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Obstetrical Nursing Practice Exam
Obstetrical Nursing Practice Exam
A. Multiple pregnancies.
B. Increase in spontaneous abortions.
C. Increase in fibrocystic breast disease.
D. Increase in congenital anomalies.
A. "I know that the chances of getting pregnant with this procedure are
about 50%."
B. "I'll need to receive a series of estrogen injections after I have the
procedure."
C. "After fertilization, three or four embryos will be transferred through
the cervix."
D. "My risk for a multiple births is less with this procedure than with the
GIFT procedure."
A. Presumptive.
B. Probable.
C. Positive.
D. Predictive.
10. A client who tells the nurse that she would like to use the basal
body temperature method for family planning receives instructions
about the method. Which of the following client statements
indicates to the nurse that the teaching has been successful?
A. "When my temperature remains elevated for 7 days, ovulation has
occurred."
B. "Taking my temperature in the evening just after dinner or before I go
to bed is best."
C. "Because this method is not very effective, I should use other forms of
contraception too."
D. "It's important to take my temperature at about the same time every
morning before arising."
12. The client, 11 weeks pregnant, tells the nurse that she has been
vomiting after breakfast nearly every morning. Which of the
following measures should the nurse suggest to help the client cope
with early morning nausea and vomiting?
A. 7 weeks
B. 11 weeks
C. 17 weeks
D. 21 weeks
A. Milk.
B. Tea.
C. Hot chocolate.
D. Orange juice.
17. The nurse is caring for a 16-year-old pregnant client. The client
is taking an iron supplement. What should this client drink to
increase the absorption of iron?
A. A glass of milk
B. A cup of hot tea
C. A liquid antacid
D. A glass of orange juice
A. Hypoglycemia
B. Crackles
C. Bradycardia
D. Hyperkalemia
20. A pregnant client tells the nurse that she has been having
discomfort from her hemorrhoids. After giving instruction about
strategies to decrease the discomfort, which of the following client
statements would alert the nurse to the need for additional
instruction?
21. The nurse is caring for a client in her 34th week of pregnancy
who wears an external monitor. Which statement by the client would
indicate an understanding of the nurse's teaching?
22. After the nurse instructs a pregnant client about swimming and
bathing during pregnancy, which of the following client statements
indicates the need for additional teaching?
23. The nurse is developing a care plan for a client in her 34th week
of gestation who is experiencing premature labor. What
nonpharmacologic intervention should the plan include to halt
premature labor?
A. Encouraging ambulation
B. Serving a nutritious diet
C. Promoting adequate hydration
D. Performing nipple stimulation
A. Missed.
B. Threatened.
C. Inevitable.
D. Complete.
A. Muscle spasms.
B. Lactose intolerance.
C. Diabetes mellitus.
D. Anemia.
A. Deep breathing
B. Shallow chest breathing
C. Deep, cleansing breaths
D. Chest panting
A. Calcium gluconate.
B. Diazepam (Valium).
C. Phenytoin (Dilantin).
D. Furosemide (Lasix).
33. A woman in labor shouts to the nurse, "My baby is coming right
now! I feel like I have to push!" An immediate nursing assessment
reveals that the head of the fetus is crowning. After asking another
staff member to notify the physician and setting up for delivery,
which nursing intervention is most appropriate?
A. Phenobarbital.
B. Diazepam (Valium).
C. Methyldopa (Aldomet).
D. Magnesium sulfate.
35. The nurse is caring for a client who is in labor. The physician still
isn't present. After the neonate's head is delivered, which nursing
intervention would be most appropriate?
A. Checking for the umbilical cord around the neonate 's neck
B. Placing antibiotic ointment in the neonate 's eyes
C. Turning the neonate's head to the side, to drain secretions
D. Assessing the neonate for respirations
36. Which of the following would the nurse most likely expect to find
when assessing a pregnant client with abruptio placenta?
37. The nurse is caring for a client during the first postpartum day.
The client asks the nurse how to relieve pain from her episiotomy.
What should the nurse instruct the woman to do?
40. Which of the following would the nurse use to assess a client for
possible uterine atony after a cesarean delivery?
A. Check the abdominal dressing every 15 minutes for the first hour.
B. Palpate the fundus every 15 minutes for at least 1 hour.
C. Observe the amount of lochia immediately after delivery.
D. Assess blood pressure and pulse every 15 minutes for 1 hour.
41. A 23-year-old primigravida delivers a healthy 3090.1-g boy by
vaginal delivery. During an assessment the next day, the nurse is
examining her lower extremities for signs and symptoms of
thrombophlebitis. Which of the following signs should be assessed?
A. Chadwick's sign
B. Hegar's sign
C. Homans' sign
D. Goodell's sign
44. What's the best way to teach new parents about the care of
their neonate?
46. The nurse is caring for a client on her second postpartum day.
The nurse should expect the client's lochia to be:
47. The nurse is caring for a client in labor. The external fetal
monitor shows a pattern of variable decelerations in fetal heart
rate. What should the nurse do first?
A. Using a peri bottle to clean the perineum after each voiding or bowel
movement
B. Cleaning the perineum from back to front after a bowel movement
C. Spraying water from peri bottle into the vagina
D. Changing perineal pads every 8 hours
50. A client with type 1 diabetes mellitus is pregnant for the second
time. Her previous pregnancy ended in spontaneous abortion at 18
weeks' gestation. She's now at 22 weeks' gestation. The nurse is
responsible for teaching the client about exercise during her
pregnancy. Which of the following statements indicates that the
client has an appropriate understanding of her exercise needs?
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