WorksheetsABNORMAL OB
Total questions: 20
Worksheet time: 15mins
A client 12 weeks’ pregnant come to the emergency department with abdominal cramping and moderate vaginal bleeding. Speculum examination reveals 2 to 3 cm cervical dilation. The nurse would document these findings as which of the following?
Threatened abortion
Imminent
Complete
Missed
Which of the following would be the priority nursing diagnosis for a client with an ectopic pregnancy?
Risk for infection
Pain
Knowledge Deficit
Anticipatory grieving
Mrs. Andrea went to the hospital after experiencing bleeding that appeared to be dark brown in color. She was diagnosed to have an H-mole. She and her husband is concerned about the complications, she might encounter. Which of the following is the most common complication after experiencing Hydatidiform mole?
Chorioamnionitis
Choriocarcinoma
Ectopic Pregnancy
Recurrence of H-mole
The incorrect statement about Hydatidiform Mole:
The mole manifest edematous grapelike cluster.
Vaginal bleeding which may occur by the fourth week with bright red or dark brown
There is no fetal heart rate and fundal height is lower than expected date
There is severe nausea and vomiting because of abnormally high level of HCG
A maternity nurse is preparing for the admission of a client in the third trimester of pregnancy who is experiencing vaginal bleeding and has a suspected diagnosis of placenta previa. The nurse reviews the physician’s prescriptions and would question which order?
Prepare the client for an ultrasound.
Obtain equipment for a manual pelvic examination.
Prepare to draw a hemoglobin and hematocrit blood sample.
Obtain equipment for external electronic fetal heart rate monitoring
A nurse is assessing a pregnant client in the second trimester of pregnancy who was admitted to the maternity unit with a suspected diagnosis of abruptio placentae. Which of the following assessment findings would the nurse expect to note if this condition is present?
Soft abdomen
Uterine ternderness
Absence of abdominal pain
Painless, bright red vaginal bleeding
A nurse is assigned to care for a client with hypotonic uterine dysfunction and signs of a slowing labor. The nurse is reviewing the physician’s orders and would expect to note which of the following prescribed treatments for this condition?
Medication that will provide sedation
Increased hydration
Oxytocin infusion
Administration of tocolytic medication
A nurse in the labor room is performing a vaginal assessment on a pregnant client in labor. The nurse notes the presence of the umbilical cord protruding from the vagina. Which of the following would be the initial nursing action?
Place the client in Trendelenburg’s position
Call the delivery room to notify the staff that the client will be transported immediately
Gently push the cord into the vagina
Find the closest telephone and stat page the doctor
The nurse is performing an assessment on a pregnant client with a diagnosis of severe preeclampsia. The nurse reviews the assessment findings and determines that which finding is most closely associated with a complication of this diagnosis?
Enlargement of the breasts
Complaints of feeling hot when the room is cool
Periods of fetal movement followed by quiet periods
Evidence of bleeding, such as in the gums, petechiae, and purpura
Kevin asks what possible contributions he could give for the normal development of the baby. Nurse Jane agreed that his best contribution would be the following except:
Stroke Jane’s abdomen and talk to the baby
Provide Jane nutritious food and drinks
Join wife during prenatal check-up
May smoke once in a while
Nurse Nilda advised the couple that the best way to check the condition of the mother and the baby is to have:
Regular well-selected exercise
Regular pre-natal check-up
Music therapy
Good food
A woman, 3 weeks pregnant, with preterm rupture of membranes had blood work ordered daily. Which laboratory report would be MOST important to read daily?
Serum creatinine
Red Blood Cell count
Sodium and potassium levels
White Blood Cell count
Gestational diabetes is said to exist in pregnancy because of the diabetogenic effect of what hormone secreted by the placenta?
Human Placental Lactogen
Human Chorionic Gonadotrophin
Estrogen and Progesterone
Relaxin
What is the primary effect to the newborn of a diabetic mother?
Hypoglycemia
Anemia
Hyperinsulinism
Hyperglycemia
To help determine whether Clara is at risk for a toxoplasmosis infection, what will the nurse ask the client?
Have you has a osteomyelitis
Do you have any cats at home
Do you have any birds at home
Have you recently has a rubela vaccination
Mrs. Purisima, 38 weeks gestation, is admitted at the high-risk ward. She was admitted due to labor pains with cervix of 6cm. BP was 160/110mmHg. She is given MgSO4 per IV. How will nurse Jessy determine that the MgSO4 therapy has been effective?
Labor pains decreased
There is clonus of the ankle
BP is maintained
Seizures are prevented
Which of the following signs and symptoms require immediate attention and may indicate most serious complications during pregnancy?
Severe abdominal pain or fluid discharge from the vagina.
Excessive saliva, and increased vaginal mucus
Fatigue, nausea, and urinary frequency at any time during pregnancy.
Ankle edema, enlarging varicosities, and heartburn.
Mrs. Boo Ang, a 25-year-old client who is 12 weeks pregnant, is admitted in the hospital with the complaints of vaginal bleeding with some passage of tissues. The ultrasound reveals absent fetal heart tone. The nurse would expect the doctor to write an order to prepare the client for which of the following?
Cerclage
Amniocentesis
Nonstress Testing
Dilatation and curettage
Nina, had successfully delivered her first baby, Juris. After a placental delivery. What is the proper way of disposing the placenta?
According to hospital policy
Give it to the family
Bury it
none of the above
Upon monitoring a client who is in the active stage of labor, the client has been experiencing contractions that are short, irregular, and weak. The nurse documents that the client is experiencing which type of labor dystocia?
Hypotonic
Precipitous
Hypertonic
Preterm labor
