OB Exam 1

Question 1

When a patient is post vaginal delivery and observes vaginal bleeding greater than 600mL, what is this called?

Answer 1

Uterine Atony

Question 2

What medication is used to control bleeding?

Answer 2

Oxytocin (Pitocin)

Question 3

When a patient is at risk for altered tissue perfusion what will the signs appear like?

Answer 3

A client will maintain stable vital signs and oxygen saturation

Question 4

When a patient complains of difficulty urinating, what is this called?

Answer 4

Vulvar hematoma

Question 5

Someone who is in late pregnancy begin to choke, what should be preformed?

Answer 5

Chest Thrust

Question 6

What promotes bowel function?

Answer 6

Glycerin Suppository

Question 7

When is an ideal time to teach about breastfeeding?

Answer 7

within 1-2 hours after birth

Question 8

A patient delivered 4 weeks ago and now has thoughts of self harm, this is an example of..?

Answer 8

Postpartum depression

Question 9

To assist the client in developing appropriate infant attachment behaviors who is postpartum what should the nurse do?

Answer 9

Encourage mother to participate in care. Provide community resources. Observe mother infant interactions

Question 10

How should a client with pregestational diabetes participate in diabetic management?

Answer 10

monitor Blood glucose levels

Question 11

A client was diagnosed with preeclampsia, what medication should be used to prevent seizures?

Answer 11

Magnesium sulfate

Question 12

What may a client experience when in their third trimester of pregnancy who has preeclampsia?

Answer 12

Hypertension, proteinuria, and a headache unrelieved by Tylenol

Question 13

What may have to occur when the client is macrocosmic due to poor glycemic control?

Answer 13

Cesarean birth

Question 14

The clients skin is flushed and dry, and is also lethargic, what may this be?

Answer 14

Ketoacidosis

Question 15

How should you prevent diabetes associated birth defects?

Answer 15

Maintaining strict glycemic control

Question 16

Where may someone with HELLP Syndrome experience pain?

Answer 16

Right upper quadrant pain with a headache

Question 17

What diagnostic test should be run when noticing bright red vaginal bleeding?

Answer 17

Ultrasound

Question 18

What symptoms may the client who is 32 weeks gestation diagnosed with preeclampsia experience?

Answer 18

Visual changes, Difficulty focusing

Question 19

Your eclamptic client begins to seize, what is the priority?

Answer 19

Keep the patients airway patent and turn head to the side

Question 20

A preeclampsia patient is receiving IV magnesium…

Answer 20

80mL of urine output over the past four hours

Question 21

How should we treat preeclampsia?

Answer 21

Vital signs Q15-30minutes. Continuous fetal monitoring. Monitor for visual disturbances. Intake and output hourly

Question 22

What is the resolution of preeclampsia?

Answer 22

Diuresis and decreased edema

Question 23

What may occur with a client who has been diagnosed with oligohydraminos?

Answer 23

Potential umbilical cord compression

Question 24

What should you educate your client to eat with hyperemesis gravidarum?

Answer 24

Eat small amounts of a bland diet

Question 25

A client is experiencing threatened abortion what should they do?

Answer 25

Maintain pregnancy for as long as possible

Question 26

What are facilitating behaviors between mother and baby?

Answer 26

holding infant and making eye contact

Question 27

What education should you teach the client about kegel exercises?

Answer 27

These exercises help strengthen the pelvic floor muscles

Question 28

What is a treatment for cervical weakness?

Answer 28

Cervical cerclage (stitching)

Question 29

Your client is on terbutaline, what should be monitored when taking this medication?

Answer 29

Maternal vital signs, fetal heart rate. This medication causes tachycardia

Question 30

How should oral hydration be maintained?

Answer 30

Initiate IV fluid replacment

Question 31

What medication should be given to a client diagnosed with chorioamnionitis?

Answer 31

Penicillin

Question 32

Your client has a history of preterm birth, what supplement should they be given?

Answer 32

Progesterone

Question 33

After massaging the fundus, the nurse should ask what of the client?

Answer 33

Ask the client to void

Question 34

What question should be as of a pregnant woman who is of muslim culture?

Answer 34

Where are you most comfortable wearing during delivery

Question 35

Mucus with a pink coloring is called what?

Answer 35

Serosa

Question 36

What should the nurse do when there is failure of the uterus to return to a non-pregnant state?

Answer 36

Fundal position

Question 37

Oozing at the insertion site of the IV is called what?

Answer 37

Disseminated Intravascular coagulation

Question 38

What is progesterone gel used for?

Answer 38

When the bishop score is 4 or less

Question 39

The nurse notes a prolapsed cord, what is the priority?

Answer 39

Place the client in the knee chest position

Question 40

What may happen soon after a client had a postpartum period?

Answer 40

Lacerations, vulvar hematoma, hemorrage

Question 41

What are symptoms of cardiac decomposition?

Answer 41

Dyspnenic, tachypneic, peripheral edema

Question 42

Your client is diagnosed with threatned abortion. What should the nurse educate?

Answer 42

Stay complete bedrest

Question 43

What does greenish stained amniotic fluid indicate?

Answer 43

Newborn respiratory distress

Question 44

What should you educate to a client with an episiotomy?

Answer 44

Apply ice packs, sitz bath at least twice a day, use peri bottle with each void or bowel movement

Question 45

Your client has a shoulder dystocia, what is the baby at risk for?

Answer 45

Fractured humerus