OB Final Review #2

1.

1 point

What position promotes uterine drainage?

high fowlers

trendelenberg

supine

Semi-fowlers

2.

1 point

Your patient states that she is experiencing dizziness, lightheadedness and pallor when she lies down to nap. What do you tell her?

"Please call your doctor immediately if this happens again"

"When you lie down, are you lying on your back or on your side?"

"make sure you eat a sugary snack to prevent nocturnal hypoglycemia"

"There is no need to worry. As long as you are lying down the dizziness is not worrisome"

3.

1 point

The nurse is assessing the uterus 18 hours post delivery. She notices the uterus is displaced to one side. What should she do?

ask the patient to void

chart that the patient has a displaced uterus

massage the fundus

call the doctor immediately

4.

1 point

A woman develops chorioamnionitis. The nurse knows this is:

an infection of the GI tract

an infection of the fetal membranes

a normal finding

an infection of the urinary tract

5.

1 point

To help reduce swelling and relieve post partum perineal pain the nurse can:

put cold compress on the perineal area

massage the fundus

pur warm compress on the perineal area

leave the area exposed

6.

1 point

The purpose of the ductus venous is:

to shunt the blood to the liver

to shunt the blood past the liver and directly into the vena cava

to shunt blood past the liver and into the pulmonary vein

to shunt the blood to the lungs through the pulmonary vein

7.

1 point

This structure connects the right and left atrium.

ductus venosus

pulmonary duct

ductus arteriousis

foramen ovale

8.

1 point

The nurse's assessment findings are the following: boggy uterus, displaced to one side, heavy lochia, hypertension.
What does the nurse chart?

hematoma

nothing

uterine atony

lacerations

9.

1 point

Which assessment is highest priority for your patient receiving Magnesium sulfate?

PERRLA

respirations

lung sounds

urine output

10.

1 point

The ________________ is a fetal shunt that links the pulmonary artery with the aorta.

pulmonary ductus

ductus venousus

ductus arteriosis

foramen ovale

11.

1 point

Your patients UA comes back with +2 protein in her urine. What do you expect her to be diagnosed with?

infection

mild pre-eclampsia

nothing

severe pre-eclampsia

12.

1 point

Select the possible teratogens.

chemotherapy drugs

dilantin

alcohol

tetracylcine

caffeine

mercury

13.

1 point

A temporary maternal condition that usually starts on the third day after delivery is called:

bonding

postpartum blues aka "baby blues"

postpartum depression

engagement

14.

1 point

Select the probable signs of pregnancy.

HcG in the blood

visualization of fetus per ultrasound

fetal movements

breast changes

amenorrhea

positive pregnancy test

morning sickness

+ fetal heart tones

15.

1 point

The day after delivery, the fundus should be located where?

at the umbilicus

2 finger breadths above the umbilicus

1 finger breadths below the umbilicus

1 finger breadths above the umbilicus

16.

1 point

You tell your patient she is Rh-, which statement indicates that your patient understands what this test result means?

My baby will be high risk

I will not need to receive Rhogam after my baby is born.

I must deliver by cesarean section to avoid infecting my baby.

I will receive Rhogam 72 hours within the birth of my baby.

17.

1 point

Which of the following could cause vasoconstriction and interrupt nutrient transfer to the fetus?

illicit drug use

hypertension

smoking

hypotension

18.

1 point

If the Duncan side of the placenta is delivered first it is called the Duncan mechanism.

True

False

19.

1 point

When can the fundus be felt approximately halfway between the symphysis pubis and the umbilicus?

16 weeks

20 weeks

13 weeks

25 weeks

20.

1 point

A woman has swelling, pain, heat, and tenderness in her right leg. She most likely has what condition?

DVT

infection

pulled muscle

embolism

21.

1 point

A pregnant woman presents to the EC with bright red painless bleeding. What does the nurse suspect.

ectopic pregnancy

placenta abrupto

molar pregnancy

placenta previa

22.

1 point

Another word describing identical twins is:

monozygotic-dizigotic

monozygotic

dizygotic

fraternal twins

23.

1 point

Amenorrhea and fatigue are probable signs of pregnancy

True

False

24.

1 point

X-rays and chemicals are an example of what type of teratogen?

exposed

environmental

infectious

ingested

25.

1 point

Conditions in which spontaneous labor is contraindicated are also contraindicated for the induction of labor. This includes:

active genital herpes

history of c-section in which a classical (vertical) incision was used.

hydrocephalus

complete placenta previa

history of c-section in which a low lying horizontal incision was used.

structural abnormalities of the pelvis

invasive cervical cancer

26.

1 point

When is the funds at the level of the umbilicus?

1 hour after delivery

24 hours after delivery

immediately after delivery

1 day after delivery

27.

1 point

The following are indications for labor induction:

convenience

PROM

chorioamnionitis

severe IUGR

gestational hypertension

28.

1 point

When does the fundus reach the level of the umbilicus?

25 weeks

16 weeks

13 weeks

20 weeks

29.

1 point

A woman presents to her practitioners office with painless bright red bleeding. The nurse immediately prepares for what procedure?

transvaginal ultrasound

A&B

digital exam

transabdominal ultrasound

30.

1 point

Which drug is used to induce labor?

Oxytocin

Magnesium Sulfate

prepidil

prostaglandin

31.

1 point

True labor can be characterized by:

pain that is increasing in nature that gradually gets worse

pain that goes away when the mother lies down

no pain

the overwhelming desire to urinate

32.

1 point

Fraternal twins are called monozygotic because they are two fetus' that share the same amniotic sac.

True

False

33.

1 point

A patient presents to the EC. She has a fever of 100.4. She is 3 days postpartum. She has chills and her HR is tachycardic. The nurse suspects she is suffering from what condition?

endometritis

DVT

mastitis

UTI

34.

1 point

This procedure is sometimes used to prevent the mother from ripping the perineal area

ectotomy

cervical ripining

episiotomy

cervical clevage

35.

1 point

Which of the following patients would be most likely to experience a tubal pregnancy?

Myra has been smoking cigarettes for 12 years before becoming pregnant at 40.

Sarah has fallopian tubes that are 4-6 cm long

Judy has a fever and has been diagnosed with the flu.

Jackie has had a tubal litigation reversal

36.

1 point

Membrane stripping is:

used for ripening the cervix

used to harvest DNA from the umbilical cord

illegal

Sexual misconduct of the doctor

37.

1 point

Maternal supine hypotension is caused by what?

the babies head sitting too far down into the pelvic cavity

the placental cord being compressed

the weight of the baby on the great vessels

maternal hypoxia

38.

1 point

Which statement is the best explanation of the purpose for the patient receiving Mag Sulfate?

The patient is ecclamptic and we are trying to delay labor.

The patient has high blood pressure and we are trying to stop labor.

The patient is severely pre-ecclamptic and we are trying to prevent seizures.

We are promoting adequate rest.

39.

1 point

Finger like projections that extend from the chorion giving it a rough appearance and eventually form the arterial-capillary-venous networks which become fetal blood vessels.

chorion

chorionic villi

chorionic cilia

amnion

40.

1 point

Nutrients and oxygen are transferred to the fetus from the placenta by:

spontaneous expulsion

diffusion & active transport

active transport & osmosis

osmosis and diffusion

41.

1 point

Which placental side is considered "the baby's"?

Schultze

Duncan

42.

1 point

As a nurse you would advise your pregnant patient not to lie flat on her back. Why?

To prevent fetal hypoxia

To prevent pre-eclampsia

To prevent supine hypotension

To prevent supine hypertension

43.

1 point

When the nurse is going to massage the funds what is the most important thing to do first?

press gently and do not cause the mother any discomfort

place one hand over the pubis symphysis

tell the patient to hold her breath

call the doctor

44.

1 point

Your getting report from the night shift nurse who says that your patient has developed dystocia. What is this?

GI problems

a difficult labor

high liver enzymes

high blood pressure

45.

1 point

The process by which the uterus and cervix return to their pre pregnancy state is called:

46.

1 point

During this phase, teratogen exposure has an all or nothing effect either causing zygote death, or having no effect.

pre-embryonic

fetal

embryonic

prenatal

47.

1 point

If the uterus does not contract effectively it can cause the following conditions:

maternal convulsions

breakthrough pain

hemorrhage

boggy uterus

48.

1 point

What position should you place the client with a pulmonary embolism?

place the patient prone

place the patient on her right side

place the patient on her left side

elevate the head of the bed 45 degrees

49.

1 point

This is a scoring system to indicate if a woman is ready for labor

Kirby score

Braxton score

Hofmann score

Bishop score

50.

1 point

Presence of HcG in the blood and uterine growth are probable signs of pregnancy

True

False