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WorksheetsOBS &GYNECOLOGY
Total questions: 30
Worksheet time: 15mins
Which of the following urinary symptoms does the pregnant woman most frequently experience during the first trimester?
Dysuria
Frequency
Incontinence
Burning
Which of the following amounts of blood loss following birth marks the criterion for describing postpartum hemorrhage?
More than 200 ml
More than 300 ml
More than 400 ml
More than 500 ml
Which of the following danger signs should be reported promptly during the antepartum period?
Constipation
Breast tenderness
Nasal stuffiness
Leaking amniotic fluid
Which of the following factors is the underlying cause of dystocia?
Nurtional
Mechanical
Environmental
Medical
A pregnant client states that she “waddles” when she walks. The nurse’s explanation is based on which of the following as the cause?
The large size of the newborn
Pressure on the pelvic muscles
Relaxation of the pelvic joints
Excessive weight gain
Which of the following best describes preterm labor?
Labor that begins after 20 weeks gestation and before 37 weeks gestation
Labor that begins after 15 weeks gestation and before 37 weeks gestation
Labor that begins after 24 weeks gestation and before 28 weeks gestation
Labor that begins after 28 weeks gestation and before 40 weeks gestation
Which of the following prenatal laboratory test values would the nurse consider as significant?
Hematocrit 33.5%
Rubella titer less than 1:8
White blood cells 8,000/mm3
One hour glucose challenge test 110 g/dL
Which of the following characteristics of contractions would the nurse expect to find in a client experiencing true labor?
Occurring at irregular intervals
Starting mainly in the abdomen
Gradually increasing intervals
Increasing intensity with walking
On which of the following areas would the nurse expect to observe chloasma?
Breast, areola, and nipples
Chest, neck, arms, and legs
Abdomen, breast, and thighs
Cheeks, forehead, and nose
Which of the following is the nurse’s initial action when umbilical cord prolapse occurs?
Begin monitoring maternal vital signs and FHR
Place the client in a knee-chest position in bed
Notify the physician and prepare the client for delivery
Apply a sterile warm saline dressing to the exposed cord
When talking with a pregnant client who is experiencing aching swollen, leg veins, the nurse would explain that this is most probably the result of which of the following?
Thrombophlebitis
Pregnancy-induced hypertension
Pressure on blood vessels from the enlarging uterus
The force of gravity pulling down on the uterus
When uterine rupture occurs, which of the following would be the priority?
Limiting hypovolemic shock
Obtaining blood specimens
Instituting complete bed rest
Inserting a urinary catheter
Which of the following would cause a false-positive result on a pregnancy test?
The test was performed less than 10 days after an abortion
The test was performed too early or too late in the pregnancy
The urine sample was stored too long at room temperature
A spontaneous abortion or a missed abortion is impending
A couple who wants to conceive but has been unsuccessful during the last 2 years has undergone many diagnostic procedures. When discussing the situation with the nurse, one partner states, “We know several friends in our age group and all of them have their own child already, Why can’t we have one?”. Which of the following would be the most pertinent nursing diagnosis for this couple?
Fear related to the unknown
Pain related to numerous procedures
Ineffective family coping related to infertility
Self-esteem disturbance related to infertility
FHR can be auscultated with a fetoscope as early as which of the following?
5 weeks gestation
10 weeks gestation
15 weeks gestation
20 weeks gestation
Which of the following best describes thrombophlebitis?
Inflammation and clot formation that result when blood components combine to form an aggregate body
Inflammation and blood clots that eventually become lodged within the pulmonary blood vessels
Inflammation and blood clots that eventually become lodged within the femoral vein
Inflammation of the vascular endothelium with clot formation on the vessel wall
When teaching a client about contraception. Which of the following would the nurse include as the most effective method for preventing sexually transmitted infections?
Spermicides
Diaphragm
Condoms
Vasectomy
For the client who is using oral contraceptives, the nurse informs the client about the need to take the pill at the same time each day to accomplish which of the following?
Decrease the incidence of nausea
Maintain hormonal levels
Reduce side effects
Prevent drug interactions
During the first 4 hours after a male circumcision, assessing for which of the following is the priority?
a.Infection
b.Hemorrhage
c.Discomfort
d.Dehydration
The nurse assesses the postpartum vaginal discharge (lochia) on four clients. Which of the following assessments would warrant notification of the physician?
A dark red discharge on a 2-day postpartum client
A pink to brownish discharge on a client who is 5 days postpartum
Almost colorless to creamy discharge on a client 2 weeks after delivery
A bright red discharge 5 days after delivery
Which of the following is the priority focus of nursing practice with the current early postpartum discharge?
Promoting comfort and restoration of health
Exploring the emotional status of the family
Facilitating safe and effective self-and newborn care
Teaching about the importance of family planning
Which of the following assessment findings would the nurse expect if the client develops DVT?
Midcalf pain, tenderness and redness along the vein
Chills, fever, malaise, occurring 2 weeks after delivery
Muscle pain the presence of Homans sign, and swelling in the affected limb
Chills, fever, stiffness, and pain occurring 10 to 14 days after delivery
A client in her third trimester tells the nurse, “I’m constipated all the time!” Which of the following should the nurse recommend?
Daily enemas
Laxatives
Increased fiber intake
Decreased fluid intake
Which of the following are the most commonly assessed findings in cystitis?
Frequency, urgency, dehydration, nausea, chills, and flank pain
Nocturia, frequency, urgency dysuria, hematuria, fever and suprapubic pain
Dehydration, hypertension, dysuria, suprapubic pain, chills, and fever
High fever, chills, flank pain nausea, vomiting, dysuria, and frequency
A postpartum client has a temperature of 101.4ºF, with a uterus that is tender when palpated, remains unusually large, and not descending as normally expected. Which of the following should the nurse assess next?
Lochia
Breasts
Incision
Urine
When developing a plan of care for a client newly diagnosed with gestational diabetes, which of the following instructions would be the priority?
Dietary intake
Medication
Exercise
Glucose monitoring
Before assessing the postpartum client’s uterus for firmness and position in relation to the umbilicus and midline, which of the following should the nurse do first?
Assess the vital signs
Administer analgesia
Ambulate her in the hall
Assist her to urinate
The nurse assesses the vital signs of a client, 4 hours’ postpartum that are as follows: BP 90/60; temperature 100.4ºF; pulse 100 weak, thready; R 20 per minute. Which of the following should the nurse do first?
Report the temperature to the physician
Recheck the blood pressure with another cuff
Assess the uterus for firmness and position
Determine the amount of lochia
A client LMP began July 5. Her EDD should be which of the following?
January 2
March 28
April 12
October 12
Which of the following fundal heights indicates less than 12 weeks’ gestation when the date of the LMP is unknown?
Uterus in the pelvis
Uterus at the xiphoid
Uterus in the abdomen
Uterus at the umbilicus
