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WorksheetsOB exam 1
Total questions: 109
Worksheet time: 1hrs 3mins
A nurse is caring for a client in labor. The nurse determines that the client is beginning in the 2nd stage of labor when which of the following assessments is noted?
The client begins to expel clear vaginal fluid
The contractions are regular
The membranes have ruptured
The cervix is dilated completely
A nurse in the labor room is caring for a client in the active phases of labor. The nurse is assessing the fetal patterns and notes a late deceleration on the monitor strip. The most appropriate nursing action is to:
Place the mother in the supine position
Document the findings and continue to monitor the fetal patterns
Administer oxygen via face mask
Increase the rate of pitocin IV infusion
A nurse is beginning to care for a client in labor. The physician has prescribed an IV infusion of Pitocin. The nurse ensures that which of the following is implemented before initiating the infusion?
Placing the client on complete bed rest
Continuous electronic fetal monitoring
An IV infusion of antibiotics
Placing a code cart at the client's bedside
Normal baseline fetal heart rate ?
110- 160
90-110
160-180
<90
fetal tachycardia
>than 160bpm
>180bpm
>110bpm
>200 bpm
cause of early decelerations is
Head compression
Cord compression
uteroplacental insufficiency
A nurse should recognize which of the following as a manifestation of sepsis in the neonate? (Select all that apply)
lethargy
tachypnea
hypothermia
sunken fontanel
low serum glucose
A 22 year old woman is 6 weeks postpartum. In the clinic, she admits to crying everyday, feeling overwhelmed, and sometimes thinking she may hurt the baby. What would be the priority nursing action at this time?
advise the patient of community groups, and depression hotlines.
counsel the mother that the "baby blues' are common at this time and assess her nutrition, rest and availability of help at home.
contact the HCP to evaluate the patient before allowing her to leave the clinic
advise the woman that she cannot use medication for depression because she is breastfeeding,.
A client in preterm labor (31) weeks who is dilated to 4 cms has been started on Magnesium Sulfate and the contractions have stopped. If the clients labor can be stopped for the next 48 hours, which medication can the nurse anticipate a prescription for?
Nulbuphine
Betamethasone
RH Immune globulin
Dinoprostone vaginal insert
the nurse is monitoring a client in preterm labor who is receiving Magnesium sulfate. The nurse should monitor for which adverse affects of this medication. Select all that apply.
Flushing
Hypertension
Increased Urine output
Depressed respiration's
Extreme muscle weakness
The nurse in a newborn nursery is monitoring a preterm infant 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 breastfed. The nurse should provide which instruction to the mother?
feed the newborn less frequently
continue to breastfeed every 2-4 hours
switch to bottle feeding the infant for the next 2 weeks
stop breastfeeding and switch to bottle feeding permanently
The nurse is monitoring a client in the immediate postpartum period for signs of hemorrhage. Which sign is noted, would be an early sign of excessive blood loss?
a temperature of 100.4 (38 c)
an increase in pulse rate from 88 to 102 bpm
a blood pressure change from 130/88 to 124/80 mmHG
an increase in the respiratory rate from 18 to 22 breaths/min
The nurse is assessing the client in the fourth stage of labor and notes the fundus is firm, but that bleeding is excessive. Which should be the initial action?
document the findings
massage the fundus
notify the HCP
place the client in Trendelenburg
On assessment of a postpartum client, the nurse notes that the uterus feels soft and boggy. The nurse should take which initial action?
document the findings
elevate the clients legs
massage the fundus until its firm
push on the uterus to assist in expressing clots
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
Colostrum _______?
is produced by hormones
is early breastmilk
helps fight infections
all of the above
The nurse is performing an initial assessment on a newborn infant. When assessing the infant’s head, the nurse notes that the ears are low-set. Which nursing action is most appropriate?
Document the findings.
Arrange for hearing testing.
Notify the health care provider.
Cover the ears with gauze pads.
A client who is positive for human immunodeficiency virus (HIV) delivers a newborn infant. The nurse provides instructions to help the client with care of her infant. Which client statement indicates the need for further instruction?
“I will be sure to wash my hands before and after bathroom use.”
“I need to breast-feed, especially for the first 6 weeks postpartum.”
“Support groups are available to assist me with understanding my diagnosis of HIV."
“My newborn infant should be on antiviral medications for the first 6 weeks after delivery.”
During a routine prenatal visit, a client complains of gums that bleed easily with brushing. The nurse performs an assessment and teaches the client about proper nutrition to minimize this problem. Which client statement indicates an understanding of the proper nutrition to minimize this problem?
“I will drink 8 oz of water with each meal.”
“I will eat 3 servings of cracked wheat bread each day.”
“I will eat 2 saltine crackers before I get up each morning.”
“I will eat fresh fruits and vegetables for snacks and for dessert each day.”
Client is 1 day post op abd surgery for ovarian cancer. Client is receiving IV RL 100ml/h and continuous epidural morphine for pain. Foley output has decreased to <20ml/h in the past 2 hours. Post op Hematocrit is 36% (0.36), and the hemoglobin is 12 g/dL (120 g/L). Which action should the nurse carry out first?
Assess vital signs
increase the IV rate to 125 ml/h
Notify the health care provider
Perform a bladder scan
Which of these contraceptives are hormonal methods?
condom
copper IUD
implant
patch
diaphragm
What is true about an IUD (copper or hormonal)?
it is a flexible T-shaped coil
it is a barrier for the sperm cells
has to be inserted by a doctor
can stay inside the uterus for up to 5 years
has to be used with a gel and is placed before the cervix
What are the main side effects of any hormonal contraceptive?
menstruation is more painful
bleeding apart from menstruation can occur
headaches and nausea
increased risk of thrombosis or other cardiovascular issues
stomach and intestinal issues
How do hormonal contraceptives (usually) work?
preventing the ripening of the egg cells in the ovaries
creating a barrier so that the sperm cell do not enter the uterus
inhibiting the sperms' ability to "swim"
reducing the inner lining of the uterus; egg cell cannot nest
thicken the cervical mucus
Abbreviate HPV -
Human Papillo Virus.
Human Papilloma Virus
Herpes Papillo Virus
Herpes Papilloma Virus
__________ involves taking a sample of amniotic fluid.
ICSI
ART
Amniocentesis
Chorionic villus sampling
Surgery is carried out to cut the Fallopian
tubes and the two ends are then tied to
prevent the ovum from meeting the sperms.
vasectomy
IUCD
Ligation
implant
HPV can cause genital warts, or cancer.
true
false
STD’s are transmitted via the following bodily fluids, except
semen
pre-ejaculatory fluid
tears
breast milk
Painful urination, skin rash, yellowing of skin or painful sex are common signs and symptoms of:
Genital herpes
Gonorrhea
Syphilis
Causes blisters on the skin and genitals. The blisters may disappear temporarily but may appear occasionally, especially as a result of stress.
Acquired immunodeficiency syndrome (AIDS)
Genital herpes
Gonorrhea
Lymphogranuloma venereum (Chlamydia)
The following are bacterial infections, except:
gonorrhea
trichmoniasis
chlamaydia
All of these infections are cause by bacteria EXCEPT:
Chlamydia
Gonorrhea
Syphillis
Crabs
Which of these STI's are caused by bacteria--check ALL that apply!
Gonorrhea
Chlamydia
Yeast Infections
Trichomoniasis
The bacterium Treponema pallidum causes
Trench foot
Syphillis
Gonorrhea
Chlamydia
The bacterium Neisseria gonorrheae causes:
Chlamydia
Gonorrhea
Syphilis
Herpes
Most bacterial STI's
only infect the vagina or urethra
can only be contracted once in your lifetime
cannot be passed to babies during childbirth
are curable with antibiotics
Which STI can often give a green or yellow discharge?
Herpes
Chlamydia
Gonorrhoea
Pubic lice
Which contraception’s can also prevent STIs?
The pill
IUD
Condom
implant
Which contraceptive doesn’t rely on memory and effort?
Condoms
The pill
IUD
Implant
Which STI should you have immunity from if you have had the HPV vaccine?
genital herpes
gential warts
chlamydia
gonorrhoea
This virus affects the immune system, specifically CD4 and T-helper cells. It is spread through physical contact or exchange of bodily fluids.
T4 bacteriophage
Ebola
Varicella Zoster
Epstein Barr
Human Immunodeficiency Virus
The Gardisil vaccine is used to help guard against the cervical cancer that this virus is known to cause. This virus primarily effects the reproductive system.
Dengue
West Nile
Rotavirus
Human Papillomavirus
Poliovirus
Ovulation typically occurs on what day of the cycle?
1
14
20
7
Which hormone controls the development of male secondary sexual charecteristics.
testosterone
oestrogen
testes
ovaries
Which changes occur at puberty to boys and girls
Pubic hair grows
Underarm hair grows
Sexual organs grow and develop
All are correct
Children between the ages ___________ & __________ years are called adolescents?
10 & 18 years
11 & 19 years
12 & 17 years
None of the above
The onset of puberty and maturity of reproductive organs are controlled by _______________.
Estrogen
Chromosomes
Adrenaline
Hormones
What is the function of amniotic fluid?
acts as cushion to support and protect from mechanical shock
to connect the foetus and the placenta
to form a sac and enclosed the foetus
to allow exchange of substances between the foetus and the mother
Human Pregnancy is divided into three major time periods. Each time period represents one-third of the total pregnancy. What are these time periods called?
Trimesters
Semesters
Zygotes
The fetus and the mother exchange materials between them such as oxygen, carbon dioxide, nutrients, and waste. This exchange of materials happens using the...
Placenta & Umbilical Cord
Uterus & Umbilical Cord
Vagina & Placenta
What is the major change that occurs during the final "fetal" stage of development?
The fetus grows in size
The fetus begins to form new organs
The fetus's cells differentiate into specific cells
Placenta previa is a medical condition that occurs in some pregnant women. Women with this condition are often placed on bed rest, which prohibits them from any strenuous activity that may cause the blood vessels in the placenta to rupture. If not diagnosed, placenta previa can be a very dangerous condition because the placenta is
the primary source of oxygen for the mother
where the fetus obtains milk from the mother
where nutrients and wastes are exchanged
the primary source of estrogen and
progesterone in the mother
What is the ball of cells called once it has implanted into the wall of the uterus?
fetus
zygote
baby
embryo
Around 8 - 10 weeks when all organs are in place and it looks more human it is called a
fetus
zygote
baby
embryo
What is it called when an egg is released from the ovary into the oviduct?
ovulation
ejaculation
fertilisation
implantation
What is it called when the embryo burries into the wall of the uterus?
ovulation
ejaculation
fertilisation
implantation
What is the gestation period of humans?
30 - 32 weeks
20 - 22 weeks
50 -52 weeks
38 - 40 weeks
What carries substances between the placenta and the fetus?
cord
amniotic sac
amniotic fluid
placenta
What holds the fluid that the fetus develops and grows in?
cord
amniotic sac
amniotic fluid
placenta
Name the hormone produced by cells around the embryo that maintains the corpus luteum during pregnancy.
Estrogen
Progesterone
hCG
FSH
The picture represents one stage during the human developing process. A function of structure A is to
remove nutrients from the fetus
provide the fetus with metabolic wastes
remove all toxins from the blood of the mother
provide the exchange of oxygen and carbon dioxide in fetus
White substance that appears around the baby body
white cream
white water
vernix caseosa
white juice
Which baby part leaves first during birth?
legs
arms
head
stomach
How many stages of childbirth are there?
3
4
5
19
How dilated does the cervix get during labor?
10 inches
10 feet
10 Centiliters
10 Centimeters
How many steps of the first stage of childbirth are there?
3
7
2
5
How much does the cervix dilate to in early labor?
4 Centimeters
2 Centimeters
10 Centimeters
6 Centimeters
When does the second stage of childbirth end?
When the cervix dilates 10 centimeters
When the baby starts to walk
When the baby leaves the vagina
When the placenta is delivered
What is another term for the placenta?
Midbirth
Beforebirth
Postbirth
Afterbirth
Substances that may harm the developing fetus and result in the formation of birth defects
tobacco
alcohol
drugs
all teratogens
Which nutrient helps normal development of bones and teeth?
calcium
iron
omega 3 fatty acids
folic acid
Which of the following is not a function of the placenta?
excretory organ
respiratory organ
endocrine organ
barrier to alcohol
The structure known as the "bag of waters" is the
placenta
amniotic sac
yolk sac
chorion
What does a home pregnancy test check for?
hormone levels HCG
oxytocin
serotonin
bile
Medical care received during pregnancy.
prenatal care
obstetrician
certified nurse midwife
trimester
Some signs and symptoms of pregnancy include (choose all that apply):
A heavy period
Sore & enlarged breasts
Increased urination
Nausea
During childbirth 'crowning' refers to _______________
The baby passing out of the birth canal
The baby's head appearing at the opening of the birth canal
The delivery of the placenta
The beginning of contractions
During the __________________ stage of labour the baby is delivered
first
second
third
final
the opening (1 cm--3cm--10cm) of the cervix is called...
dialation
effacement
contraction
epidural
The thinning (25%--50%--100%) of the cervix.
dialation
effacement
contraction
fontanels
The stage of labor where contractions begin coming consistently. They are usually spaced from 10 to 20 minutes apart. Body is effacing and dilating.
Pre Labor
Stage 1
Stage 2
Stage 3
This stage of labor the most painful part. The cervix fully dilates/effaces to10 cm--Baby "drops" down into the birth canal.
Pre labor
transition
stage 2
stage 3
The stage begins with the baby crowing and ends with it being delivered.
Stage 1
Stage 2
Stage 3
after birth
This stage is when the after birth is delivered.
stage 1
transition
stage 2
stage 3
This hormone is responsible for ensuring the endometrium remains thick and nutrient rich
Oxytocin
Estrogen
Progesterone
Testosterone
During early pregnancy, this structure releases progesterone.
Corpus Luteum
Uterus
Placenta
Adrenal Gland
During which week do all limbs and essential organs form during pregnancy?
week 5
week 6
week 7
week 8
Stage 2 of labor and delivery include all of the following EXCEPT
Thinning of the cervix
Baby exits uterus and enters birthing canal (vagina)
Baby exits head first
Baby exits the vagina
Prenatal care is important throughout the pregnancy, but which trimester is most important?
1st Trimester
2nd Trimester
3rd Trimester
4th Trimester
How many centimeters dilated must the cervix be before Stage 2 of labor & delivery can take place
1cm
3cm
8cm
10cm
A women is having difficulty with the progression of her labor. She is not having strong enough contractions. Which of the following hormones could we give her to induce contractions?
estrogen
testosterone
progesterone
oxytocin
Sushi with raw fish is ok to eat while pregnant.
True
False
Sus
