WorksheetsObstetrics
Total questions: 10
Worksheet time: 10mins
1. When talking with a pregnant client who is experiencing aching swollen, leg veins, the nurse would explain that this is most probably the result of which of the following?
Thrombophlebitis
Pregnancy-induced hypertension
Pressure on blood vessels from the enlarging uterus
The force of gravity pulling down on the uterus
1. Barbiturates are usually not given for pain relief during active labor for which of the following reasons?
The neonatal effects include hypotonia, hypothermia, generalized drowsiness, and reluctance to feed for the first few days.
These drugs readily cross the placental barrier, causing depressive effects in the newborn 2 to 3 hours after intramuscular injection.
They rapidly transfer across the placenta, and lack of an antagonist make them generally inappropriate during labor
Adverse reactions may include maternal hypotension, allergic or toxic reaction or partial or total respiratory failure
Which of the following statements best describes hyperemesis gravidarum?
Severe anemia leading to electrolyte, metabolic, and nutritional imbalances in the absence of other medical problems.
Severe nausea and vomiting leading to electrolyte, metabolic, and nutritional imbalances in the absence of other medical problems
Loss of appetite and continuous vomiting that commonly results in dehydration and ultimately decreasing maternal nutrient
Severe nausea and diarrhea that can cause gastrointestinal irritation and possibly internal bleeding
Which of the following would the midwife identify as a classic sign of PIH?
Edema of the feet and ankles
Edema of the hands and face
Weight gain of 1 lb/week
Early morning headache
In which of the following types of spontaneous abortions would the midwife assess dark brown vaginal discharge and a negative pregnancy tests?
a. Threatened
Imminent
Missed
a. Incomplete
Which of the following conditions would the midwife suspect as a predisposing factor to a client with placenta previa?
Multiple gestation
Uterine anomalies
Abdominal trauma
Renal or vascular disease
Which of the following would the midwife assess in a client experiencing abruptio placenta?
Bright red, painless vaginal bleeding
Concealed or external dark red bleeding
Palpable fetal outline
Soft and nontender abdomen
Which of the following is described as premature separation of a normally implanted placenta during the second half of pregnancy, usually with severe hemorrhage?
Placenta previa
Ectopic pregnancy
Incompetent cervix
Abruptio placentae
Which of the following may happen if the uterus becomes overstimulated by oxytocin during the induction of labor?
Weak contraction prolonged to more than 70 seconds
Tetanic contractions prolonged to more than 90 seconds
Increased pain with bright red vaginal bleeding
Increased restlessness and anxiety
When preparing a client for cesarean delivery, which of the following key concepts should be considered when implementing midwifery care?
Instruct the mother’s support person to remain in the family lounge until after the delivery
Arrange for a staff member of the anesthesia department to explain what to expect postoperatively
Modify preoperative teaching to meet the needs of either a planned or emergency cesarean birth
Explain the surgery, expected outcome, and kind of anesthetics
