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OB QUIZ 1 GEOPANO

Total questions: 20

Worksheet time: 10mins

Name
Class
Date
1.

The nurse understands that an amniocentesis can be performed by which gestational age?

a)

8 weeks

b)

10 weeks

c)

12 weeks

d)

14 weeks

2.

A nurse prepares to assess a fetal heart beat using a Doppler ultrasound knowing that the fetal heart beat can first be heard with this device at which gestational week?

a)

5

b)

12

c)

16

d)

20

3.

Fetal proteins used to screen for specific abnormalities

a)

Surfactant

b)

Lecithin/sphingomyelin ratio

c)

Alpha-fetoprotein (AFP)

d)

Amnion

4.

A rubella titer is performed on a woman who has just been told that she is pregnant, and the results of the titer indicate that the mother is not immune to rubella. Which prescription should the nurse anticipate to be prescribed for this mother?

a)

Immunization with rubella

b)

Retesting rubella titer during pregnancy

c)

Counseling the mother regarding therapeutic abortion

d)

Prescribed antibiotics to be taken throughout the pregnancy

5.

.This is a method of evaluating fetal well-being

a)

Nonstress Test

b)

Ultrasonography

c)

Biophysical profile

d)

Chorionic villus sampling (CVS)

6.

A test that involves insertion of a needle directly into the fetal umbilical vessel under ultrasound guidance

a)

Chorionic villus sampling (CVS)

b)

Amniocentesis

c)

Percutaneous umbilical blood sampling

d)

Nitrazine Test

7.

The nurse understands that RhD immune globulin is administered to the Rh-negative mother after amniocentesis because of which problem associated with this procedure?

a)

Miscarriage

b)

Bleeding

c)

Placental abruption

d)

Amniotic fluid embolism

8.

A nonstress test is performed on a pregnant client and the results are documented as reactive. Based on this result, the nurse should tell the client that this indicates which finding?

a)

A repeat test is necessary

b)

The result is a normal finding

c)

A contraction stress test will be scheduled

d)

The test did not provide adequate data to determine fetal well being

9.

According to statistics in the year 2010, the highest number of maternal deaths is due to this cause?

a)

Postpartum hemorrhage

b)

Pregnancy with abortive outcome

c)

Complications related to pregnancy during the course of labor, delivery and puerperium

d)

Hypertension complicating pregnancy, childbirth and puerperium

10.

The nurse is providing instructions to a pregnant client who is scheduled for an amniocentesis. What instruction should the nurse provide?

a)

Strict bed rest is required after the procedure

b)

Hospitalization is necessary for24 hours after the procedure

c)

An informed consent needs to be signed before the procedure

d)

A fever is expected after the procedure because of the trauma of the abdomen

11.

A pregnant woman is scheduled to have nonstress test, as a nurse you should instruct the mother all about this test EXCEPT

a)

You may be asked to depress a button every time you feel fetal movement

b)

This test is non invasive and requires to lie flat on bed

c)

This test will take about 2 hours

d)

Ultrasound transducer which records fetal heart activity is secured over your abdomen

12.

The nurse understands that chorionic villus sampling (CVS) is performed ideally between which weeks of gestational age?

a)

5 and 8 weeks

b)

10 and 13 weeks

c)

15 and 18 weeks

d)

20 and 23 weeks

13.

. This is an imaging technique that uses high-frequency sound waves to visualize internal body structures

a)

Nonstress Test

b)

Contraction Stress Test

c)

Ultrasonography

d)

X Ray

14.

The nurse is analyzing the results of a nonstress test that was performed on a pregnant client and notes that the result was “unsatisfactory”. The nurse understands that this result indicates which finding?

a)

Fetal well – being

b)

Decelerations noted

c)

No accelerations noted

d)

Results cannot be interpreted

15.

A nonstress test is performed on a client who is pregnant and the results of the test indicate nonreactive findings. The health care provider prescribes a contraction stress test, and the results are documented as negative. How should the nurse document this finding?

a)

A normal test result

b)

An abnormal test result

c)

A high risk for fetal demise

d)

The need for a caesarian section

16.

A rubella titer result of a 1 day postpartum client is less than 1:8 and a rubella virus vaccine is prescribed to be administered before discharge. The nurse provides which information to the client about the vaccine?

a)

Breastfeeding needs to be stopped for 3 months

b)

A client can eat eggs and egg products afterwards

c)

The area of the injection needs to be covered with a sterile gauze for 1 week

d)

Pregnancy needs to be avoided for 3 months

17.

A pregnant diabetic client who is to have a nonstress test done asks the nurse about the procedure. Which information should the nurse provide to the client?

a)

The fetus is challenged by uterine contractions to obtain the necessary information

b)

If the fetus is not moving, you may be given a drink of glucose such as orange juice to stimulate movement

c)

The test will take about 30 minutes and will require close monitoring after the procedure

d)

An ultrasound transducer that records fetal heart activity is secured over your abdomen where the fetal heart is heard most clearl

18.

The health care provider has documented the test results of a nonstress test on a pregnant client as reactive. The nurse interprets that this result indicates which finding?

a)

Normal findings

b)

Abnormal findings

c)

The need for further evaluation

d)

That the findings on the monitor were difficult to interpret

19.

A pregnant client in the prenatal clinic is scheduled for a biophysical profile and asks the nurse what this test involves. What is the most appropriate nursing response?

a)

“This test measures your ability to tolerate the pregnancy”

b)

“This test measures fetal heart rate and breathing movements”

c)

“This test measures your cardiac status and ability to tolerate labor”

d)

“This test only measures the amount of amniotic fluid present in the uterus

20.

.Because of the prossibility of bleeding from chorionic villus sampling (CVS), which medication will most likely be prescribed for administration to the mother who is Rh-negative after the procedure?

a)

Oxytocin (Pitocin)

b)

Beclamethasone (Qvar)

c)

RhD immune globulin

d)

Methylergonovine (Methergine)