifetime risk of developing breast cancer, with some estimates suggesting up to an 85% chance?

Answer 73

BRCA1 and BRCA2 mutations

Question 74

Nursing interventions for magnesium toxicity?

Answer 74

Stop magnesium sulfate

Question 75

A woman has a breast mass that is not well delineated and is nonsalable, immobile, and contender. Which condition is this client experiencing? a) Fibroadenoma b) Lipoma c) Intraductal Papilloma d) Mammary Duct Ectasia

Answer 75

c) Intraductal Papilloma