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Enhancement Test OB
Enhancement Test OB
c. Back pain radiating to the buttocks and a. Cleansing the perineal area
legs
b. Tightening the rectal sphincter
d. Vaginal spotting after a vaginal exam
c. promoting vasodilation
2. The nurse should monitor which of the
following fetal life-threatening emergencies d. softening the incision site
when the fetal head is not engaged and the
7. When performing discharge teaching for a
membranes rupture?
postpartum client, the nurse should inform her
a. Uterine hyperstimulation that:
3. The nurse is caring for a client postoperatively c. She has to schedule a postpartum checkup
following a caesarian section. It is a priority for as soon as her menses return
the nurse to monitor the client for:
d. The perineal tightening exercises started
a. Infection during pregnancy should be continued
indefinitely
b. Postpartum depression
Situation for number 8. Mrs. Chang tells the nurse that
c. Dehydration she drinks a beer every night before going to bed. She
asks the nurse if occasional alcohol consumption will
d. Blood clots harm her unborn baby.
4-5. Mrs. Berry, a G3P2, is concerned about another 8. Which response by the nurse is best?
fetal loss because of history of an incompetent cervical
os. She is scheduled for a McDonald procedure. a. “Occasional intake of a small amount of
alcohol during pregnancy will not adversely
4. The nurse explains to Mrs. Berry that the affect the unborn baby.”
McDonald or Shirodkar procedure is used to:
b. “alcohol consumption has a harmful effect on
a. Protect the fetus from infection the baby only if consumed during the first
trimester of pregnancy.”
b. Reduce risk of premature rupture of
membrane c. “The minimal safe amount of alcohol
consumption during pregnancy has not yet
c. Prevent trauma to the fetus from rapid been determined.”
delivery
d. “Any alcohol consumption during pregnancy
d. Increase the probability of a term delivery will cause the infant to have complications at
birth.”
5. Mrs. Berry had a Shirodkar procedure, her
primary nursing care would be: 9. Which statement by the nurse best explains
what occurs with an incompetent cervix?
a. Preparation for infant resuscitation
a. The cervix is not large enough for passage of 14. Before surgery to remove an ectopic
the fetus pregnancy and the fallopian tube, which of the
following would alert the midwife to the
b. The cervix cannot support the weight of the possibility of tubal rupture?
fetus
a. Amount of vaginal bleeding and
c. The cervix has an external opening but not discharge
an internal opening
b. Falling hematocrit and hemoglobin
d. The cervix has an internal opening but not an levels
external opening
c. Slow, bounding pulse rate of 80 bpm
10. Which nursing intervention is most appropriate
when a spontaneous abortion is inevitable? d. Marked abdominal edema
19. When assessing a client with a tentative b. Reduce external stimuli in the room
diagnosis of H-mole, the nurse should be alert
for: c. Decrease fluid intake
b.Providing them as clear liquids after 24 hours a. Small gush of blood with an unchanged
if vomiting subsides length of the cord
c. Giving them in small quantities whenever the b. Steady trickle of blood with an
client desires unchanged cord length