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OB Exam 2 Review

Total questions: 25

Worksheet time: 13mins

Name
Class
Date
1.

Which cardinal movement describes the downward movement of the fetus?

a)

Descent

b)

Engagement

c)

Internal Rotation

d)

External Rotation

2.

Defined as the interval from the beginning of one contraction to the beginning of the next.

(a)  

3.

The nurse knows that the patient must have an (a)   for the strength of contractions to be monitored accurately.

4.

Which cardinal movement describes the rotation of the fetal head from the anteroposterior position to the diagonal or transverse position and occurs right before expulsion.

a)

Intenal rotation

b)

External rotation

c)

Descent

d)

Engagement

5.

Which component of the birthing process can inhibit uterine contratility and placental bloodflow due to anxiety, fear, or fatigue?

a)

Passage

b)

Passenger

c)

Powers

d)

Psyche

6.

A patient with a previous cesarean section is at an increased risk for which complication during labor?

(a)  

7.

Premature rupture of membranes puts a newborn at an increased risk of which complication?

(a)  

8.

A patient is 32 weeks pregnant and complaining of cramping, pressure in her lower back, and increased discharge. Which complication does the nurse suspect?

a)

Preterm Premature Rupture of Memranes

b)

Chorioamnionities

c)

Preterm labor

d)

Uterine Rupture

9.

Management of which complication would include protecting the client from infection while also prolonging the pregnancy for as long as possible?

a)

Premature Rupture of Membranes

b)

Uterine Rupture

c)

Preterm Labor

d)

Placental Abruption

10.

The nurse expects the plan of care for a client experiencing hypotonic labor dysfunction to include which of the following?

a)

Oxytocin

b)

Tocolytics

c)

IV Antibiotics

d)

Cesarean Section

11.

Which stage of labor is divided into three phases?

a)

Fourth Stage

b)

First Stage

c)

Second Stage

d)

Third Stage

12.

Which term below is described as the amount of thinning of the cervix that has occurred and is documented as a percentage?

a)

Station

b)

Effacement

c)

Dilation

d)

Engagement

13.

This phase of labor can sometimes be identified based on the anxious, irritable behavior of the client.

(a)  

14.

Which station measurement means that the fetal head is at the level of the maternal ischial spines?

a)

+1

b)

-3

c)

0

d)

+3

15.

Which of the stages of labor is where the cardinal movements occur?

a)

First Stage

b)

Second Stage

c)

Third Stage

d)

Latent Phase

16.

Which OB procedure below may be used by the provider to augment labor?

a)

Breathing Techniques

b)

Bishop Score

c)

Amniotomy

d)

Amniocentesis

17.

The patient's diet should include adequate amounts of which vitamin, in addition to a supplementation, to avoid neural tube defects in the fetus?

(a)  

18.

Which assessment can help the nurse anticipate the provider's orders for a patient scheduled for an induction?

(a)  

19.

What should the nurse instruct the pregnant vegetarian client to include in her diet to serve as a substiture for protein and iron?

a)

Potatoes

b)

Strawberries

c)

Lima Beans

d)

Milk

20.

What complication must the nurse monitor for when administering medications used to induce or augment labor?

(a)  

21.

Which relaxation technique can be taught quickly to the client in labor to relieve pain and break the fear-tension-pain cycle?

a)

Meditation

b)

Breathing Techniques

c)

Hypnosis

22.

After an epidural, the nurse knows to monitor the patient closely for which complication?

a)

Cord Prolapse

b)

Shoulder Dystocia

c)

Hypotension

d)

Hypotonic labor

23.

Upon rupture of membranes, what is the first thing the nurse should assess?

(a)  

24.

Which of the following assessments are made by the nurse when monitoring a patient being treated for preterm labor with magnesium sulfate? (Select all that apply)

a)

Uterine Contractions

b)

Deep tendon reflexes

c)

Respiratory Status

d)

Urine Output

25.

How would the nurse interpret the following vaginal exam: 8/90/-1

a)

8 cm dilated

90% effaced

-1 Station

b)

8% effaced

90 cm dilated

-1 station

c)

8 station

90% effaced

-1 cm dilated