OB Review

A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected placenta previa. Which of the following findings support this diagnosis?

• Painless red vaginal bleeding

• Increasing abdominal pain and a nonrelaxed uterus

• Abdominal pain with scant red vaginal bleeding

• Intermittent abdominal pain following the passage of bloody mucus

A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the client's perineal pad. The fundus is midline and firm at the umbilicus. Which of the following actions should the nurse take?

• Document the findings and continue to monitor the client

• Notify the provider

• Increase the frequency of fundal massage

• Encourage the client to empty her bladder

A nurse is caring for a newborn immediately following birth. After assuring a patent airway, what is the priority nursing action?

• Administer phytonadione

• Dry the skin

• Administer eye prophylaxis

• Place an identification bracelet

A nurse is caring for a client during the first trimester of pregnancy. After reviewing the client's blood work, the nurse notices she does not have immunity to rubella. Which of the following times should the nurse understand is recommended for rubella immunization?

• Shortly after giving birth

• in the third trimester

• Immediately

• During her next attempt to get pregnant

A nurse is caring for a client who just delivered a newborn. Following the delivery, which nursing action should be done first to care for the newborn?

• Clear the respiratory tract.

• Dry the infant off and cover the head

• Stimulate the infant to cry

• Cut the umbilical cord

A nurse in labor and delivery is caring for a client. Following delivery of the placenta, the nurse examines the umbilical cord. Which of the following vessels should the nurse expect to observe in the umbilical cord?

• 2 veins and 1 artery

• 1 artery and 1 vein

• 2 arteries and 1 vein

• 2 arteries and 2 veins

A nurse is caring for a client who is considering several methods of contraception. Which of the following methods of contraception should the nurse identify as being most reliable?

• A male condom

• An intrauterine device

• An oral contraceptive

• A diaphragm with spermicide

A nurse is caring for an antepartum client whose laboratory findings indicate a negative rubella titer. Which of the following is the correct interpretation of this data?

• The client is not experiencing a rubella infection at this time

• The client is immune to the rubella virus.

• The client requires a rubella vaccination at this time.

• The client requires a rubella immunization following delivery.

A nurse in a hospital is caring for a client who is at 38 weeks of gestation and has a large amount of painless, bright red vaginal bleeding. The client is placed on a fetal monitor indicating a regular fetal heart rate of 138/min and no uterine contractions. The client's vital signs are: blood pressure 98/52 mm Hg, heart rate 118/min, respiratory rate 24/min, and temperature 36.4° C (97.6° F). Which of the following is the priority nursing action?

• Insert an indwelling urinary catheter

• Initiate IV access

• Witness the signature for informed consent for surgery

• Prepare the abdominal and perineal areas

A nurse in a prenatal clinic is caring for a client who is suspected of having a hydatidiform mole. Which of the following findings should the nurse expect to observe in this client?

• Rapid decline in human chorionic gonadotropin (hCG) levels

• Profuse, clear vaginal discharge

• Irregular fetal heart rate

• Excessive uterine enlargement