OB Review Questions

A nurse in a prenatal clinic is caring for a client who is in the first trimester of pregnancy. The client’s health record includes this data: G3 T1 P0 A1 L1. How should the nurse interpret this information? (Select all that apply.)

• Client has delivered one newborn at term.

• Client has had two prior pregnancies.

• Client has one living child.

A nurse is reviewing the health record of a client who is pregnant. The provider indicated the client exhibits probable signs of pregnancy. Which of the following findings should the nurse expect? (select all that applies)

• Quickening

• Goodell’s sign

• Ballotment

• Chadwick sign

A nurse is teaching a client who is at 6 weeks of gestation about common discomforts of pregnancy. Which of the following findings should the nurse include? (Select all that apply.)

• Urinary Frequency

• Breast Tenderness

• Epistaxis

• Dysuria

• Epigastric Pain

A nurse in a clinic is teaching a client of childbearing age about recommended folic acid supplements. Which of the following defects can occur in the fetus or neonate as a result of folic acid deficiency?

• Neural Tube Defects

• Iron Deficency Anemia

• Poor Bone Formation

• Macrosomic Fetus

A nurse is caring for a client who is at 32 weeks of gestation and has a placenta previa. The nurse notes that the client is actively bleeding. Which of the following medications should the

nurse expect the provider will prescribe?

• Methylergonovine

• Bethamethasone

• Indomethacin

• Nifedipine

A nurse is caring for a client who is experiencing a ruptured ectopic pregnancy. Which of the following

findings is expected with this condition? (select all that applies)

• Transvaginal ultrasound indicating

  a fetus in the uterus

• No alteration in menses

• Unilateral pelvic pain

• Report of Shoulder pain

A nurse is administering magnesium sulfate IV for seizure prophylaxis to a client who has severe preeclampsia. Which of the following indicates magnesium sulfate toxicity? (Select all that apply.)

• Respirations less than 12/min

• Decreased level of consciousnes

• Urinary output less than 25 mL/hr

• Hyperreflexic deep-tendon reflexes

A nurse is caring for a client having contractions every 8 min that are 30 to 40 seconds in duration. The client’s cervix is 2cm dilated, 50% effaced, and the fetus is at a -2 station with a FHR around

140/min. Which of the following stages and phases of labor is this client experiencing

• Second Stage of Labor

• First stage, latent phase

• First stage, active phase

• First stage, transition phase

A nurse is caring for a client who is 40 weeks of gestation and reports having large gush of fluid from

the vagina while walking from the bathroom. Which of the following actions should the nurse take first?

• Dry the client and make them comfortable

• Adminster a Tocolytic

• Examine the amniotic fluid for meconium

• Check the FHR

A nurse is completing an admission assessment for a client who is 39 weeks of gestation and reports

fluid leaking from the vagina for 2 days. Which of the following conditions is the client at risk for developing

• Hydraminos

• Cord Prolapse

• Infections

• Post-partum Hemorrhage