SCHOOL: *

LPU BATANGAS

SECTION: *

BSN 4-2

POST TEST - ABNORMAL OB 21 of 25 points

(25 ITEMS)

1. A nurse is caring for a pregnant client who wants to know why she *0/1
needs to be tested for diabetes when she has no personal family history.
What is the best response by the nurse?

A. “Family History has no impact on GDM”

B. “Pregnancy increases insulin resistance”

C. “Pregnancy increases glucose production”

D. “If you didn’t have it last pregnancy, you probably won’t this time either”

Correct answer

B. “Pregnancy increases insulin resistance”

 2. A postpartum client is recovering after delivery of a baby 24 hours ago. *1/1
The provider has ordered a glycosylated haemoglobin (HbA1c) level since
the client had gestational diabetes during pregnancy. In this situation,
which glycosylated hemoglobin level would be considered normal for this
client?

A. Between 10 and 12 percent

B. Between 15 and 20 percent

C. Between 8 and 10 percent

D. Less than 6 percent

3. Which statement by Beverly would the nurse document as possible *0/1

evidence that she might be developing gestational hypertension?

a. "My feet are so swollen at night I can't put on my bedroom slippers."

b. "I never guessed I would feel as tired as I do just from being pregnant."

c. "My abdomen feels firm, as if I had a blown-up balloon inside me."

d. "I can live with my puffy feet, but now it's also my hands and wrists."

Correct answer

d. "I can live with my puffy feet, but now it's also my hands and wrists."
4. The nurse knows that preeclampsia tends to occur during what time in *1/1
a pregnancy?

A. before 20 weeks

B. in the third trimester and postpartum

C. after 20 weeks

D. in the first and second trimester

5. The patient with preeclampsia is started on Magnesium Sulfate. The *1/1

nurse knows to have what medication to prepare at bedside?

A. Acetylcysteine

B. Naloxone

C. Oxytocin

D. Calcium gluconate

6. RH incompatibility problems can occur if the mother is _________ and *1/1

her fetus is __________

A. Rh positive; Rh positive

B. Rh positive; Rh negative

C. Rh negative; Rh positive

D. Rh negative; Rh negative
7. The physician prescribed RhIG (RhoGAM) to a woman who have been *1/1
diagnosed with RH incompatibility. The nurse knows that this should be
administered during

A. 28th week of pregnancy

B. Within 72 hrs after delivery

C. After invasive procedures

D. All of the above

8. The nurse identifies which advice as best for a woman who says she is *1/1
miscarrying?

a. Lie down and remain on bed rest for 24 hours to stop the bleeding.

b. Continue light activity as usual because most spotting during pregnancy is

harmless.

c. Save any clots or material passed for your healthcare provider to examine.

d. Use a tampon to put pressure on your cervix and stop the bleeding.

9. The doctor suspects that the client has an ectopic pregnancy. Which *1/1
symptom is consistent with a diagnosis of ectopic pregnancy?

a. Painless vaginal bleeding

b. Abdominal cramping

c. Throbbing pain in the upper quadrant

d. Sudden, stabbing pain in the lower quadrant

10. A woman who's 36 weeks pregnant comes into the labor & delivery *1/1
unit with mild contracts. Which of the following complications should the
nurse watch out for when the client informs her that she has placenta
prevue?

a. pain

b. vaginal bleeding

c. emesis

d. fever

11. Which of the following problems mostly occur in pregnant clients in *1/1
the 2nd trimester of pregnancy?

A. mastitis

B. Rh incompatibility

C. Pregnancy induced hypertension

D. Post partum hemorrhage

12. A 21 y.o. client, 20 weeks pregnant, is diagnosed with hydatidiform *1/1

mole. She experiences excessive vomiting due to

A. Abnormally high level of Hcg

B. electrolyte imbalance

C. PIH

D. Stress
13. Hyperemesis gravidarum can lead to * 1/1

A. Fetal anomalies

B. Dehydration and electrolyte imbalance

C. miscarriage

D. PIH

14. Which statement is TRUE regarding abruptio placenta? * 1/1

A. This condition occurs due to an abnormal attachment of the placenta in the

uterus near or over the cervical opening.

B. A marginal abruptio placenta occurs when the placenta is located near the edge
of the cervical opening.

C. May present as dark red bleeding

D. Bleeding is often bright red and painless

15. The most common site for ectopic pregnancy is in the * 1/1

A. Fallopian tube, isthmus

B. Fallopian tube, ampulla

C. Fallopian tube, infundibulum

D. None of the above

16. A nurse is providing instructions to a mother who has been diagnosed *1/1
with mastitis. Which of the following statements if made by the mother
indicates a need for further teaching?

A. “I need to take antibiotics, and I should begin to feel better in 24-48 hours.”

B. “I can use cold compress to assist in alleviating the pain.”

C. “I need to wear a supportive bra to relieve the discomfort.”

D. “I need to stop breastfeeding until this condition resolves.”

17. Mastitis is confirmed and is found to be localized in the left breast. *1/1
What nursing intervention should be implemented for patient Ahri?

A. Stop breastfeeding until the pain subsides

B. Recommend that patient Ahri continue breastfeeding as usual

C. Teach patient Ahri to breastfeed on the unaffected breast and then to the
affected breast

D. Suggest to patient Ahri to bottle-feed her child

18. Nurse Mai is putting together a list of instructions for breastfeeding *1/1
mothers containing preventive measures against postpartum mastitis.
The list shall include all but one of the following.

A. Gently wipe the breast area with cotton and alcohol regularly.

B. Expose the nipples to air for at least part of the day

C. Apply vitamin E ointment on the breast area every day to help soften the nipples.

D. Ensure that the infant is in the correct position during feeding.

19. Anje, who is 16 weeks pregnant was rushed to the ER after having *1/1
heavy vaginal bleeding, passage of clots, abdominal pain and cramping.
Expelled materials were examined and it was determined that part of the
conceptus were expelled but the placenta was retained. The nurse
understands that this is what type of miscarriage?

a. Missed miscarriage

b. Imminent miscarriage

c. Threatened miscarriage

d. Incomplete miscarriage
20. A nurse is teaching a nursing student about risk factors for *1/1
postpartum hemorrhage. Teaching has been understood if the student
identifies the most common cause of postpartum hemorrhage as which
of the following?

A. Uterine Atony

B. Lacerations

C. Retained placental fragments

D. Multigravida

21. A nurse notes trickling of blood with every postpartum exam since a *1/1
vaginal delivery, but on assessment, the client’s fundus is firm. Based on
these findings, the nurse knows that which of the following is
the most likely cause?

a. Uterine atony

b. Disseminated Intravascular Coagulation

c. Retained placenta

d. Lacerations
 22. A 36-year old woman who had Abruptio placenta experienced *1/1
complications post partum. She is excessively bleeding during the post-
partum period. She then heard the physician ordered heparin
administration for her. The woman was confused and asked the nurse
why she should receive an anticoagulant. As a knowledgeable nurse you
respond

A. “Heparin promotes uterine contractions thus halt bleeding”

B. “Heparin corrects the abnormal clotting which restores coagulation

throughout the body thus prevents bleeding”

C. “ I would need to clarify the doctor’s order”

D. “You should ask the physician”

23. Which best describe Postpartum Depression? * 0/1

A. Feelings of sadness during the first two weeks postpartum

B. More serious problem requiring follow up and treatment from provider

C. Symptoms requiring immediate treatment

D. None of the above

Correct answer

B. More serious problem requiring follow up and treatment from provider

 24. The nurse is making an effort to address Bailey Cheshire's *1/1
psychosocial health in addition to her physiologic well-being. Which of
Bailey's statements would be most suggestive of possible postpartal
psychosis?

a. "I wish my baby had longer hair.“

b. "I've felt exhausted ever since birth."

c. "I'm happy not to have any children."

d. "Breastfeeding is way harder than I thought."

25. The patient asks about ways to avoid post-partum blues when she *0/1
returns home. Nurse Momo would be correct to give the following advice,
except?

a) Recommend that she take some time everyday to do something for herself

b) Advise the patient to strive for perfection so that she won’t feel bad about herself

c) Help the client build a healthy balance in sleep, exercise, and nutrition

d) Encourage the client to verbalize emotions to support person

Correct answer

b) Advise the patient to strive for perfection so that she won’t feel bad about herself

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