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OB Practice Questions

Total questions: 10

Worksheet time: 11mins

Name
Class
Date
1.

A pregnant woman at 12 week's gestation tells the nurse that she is a vegetarian. Which action should the nurse take first?

a)

Recommend vitamin B12 and iron supplementation.

b)

Recommend consumption of protein drinks daily

c)

Obtain a 24-hour diet recall history

d)

Determine the reason for her vegetarian diet

2.

The nurse is working with an assistive personnel (AP) to care for a patient who had a right breast lumpectomy and axillary lymph node dissection. Which nursing action can be delegated to the AP?

a)

Teaching the patient why blood pressure measurements have to be taken on her left arm

b)

Elevating the patient's arm on two pillows to promote lymphatic drainage

c)

Assessing the patient's right arm for lymphedema

d)

Reinforcing the dressing if it becomes saturated

3.

A 27-year-old patient underwent a primary cesarean section because of breech presentation. Which assessment finding would be the most concern?

a)

Small amount of lochia rubra

b)

Temperature of 99F (37.2C)

c)

Slight redness and pain of the left calf

d)

Pain rated as 4 of 10 in the incisional area

4.

The nurse is working in the emergency department when a patient with possible toxic shock syndrome is admitted. Which prescribed intervention will the nurse implement first?

a)

Infuse nafcillin 1000 mg IV

b)

Give acetaminophen 650 mg

c)

Obtain blood specimens for culture

d)

Remove the patient's tampon

5.

After receiving the change-of-shift report, in which order will the nurse assess the assigned patients?

  1. 1. A 22-year-old patient who has questions about how to care for the drains placed in her breast reconstruction incision

  2. 2. An anxious 44-year-old patient who is scheduled today after undergoing a total vaginal hysterectomy

  3. 3. A 69-year-old patient who reports their pain a 5 out of 10. after undergoing a perineal prostatectomy 2 days ago.

  4. 4. A usually oriented 78-year-old patient who has new-onset confusion after having a bilateral orchiectomy yesterday.

a)

4,1,2,3

b)

4,3,1,2

c)

4,3,2,1

d)

4,2,3,1

6.

A 59-year-old postmenopausal woman is being interviewed by the nurse. Which statement made by the patient requires the nurse to notify the health care provider immediately?

a)

"Every time I cough or sneeze, I spill a little urine."

b)

"I thought getting my period was finally over, but I started bleeding again."

c)

"My vagina feels so dry and uncomfortable"

d)

"Having sex is so painful and uncomfortable."

7.

The nurse is working in the post anesthesia care unit (PACU) for a 32-year-old patient who had just arrived after undergoing dilation and curettage to evaluate infertility. Which assessment finding should be immediately communicated to the surgeon?

a)

Blood pressure of 162/90 mm Hg

b)

Saturation of the perineal pad after the first 30 minutes

c)

Oxygen saturation of 91% to 95%

d)

Sharp, continuous, abdominal pain rated 8 out of 10

8.

A 26-year-old G1P1 who underwent a cesarean section 24 hours ago tells the nurse that she is having some troubles breastfeeding. Which tasks could be appropriately delegated to the assistive personnel (AP) on the postpartum floor? Select all that apply.

a)

Providing the mother with an ordered abdominal binder

b)

Assisting the mother with breastfeeding

c)

Taking the mother's vital signs

d)

Checking the amount of lochia present

e)

Assisting the mother with walking in the hall

9.

The nurse has received orders to initiate phototherapy on a 36-hour-old newborn with an elevated bilirubin level. The nurse asks the student nurse to explain how she plans to administer this treatment. Which actions would be expected from the student nurse? Select all that apply.

a)

Cover the infant's eyes with a mask

b)

Apply ointment to the infant's skin before light exposure

c)

Offer the infant sterile water feedings during the treatment

d)

Monitor the infant's temperature closely

e)

Keep the infant NPO during the treatment

10.

Which statements by a new father indicate that additional discharge teaching is needed for this family, who had their first baby 24 hours ago? Select all that apply.

a)

"We have a crib ready for our baby with lots of stuffed animals and two quilts that my mother made."

b)

"I will give the baby formula at night so that my wife can rest. She will breastfeed during the daytime."

c)

"We will always put our baby to sleep in a face-up position."

d)

"We will watch and make sure that the baby urinates at least 6 times tomorrow."

e)

"We will bring our baby to the pediatrician in 3 weeks."