WorksheetsOB Practice
Total questions: 29
Worksheet time: 22mins
The nurse is preparing to teach a prenatal class about fetal circulation. Which statements should be included in the teaching plan? Select all that apply.
"The ductus arteriosus allows blood to bypass the fetal lungs."
"One vein carries oxygenated blood from the placenta to the fetus."
"The normal fetal heart beat range is 160 to 180 beats per minute in pregnancy."
"Two arteries carry deoxygenated blood and waste products away from the fetus to the placenta."
"Two veins carry blood that is high in carbon dioxide and other waste products away from the fetus to the placenta."
The nursing instructor asks the student to describe fetal circulation, specifically the ductus venosus. Which statement by the student indicates an understanding of the ductus venosus?
"It connects the pulmonary artery to the aorta."
"It is an opening between the right and left atria."
"It connects the umbilical vein to the inferior vena cava."
"It connects the umbilical artery to the inferior vena cava."
The nurse is performing an assessment on a client who is at 38 weeks' gestation and notes that the fetal heart rate (FHR) is 174 beats per minute. On the basis of this finding, what is the priority nursing action?
Document the finding.
Check the mother's heart rate.
Notify the obstetrician (OB).
Tell the client that the fetal heart rate is normal.
The nursing instructor asks a nursing student to explain the characteristics of the amniotic fluid. The student responds correctly by explaining which as characteristics of amniotic fluid? Select all that apply.
Allows for fetal movement
Surrounds, cushions, and protects the fetus
Maintains the body temperature of the fetus
Can be used to measure fetal kidney function
Prevents large particles such as bacteria from passing to the fetus
The nurse is providing instructions to a pregnant client who is scheduled for an amniocentesis. What instruction should the nurse provide?
Strict bed rest is required after the procedure
Hospitalization is necessary for 24 hours after the procedure.
An informed consent needs to be signed before the procedure.
A fever is expected after the procedure because of the trauma to the abdomen.
The nurse is performing an assessment of a pregnant client who is at 28 weeks of gestation. The nurse measures the fundal height in centimeters and notes that the fundal height is 30 cm. How should the nurse interpret this finding?
The client is measuring large for gestational age.
The client is measuring small for gestational age.
The client is measuring normal for gestational age.
More evidence is needed to determine size for gestational age.
The nurse is performing an assessment on a client who suspects that she is pregnant and is checking the client for probable signs of pregnancy. The nurse should assess for which probable signs of pregnancy? Select all that apply.
Ballottement
Chadwick's sign
Uterine enlargement
Positive pregnancy test
Fetal heart rate detected by a nonelectronic device
A pregnant client is seen for a regular prenatal visit and tells the nurse that she is experiencing irregular contractions. The nurse determines that she is experiencing Braxton Hicks contractions. On the basis of this finding, which nursing action is appropriate?
Contact the primary health care provider.
Instruct the client to maintain bed rest for the remainder of the pregnancy.
Inform the client that these contractions are common and may occur throughout the pregnancy.
Call the maternity unit and inform them that the client will be admitted in a preterm labor condition.
A client arrives at the clinic for the first prenatal assessment. She tells the nurse that the first day of her last normal menstrual period was October 19, 2020. Using Näegele's rule, which expected date of delivery should the nurse document in the client's chart?
July 12, 2021
July 26, 2021
August 12, 2021
August 26, 2021
The nurse is collecting data during an admission assessment of a client who is pregnant with twins. The client has a healthy 5-year-old child who was delivered at 38 weeks and tells the nurse that she does not have a history of any type of abortion or fetal demise. Using GTPAL, what should the nurse document in the client's chart?
G = 3, T = 2, P = 0, A = 0, L = 1
G = 2, T = 1, P = 0, A = 0, L = 1
G = 1, T = 1, P = 1, A = 0, L = 1
G = 2, T = 0, P = 0, A = 0, L = 1
The nurse is providing instructions to a pregnant client with human immunodeficiency virus (HIV) infection regarding care to the newborn after delivery. The client asks the nurse about the feeding options that are available. Which response should the nurse make to the client?
"You will need to bottle-feed your newborn."
"You will need to feed your newborn by nasogastric tube feeding."
"You will be able to breast-feed for 6 months and then will need to switch to bottle-feeding."
"You will be able to breast-feed for 9 months and then will need to switch to bottle-feeding."
The home care nurse visits a pregnant client who has a diagnosis of preeclampsia. Which assessment finding indicates a worsening of the preeclampsia and the need to notify the primary health care provider (PHCP)?
Urinary output has increased.
Dependent edema has resolved.
Blood pressure reading is at the prenatal baseline.
The client complains of a headache and blurred vision.
The 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 assessment finding should the nurse expect to note if this condition is present?
Soft abdomen
Uterine tenderness
Absence of abdominal pain
Painless, bright red vaginal bleeding
The nurse in the postpartum unit is caring for a client who has just delivered a newborn infant following a pregnancy with placenta previa. The nurse reviews the plan of care and prepares to monitor the client for which risk associated with placenta previa?
Infection
Hemorrhage
Chronic hypertension
Disseminated intravascular coagulation
The nurse is caring for a client in labor and is monitoring the fetal heart rate patterns. The nurse notes the presence of episodic accelerations on the electronic fetal monitor tracing. Which action is most appropriate?
Notify the primary health care provider of the findings.
Reposition the mother and check the monitor for changes in the fetal tracing.
Take the mother's vital signs and tell the mother that bed rest is required to conserve oxygen.
Document the findings and tell the mother that the pattern on the monitor indicates fetal well-being.
The nurse is planning care for a postpartum client who had a vaginal delivery 2 hours ago. The client required an episiotomy and has several hemorrhoids. What is the priority nursing consideration for this client?
Client pain level
Inadequate urinary output
Client perception of body changes
Potential for imbalanced body fluid volume
The mother of a newborn calls the clinic and reports that when cleaning the umbilical cord, she noticed that the cord was moist and that discharge was present. What is the most appropriate nursing instruction for this mother?
Bring the infant to the clinic.
This is a normal occurrence and no further action is needed.
Increase the number of times that the cord is cleaned per day.
Monitor the cord for another 24 to 48 hours and call the clinic if the discharge continues.
The client is being seen at 24 weeks' gestation at the prenatal clinic. At her last routine visit, the fundus was located at the umbilicus. Today, the fundus is measured and found to be 23 cm. How should the nurse interpret this finding?
Fundus is at the appropriate level.
Fundus is larger than expected height.
Fundus is smaller than expected height.
Growth pattern indicates intrauterine growth restriction (IUGR).
The nurse is monitoring a client who is receiving oxytocin to induce labor. Which assessment findings should cause the nurse to immediately discontinue the oxytocin infusion? Select all that apply.
Fatigue
Drowsiness
Uterine hyperstimulation
Late decelerations of the fetal heart rate
Early decelerations of the fetal heart rate
A client in preterm labor (31 weeks) who is dilated to 4 cm has been started on magnesium sulfate and contractions have stopped. If the client's labor can be inhibited for the next 48 hours, the nurse anticipates a prescription for which medication?
Nalbuphine
Betamethasone
Rho(D) immune globulin
Dinoprostone vaginal insert
An opioid analgesic is administered to a client in labor. The nurse assigned to care for the client ensures that which medication is readily accessible should respiratory depression occur?
Naloxone
Morphine sulfate
Betamethasone
Hydromorphone hydrochloride
A pregnant client is receiving oxytocin for the induction of labor. The nurse should immediately discontinue the oxytocin infusion if which is noted in the client?
Uterine atony
Severe drowsiness
Uterine hyperstimulation
Early decelerations of the fetal heart rate
The nurse has a routine prescription to administer an injection of phytonadione (vitamin K) to the newborn. Which statement made by the new mother indicates that teaching on this medication was effective?
"I know that this medication is used to stimulate the liver to produce vitamin K."
"I know that this medication is used to prevent clotting abnormalities in the newborn."
"I know that this medication is used to prevent vitamin deficiency of fat-soluble vitamins."
"I know that this medication is used to supplement my baby because breast milk and formula are low in vitamin K."
The nurse assisted with the birth of a newborn. Which nursing action is most effective in preventing heat loss by evaporation?
Warming the crib pad
Closing the doors to the room
Drying the infant with a warm blanket
Turning on the overhead radiant warmer
The nurse in a neonatal intensive care unit (NICU) receives a telephone call to prepare for the admission of a 43-week gestation newborn with Apgar scores of 1 and 4. In planning for admission of this newborn, what is the nurse's highest priority?
Turn on the apnea and cardiorespiratory monitors.
Connect the resuscitation bag to the oxygen outlet.
Set up the intravenous line with 5% dextrose in water.
Set the radiant warmer control temperature at 36.5° C (97.6° F).
The nurse in a newborn nursery is monitoring a preterm newborn for respiratory distress syndrome. Which assessment findings should alert the nurse to the possibility of this syndrome? Select all that apply.
Cyanosis
Tachypnea
Hypotension
Retractions
Audible grunts
The postpartum nurse is providing instructions to the mother of a newborn with hyperbilirubinemia who is being breast-fed. The nurse should provide which instruction to the mother?
Feed the newborn less frequently
Continue to breast-feed every 2 to 4 hours.
Switch to bottle-feeding the infant for 2 weeks.
Stop breast-feeding and switch to bottle-feeding permanently.
The nurse is preparing to care for a newborn with respiratory distress syndrome. Which initial action should the nurse plan to best facilitate bonding between the newborn and the parents?
Encourage the parents to touch their newborn.
Identify specific caregiving tasks that may be assumed by the parents.
Explain the equipment that is used and how it functions to assist the newborn.
Give the parents pamphlets that will help them understand their newborn's condition.
A just-delivered newborn is dried immediately by the nurse in the delivery area. The nurse thoroughly dries the newborn to prevent heat loss by which mechanism?
Radiation
Convection
Conduction
Evaporation
