OB Kahoots

Question 1

A patient’s LNMP was January 28th. What is her EDB?

Answer 1

November 4

Question 2

How many days in each month?

Answer 2

jan - 31

feb - 28

mar - 31

apr - 30

may -31

june - 30

july - 31

aug - 31

sep - 30

oct - 31

nov - 30

dec - 31

Question 3

A prenatal client had twin boys at 35 weeks, a daughter at 38 weeks, 2 SAB’s at 7 weeks. GTPAL?

Answer 3

G5 T1 P1 A2 L3

Question 4

To relieve a leg cramp, the patient should be instructed to?

Answer 4

dorsiflex the foot

Question 5

The maternal task that begins in the first trimester and continues through the neonatal period?

Answer 5

developing attachment with the baby

Question 6

The purpose of initiating contractions in a contraction stress test is to?

Answer 6

apply a stressful stimulus to the fetus

Question 7

A patient is worried that she has had nosebleeds. She is concerned about leukemia. The best response?

Answer 7

nosebleeds are a common occurence during pregnancy

Question 8

The nurse explains that the patient can expect to see her provider every 4 weeks initially so that?

Answer 8

the condition of the mother and fetus can be monitored

Question 9

The nurse teaches a patient that one of the best mothods for preventing venous stasis is to?

Answer 9

rest often with the feet elevated

Question 10

A nurse is caring for patients in the clinic who are all 35 weeks. Which patient should be seen first?

a. ankle edema in the afternoon
b. backache with prolonged standing
c. SOB after climbing the stairs
d. abdominal pain

Answer 10

d - abdominal pain

Question 11

To increase her folic acid intake, what snack would be most beneficial for a pregnant woman?

Answer 11

orange juice and fortified cereal

Question 12

What is the nutritional recommendation for fluids for a pregnant patient?

Answer 12

daily intake should be 8-10 cups, mostly water

Question 13

The usual reason for an amniocentesis at 35 weeks would be to?

Answer 13

determine fetal lung maturity

Question 14

The results of an NST shows 3 accels in 10 mins. The nurse’s next action should be to?

Answer 14

document these findings

Question 15

When is the most accurate time to determine gestational age through ultrasound?

Answer 15

first trimester

Question 16

Which diagnostic test evaluates the effect of fetal movement on fetal heart rate activity?

Answer 16

nonstress test (NST)

Question 17

The patient is 8 cm dilated and 100% effaced. The woman is in which phase of labor?

Answer 17

transition

Question 18

Labor contractions facilitate cervical dilation by?

Answer 18

pulling the cervix over the fetus and amniotic sac

Question 19

A patient is dilated to 5 cm. What phase of labor does the nurse recognize the woman to be in?

Answer 19

active phase

Question 20

During which phase is the best time to teach nonpharmacologic pain control methods to a woman?

Answer 20

latent phase

Question 21

A woman received 25 mg of Demerol IV 1 hour before delivery. What drug should be available?

Answer 21

naloxone (narcan)

Question 22

A woman delivered a 9 lb, 10 oz baby 1 hour ago and states she “feels all wet underneath.” Your first action?

Answer 22

assess fundal firmness

Question 23

Ten minutes after delivery, the nurse can expect to palpate the fundus?

Answer 23

halfway between the pubic bone and the umbilicus

Question 24

The nurse should include in patient teaching that around day 6 or 7, the lochia should be what color?

Answer 24

pinkish

Question 25

During which phase will the mother relinquish her fantasy baby and accept the real baby?

Answer 25

letting go phase

Question 26

What documentation on a woman’s chart on postpartum day 10 shows a normal involution process?

Answer 26

fundus below the pubic bone and not palpable (no longer considered an abdominal organ, it is now a pelvic organ)

Question 27

Which finding 12 hours after birth requires further assessment?

a. fundus is palpable at the umbilicus
b. fundus is palpable 1 cm below umbilicus
c. fundus is palpable 3 cm above umbilicus
d. fundus is palpable 2 cm below umbilicus

Answer 27

c - fundus is palpable 3 cm above umbilicus

Question 28

What assessment finding is most commonly associated with the presence of leiomyomas?

Answer 28

abnormal uterine bleeding

Question 29

The American Cancer Society recommends yearly mammography starting at what age?

Answer 29

40

Question 30

Which patient is most at risk for fibroadenoma of the breast?

Answer 30

16 year old woman

Question 31

Which piece of the usual equipment setup for a pelvic exam is NOT used with a pap test?

a. speculum
b. gloves
c. lubricant
d. fixident agent

Answer 31

c - lubricant

Question 32

What may be the cause of primary dysmenorrhea?

Answer 32

it may be caused by excessive endometrial prostaglandin

Question 33

While evaluating a patient for osteoporosis, the nurse should be aware of what risk factor?

Answer 33

cigarette smoking

Question 34

Patient education for preparation for a pap test?

Answer 34

advise the patient not to douche or have sex 24 hours prior to the test

Question 35

The transition phase during which ovarian function and hormone production decline is called?

Answer 35

the climacteric

Question 36

What is a common health risk NOT associated with menopause?

Answer 36

breast cancer

Question 37

How is Hep A acquired?

Answer 37

by eating contaminated food or drink

Question 38

PCOS is a ____ and ____ imbalance

Answer 38

hormone
metabolic

Question 39

What is the most common and fastest growing STI in women?

Answer 39

chlamydia

Question 40

Which STI is most commonly spread through vaginal, anal, or oral sex?

Answer 40

gonorrhea

Question 41

Which STI causes inflamed testicles, dysuria, and yellow/green discharge in men?

Answer 41

gonorrhea

Question 42

What kind of vaginal discharge would the nurse expect to see in a patient with trichomoniasis?

Answer 42

frothy with a fishy smell

Question 43

What are two significant topics to educate your patient on who has herpes?

Answer 43

you can spread the virus even with no visible symptoms

and

you can expect other outbreaks, each longer than the last