OB exam 3 Flashcards

Which contraceptive method provides protection against sexually transmitted diseases?

A nurse is leading a discussion regarding options for birth control. Which of the following methods is considered the most reliable?

Which patient is a safe candidate for the use of oral contraceptives?

The role of the nurse in family planning is to

Informed consent concerning contraceptive use is important since some of the methods

Which contraceptive method should be contraindicated in a patient with a history of toxic shock syndrome

When instructing a patient in the use of spermicidal foam or gel, it is important to include the information that

Which symptom in a patient using oral contraceptives should be reported to the physician immediately?

When using the basal body temperature method of family planning, the woman should understand that

The major difference between the diaphragm and the cervical cap is that the diaphragm

The patient who has had an intrauterine device (IUD) inserted should be instructed to

A male patient asks, “Why do I have to use another contraceptive? I had a vasectomy last week.” The best response is

A woman who has a successful career and a busy lifestyle will most likely look for which type of contraceptive?

The method of contraception that is considered the safest for women is a(n)

A patient is 27 years old and delivered her first baby yesterday. She and her husband do not want to have another baby for at least 3 to 4 years. The most appropriate method of birth control to meet their needs is

The most appropriate statement for introducing the topic of family planning in the postpartum setting is

In reviewing information related to the occurrence of pregnancies using a focus group discussion with women, concern was expressed that many of them had problems using their respective type of contraception. As a result of noncompliance issues several women became pregnant. Based on this information, the nurse would incorporate which of the following in a teaching plan for group members?

You are teaching a group of adolescents regarding myths and facts related to contraception. Which statement indicates that additional teaching is needed for this group?

A patient presents to the Women’s Health Clinic for continuation of her contraceptive method. She has been using Depo-Provera (medroxyprogesterone acetate) for 24 months. In preparation for instituting a plan of care, the nurse would consider which option as a priority?

Which of the following statements is correct regarding the use of contraception and the occurrence of sexually transmitted diseases (STDs)?

Which of the following is a potential disadvantage for the patient who wishes to use an intrauterine device (IUD) as a method of birth control?

A patient is using Depo-Provera as her method of birth control. Which clinical finding warrants immediate intervention by the nurse?

A patient has had a prior history of endometriosis and comes to the clinic asking about which method of birth control might be helpful to alleviate her symptoms. Which birth control method would provide the greatest benefit to this patient?

You are evaluating a patient in the clinic setting who has been taking oral contraceptives for several years, without side effects. Vital signs are stable and the patient denies any pain or tenderness. On examination, you note a small erythematous area of approximately 2 cm on her right lower leg. She denies any traumatic injury and says this is a recent onset of a few days. Based on this information you would

The drug-exposed infant often presents with irritability, frantic crying, and is difficult to console. Which nursing measures can be used to prevent this behavior in this high-risk infant? (Select all that apply.)

Infection can be transmitted to the neonate from mother during the pregnancy or birth or from the mother, family members, visitors, or agency staff after birth. Which viral infections are most likely to be transmitted during the birth process? (Select all that apply.)

The nurse should be alert to a blood group incompatibility if

The priority assessment for the Rh-negative infant whose mother’s indirect Coombs test was positive at 36 weeks is

The nurse notes that the infant has been feeding poorly over the last 24 hours. The nurse should immediately assess for other signs of

Which of the following lab values indicates that an infant may have polycythemia?

Which diagnostic test is used to help confirmation of hyperbilirubinemia in an infant?

While in utero, the fetus passes meconium. Based on this assessment, which nursing diagnosis takes priority for the newborn at birth?

Shortly after a cesarean birth, a newborn begins to exhibit difficulty breathing. Nasal flaring and slight retractions are noted. The newborn is admitted to the neonatal intensive care unit (NICU) for closer observation, with a diagnosis of transient tachypnea of the neonate (TTN). The parents are notified and become anxious because they have no understanding of what this means for their infant. The best action that the nurse can take at this time is to

The difference between nonphysiologic jaundice (pathologic jaundice) and physiologic jaundice is that nonphysiologic jaundice

In an infant with cyanotic cardiac anomaly, the nurse should expect to see

When a cardiac defect causes the mixing of arterial and venous blood in the right side of the heart, the nurse might expect to find

Newborns whose mothers are substance abusers frequently exhibit which of the following behaviors?

Which intervention will increase the effectiveness in reducing the indirect bilirubin in an affected newborn?

The nurse present at the birth is reporting to the nurse who will be caring for the neonate after the delivery. Prior to birth there was meconium present in the amniotic fluid. The infant presented with depressed respirations and weak muscle tone. Which information should be included in the report for this infant?

The nurse must continually assess the infant who has meconium aspiration syndrome for the complication of

Transitory tachypnea of the newborn (TTN) is thought to occur as a result of

Which newborn should the nurse recognize as being at the greatest risk for developing respiratory distress syndrome?

Four hours after the birth of a healthy neonate of an insulin-dependent (type 1) diabetic mother, the baby appears jittery and irritable and has a high-pitched cry. Which nursing action has top priority?

The nurse is responsible for monitoring the feedings of the infant with hyperbilirubinemia every 2 to 3 hours around the clock. If breastfeeding must be supplemented, formula should be used instead of water. The purpose of this plan is to

Because late preterm infants are more stable than early preterm infants, they may receive care that is much like that of a full-term baby. The mother-baby or nursery nurse knows that these infants are at increased risk for which of the following? (Select all that apply.)

A newborn assessment finding that would support the nursing diagnosis of postmaturity would be

Following a traumatic birth of a 10lb infant, the nurse should evaluate

An infant presents with lethargy in the newborn nursery on the second day of life. On further examination, vital signs are stable and muscle tone is slightly decreased, with sluggish reflexes noted. Other physical characteristics are noted as being normal. Lab tests reveal a decreased hematocrit and increased blood sugar. The nurse suspects that the infant may be exhibiting signs and symptoms of

Which nursing diagnosis would be considered a priority for a newborn infant who is receiving phototherapy in an isolette?

The nurse is observing a 38-week gestation newborn in the nursery. Data reveals periods of apnea lasting approximately 10 seconds followed by a period of rapid respirations. The infant’s color and heart rate remain unchanged. The nurse suspects that the infant

An infant delivered prematurely at 28 weeks gestation weighs 1200g. Based on this information the infant is classified as

Following the vaginal birth of a macrosomic infant, the nurse should evaluate the infant for

Which statement regarding large-for-gestational age (LGA) infants is most accurate?

Which data should alert the nurse caring for an SGA infant that additional calories may be needed?

What will the nurse note when assessing an infant with asymmetric intrauterine growth restriction?

Which nursing action is especially important for an SGA newborn?

Which statement regarding newborns classified as small for gestational age (SGA) is accurate?

In caring for the post-term infant, thermoregulation can be a concern, especially in an infant who also has a(n)

In caring for the preterm infant, which complication is thought to be a result of high arterial blood oxygen level?

A characteristic of a post-term infant who weighs 7lb, 12oz, and who lost weight in utero, is

Overstimulation may cause increased oxygen use in a preterm infant. Which nursing intervention helps to avoid this problem?

Which preterm infant should receive gavage feedings instead of bottle feedings?

A preterm infant is on a ventilator, with intravenous lines and other medical equipment. When the parents come to visit for the first time, what is the most important action by the nurse?

Decreased surfactant production in the preterm lung is a problem because

In comparison with the term infant, the preterm infant has

Which is the most useful factor in preventing premature birth

A new mother asks the nurse, “How will I know early signs of hunger in my baby?” The nurse’s best response is which of the following? (Select all that apply.)

For which infant should the nurse anticipate the use of soy formula? (Select all that apply.)

The nurse is teaching a postpartum patient different holds for breastfeeding. Which of the following figures depicts the football hold frequently used for patients who have had a cesarean birth?

A new mother is preparing for discharge. She plans on bottle feeding her baby. Which statement indicates to the nurse that the mom needs more information about bottle feeding?

A breastfeeding mother asks the postpartum nurse if any supplementation is necessary once her breast milk comes in. What is the nurse’s most appropriate response?

A mother conveys concern over the fact that she is not certain if her newborn is receiving enough nutrients from breastfeeding. This is the baby’s first clinic visit after birth. What information can you provide that will help alleviate her fears regarding nutrient status for her newborn?

A mother is attempting to breastfeed her infant in the hospital setting. The infant is sleepy and displays some audible swallowing, the maternal nipples are flat, and the breasts are soft. The nurse has attempted to teach the mother positioning on one side, and now the mother wants to place the infant to the breast on the other side. Based on LATCH scores, what score would the nurse assign to this feeding session?

A mother is breastfeeding her newborn son and is experiencing signs of her breasts feeling tender and full in between infant feedings. She asks if there are any suggestions that you can provide to help alleviate this physical complaint. The ideal nursing response would be to

A new mother asks whether she should feed her newborn colostrum because it is not “real milk.” The nurse’s best answer includes which information?

A new mother asks why she has to open a new bottle of formula for each feeding. What is the nurse’s best response?

What is the most serious consequence of propping an infant’s bottle?

Which is an important consideration regarding the storage of breast milk?

A breastfeeding patient who was discharged yesterday calls to ask about a tender hard area on her right breast. What should the nurse’s first response be?

Which technique should the nurse recommend to the postpartum patient in order to prevent nipple trauma?

How should the nurse explain milk supply and demand when responding to the question, “Will I produce enough milk for my baby as she grows and needs more milk at each feeding?”

As the nurse assists a new mother with breastfeeding, the mother asks, “If formula is prepared to meet the nutritional needs of the newborn, what is in breast milk that makes it better?” The nurse’s best response is that it contains

To prevent breast engorgement, what should the new breastfeeding mother be instructed to do?

The patient should be taught that when her infant falls asleep after feeding for only a few minutes, she should do which of the following?

Which of the following is an important consideration in positioning a newborn for breastfeeding?

Which is the first step in assisting the breastfeeding mother to nurse her infant?

Which recommendation should the nurse make to a patient to assist in initiating the milk-ejection reflex?

Which hormone is essential for milk production?

How many kilocalories per kilogram (kcal/kg) of body weight does a full-term formula-fed infant need each day?

Which type of formula should not be diluted before being administered to an infant?

In which condition is breastfeeding contraindicated?

Which woman is most likely to continue breastfeeding beyond 6 months?

The breastfeeding patient should be taught a safe method to remove her breast from the baby’s mouth. Which suggestion by the nurse is most appropriate?

The nurse has just completed discharge teaching to parents on newborn bathing. Which statement made by the parents indicates a further need for teaching? (Select all that apply.

The nurse is preparing a newborn for a circumcision. Which prescribed interventions should the nurse implement to alleviate pain? (Select all that apply.)

The nurse is teaching new parents how to avoid and treat newborn diaper rash. Which should the nurse include in the teaching session? (Select all that apply.)

Parents ask the nurse, “How many wet diapers a day should we expect and how will we know the baby’s stools are normal?” Which response should the nurse make if the infant is being formula fed? (Select all that apply.)

The nurse is teaching new parents strategies to help with newborn colic. Which interventions should the nurse suggest? (Select all that apply.)

During a prenatal education class regarding infant home care, the nurse is reviewing the simulated setting created by new mothers for putting the baby to bed. Which observation indicates to the nurse that the new mothers understood the nurse’s teaching about infant safety?

A new mother is preparing for discharge from the birthing center and relays to the nurse her concerns about how she will handle the baby’s episodes of crying. What is the nurse’s best response?

The nurse is calling a new mother to schedule a routine home visit planned for 48 to 72 hours after discharge. What is the nurse’s priority question to help determine the best time for the visit?

Which statement by the parents indicates the need for further education with regard to pacifier use?

Which intervention should be included in the home care of a high-risk infant

Which infant should be seen immediately by a health care provider?

A new mother asks, “Why should I bring my baby in for a checkup? He is not sick.” Which is the nurse’s best response?

A new mother asks what she can do to help her infant sleep through the night. Which should the nurse suggest?

Which statement by a parent suggests that the nurse intervene with further teaching?

As the nurse assists a newly discharged patient and her infant to the waiting car, the nurse notes that the infant seat is in the front seat of the car facing the front and secured by the seat belt. The nurse should explain to the parents that the car seat should be placed

During the first 6 months of life, the infant should have well-baby checkups at which interval?

Which clinical finding indicates a sign of illness in the newborn?

infant immunizations should begin at which age?

Which statement is true regarding growth and development during the first 6 months?

An infant who eats very rapidly may experience problems with swallowing excessive air. What should the mother be instructed to do?

Which of the following is the appropriate treatment for miliaria?

Which statement made by a new mother should be a cause of concern to the nurse?

Which statement made by a parent indicates a need for the nurse to provide instruction on safety and accident prevention?

Which intervention will be most helpful to parents in identifying problems with an infant car seat?

An hour after birth, the nurse assesses a newborn’s temperature and notes that it is 36.2°C (97.2°F). The next activity planned for the newborn is the bath, and the new mother and father are invited to participate in the procedure. What is the nurse’s next action?

Administration of medications after birth is the topic of discussion during a prenatal education class. Which statement indicates to the nurse that the pregnant patient understands the primary indication for the administration of vitamin K?

When an infant’s temperature drops from (37 to 36.3°C) 98.7 to 97.4°F, the nurse should

An infant’s temperature is recorded at 36°C (96.8°F) during the morning assessment. Which action should the nurse take?

A 38 weeks’ gestation fetus is delivered via cesarean birth and transported to the newborn nursery in an isolette. Apgar scores were 8, 9, and 10. At this time, the infant is receiving an initial assessment in the newborn nursery. Which is the priority nursing diagnosis?

In which position should the parents be instructed to place their newborn for sleep?

The nurse is evaluating a newborn’s circumcision 30 minutes after the procedure. The nurse notes excessive bleeding coming from the circumcised area. Which priority intervention should the nurse implement at this time?

Which newborn assessment finding requires the nurse to take immediate action?

The nurse is explaining the procedure of newborn screening to parents prior to discharge. Which statement by the parents indicates a need for further teaching?

A nursing student has been caring for a patient and newborn all morning. After taking the newborn to the nursery for hearing screening, the student is returning the infant to his mother. Which procedure is correct for identifying the newborn?

Which of the following guidelines should the nurse implement to prevent the abduction of a newborn from the hospital?

In providing and teaching cord care, which guidance is most appropriate

Which information should the nurse teach to new parents regarding the use of a bulb syringe?

Most newborns receive a prophylactic injection of vitamin K soon after birth. Which site is optimal for the newborn?

A yellow crust has formed over the circumcision site. The mother calls the hotline at the local hospital 5 days after her son was circumcised. She is very concerned. Which response by the nurse is most appropriate?

The nurse is performing a gestational age assessment on a newborn. Which characteristics indicate a preterm newborn? (Select all that apply.)

Which clinical findings are early signs of hypoglycemia in the newborn? (Select all that apply.)

To differentiate between caput succedaneum and cephalohematoma in a newborn, the nurse would consider the following clinical information. (Select all that apply.)

The nurse is conducting a body system assessment of the newborn. Which are abnormal findings that the nurse should report? (Select all that apply.)

The nurse is assessing a newborn and notes a nevus flammeus birthmark. Which of the following figures depicts this birthmark?

n infant at term was born at 0105 hours. The nurse is developing a plan of care for the newborn. During which time range will the nurse plan on performing the assessment to determine a Ballard score?

The nurse is assessing a newborn delivered 24 hours ago for jaundice. What is the best way to evaluate for this finding?

The mother-baby nurse is providing care to a patient and her newborn 2 hours after delivery. On review of the newborn’s chart, the nurse sees a notation of caput succedaneum. What will the nurse expect to find in the mother’s chart?

The nurse is performing the initial assessment of a newborn and notes retractions, nasal flaring, and tachypnea. The nurse will continue to perform a focused assessment on which system

nspection of a newborn’s head following birth reveals a hard ridged area and significant molding. The anterior and posterior fontanels show no sign of depression. Delivery history indicates that the mother was pushing for over 3 hours and had epidural anesthesia. A vacuum extraction was necessary. Based on this information the nurse would

The nurse is receiving shift report on her mother-baby couplet assignment. Which infant should the nurse evaluate first?

Which assessment finding of a newborn requires prompt action by the nurse?

A new mother states, “My baby is so thin and wrinkled. It looks like he has too much skin.” Which is the most therapeutic response by the nurse in response to the patient’s statement?

The nurse is performing a gestational age assessment on a newborn. Which characteristic indicates the greatest gestational maturity?

Which nursing action is designed to avoid unnecessary heat loss in the newborn?

A new patient asks, “Why are you doing a gestational age assessment on my baby?” The nurse’s best response is

A newborn that is a large-for-gestational-age (LGA) infant is in which percentile(s) for weight?

A maculopapular rash with a red base and a small white papule in the center is commonly known as

Which statement best explains why a newborn with a congenital defect of the penis should not be circumcised?

Infants who develop cephalohematoma are at an increased risk for

Which newborn reflex is elicited by stroking the lateral sole of the infant’s foot from the heel to the ball of the foot?

The hips of a newborn are examined for developmental dysplasia. Which clinical finding indicates an incomplete development of the acetabulum?

Which newborn is at higher risk for developing hypoglycemia? (Select all that apply.

The nurse is teaching the postpartum patient about newborn transitional stools. Which should the nurse include in the teaching session with regard to transitional stools? (Select all that apply.)

In the newborn nursery, you are reviewing the maternal medication list to ascertain if there is any significant risk to the newborn. Which medications would pose a potential risk to the newborn in terms of clotting ability? (Select all that apply.)

A reported hematocrit level for a newborn delivered by vaginal birth is 75%. Based on this lab value, which complication is the newborn least likely to develop?

Which infant is at greater risk to develop cold stress?

During the first few minutes after birth, which physiologic change occurs in the newborn as a response to vascular pressure changes in increased oxygen levels?

An infant at 39 weeks’ gestation was just delivered; included in the protocol for a term infant is an initial blood glucose assessment. The nurse obtains the blood sample and the reading is 58 mg/dL. What is the priority nursing action based upon this reading?

The nurse is planning to conduct the initial assessment of a full-term newborn. Included in the plan is providing a neutral thermal environment. To accomplish this plan, what is the desired environmental temperature to conduct the assessment?

A multiparous patient arrives to the labor unit and urgently states, “The baby is coming RIGHT NOW!” The nurse assists the patient into a comfortable position and delivers the infant. To prevent infant heat loss from conduction, what is the priority nursing action?

Which action by the nurse can result in hyperthermia in the newborn?

A newborn is admitted to the special care nursery with hypothermia. Which complication should the nurse monitor for closely?

The process in which bilirubin is changed from a fat-soluble product to a water-soluble product is known as

Which of the following is the most likely cause of regurgitation when a newborn is fed?

A meconium stool can be differentiated from a transitional stool in the newborn because the meconium stool is

The nurse is preparing to administer a vitamin K injection to the infant shortly after birth. Which statement is important to understand regarding the properties of vitamin K?

Which infant has the lowest risk of developing high levels of bilirubin?

The nurse is explaining the risk of hypothermia in the newborn to a group of nursing students. Which statement best describes the manifestations of hypothermia in the newborn?

The infant’s heat loss immediately at birth is predominantly from

During fetal circulation the pressure is greatest in the

5. The nurse is explaining how a newly delivered baby initiates respirations. Which statement explains this process most accurately?

How can nurses prevent evaporative heat loss in the newborn?

Which method of heat loss may occur if a newborn is placed on a cold scale or touched with cold hands?

Which of the following organs are nonfunctional during fetal life?

A nursing student is helping the mother-baby nurse with morning vital signs. A baby born 10 hours ago via cesarean birth is found to have moist lung sounds. Which is the best interpretation of this information?

___is the abnormal accumulation of blood outside of the vascular space in the lungs?

The nurse answers the call light for a patient on the L&D floor. The patient, in active labor, states “something is wrong, I feel really anxious” and then loses consciousness. The nurse assesses and finds the patient has no pulse. Which action should the nurse take next?

The clinic nurse is getting the maternal patient ready to see the provider for her urgent care visit related to increased fatigue and vomiting. The nurse notices that the patient has a fruity odor to her breath. Which action should the nurse take next?

____is a rare event during delivery where the maternal patent experiences a profound inflammatory response to amniotic fluid entering the circulatory system.

The nurse reviewing is reviewing the lab results for a pregnant patient who presented with signs and symptoms of sepsis. The nurse notes that the lactate level is 3 mmol/L. What can the nurse conclude from this finding?

The nurse is preparing to administer antibiotics to the maternal patient with suspected sepsis. The nurse is aware that the antibiotic dose should be given when?

The nurse is aware that which diagnosis places the maternal patient at higher risk for sepsis?

Which of the following is NOT a cause of disseminated intravascular coagulation (DIC)?

An obstetric patient has presented to the clinic with a heart rate of 140, blood pressure of 90/56, and labored respiratory rate of 20. The patient is pale and reports frequent vomiting and has not been able to keep anything down for over 24 hours. The nurse recognizes that the patient is presenting signs of

Magnesium sulfate for fetal neuroprotection is an option for patients at high risk for delivery between____weeks gestation, if a contraindication does not exist.

Betamethasone for fetal lung maturity is recommended between____weeks gestation.

Critical care of the obstetric patient in the Intensive Care Unit is complicated by

The nurse is preparing a patient for a nonstress test (NST). Which interventions should the nurse plan to implement? (Select all that apply.)

The nurse is instructing a patient on how to perform kick counts. Which information should the nurse include in the teaching session? (Select all that apply.)

A woman who is 36 weeks pregnant asks the nurse to explain the vibroacoustic stimulator (VAS) test. Which should the nurse include in the response? (Select all that apply.)

Transvaginal ultrasonography is often performed during the first trimester. A 6-week-gestation patient expresses concerns over the necessity for this test. The nurse should explain that this diagnostic test may be necessary to determine which of the following? (Select all that apply.)

Which clinical conditions are associated with increased levels of alpha fetoprotein (AFP)? (Select all that apply.)

A patient at 36 weeks gestation is undergoing a nonstress (NST) test. The nurse observes the fetal heart rate baseline at 135 beats per minute (bpm) and four nonepisodic patterns of the fetal heart rate reaching 160 bpm for periods of 20 to 25 seconds each. How will the nurse record these findings?

The nurse is reviewing the procedure for alpha-fetoprotein (AFP) screening with a patient at 16 weeks’ gestation. The nurse determines that the patient understands the teaching when she states that will be collected for the initial screening process?

A newly pregnant patient tells the nurse that she has irregular periods and is unsure of when she got pregnant. Scheduling an ultrasound is a standing prescription for the patient’s health care provider. When is the best time for the nurse to schedule the patient’s ultrasound?

Which complication could occur as a result of percutaneous umbilical blood sampling (PUBS)?

For which patient would an L/S ratio of 2:1 potentially be considered abnormal?

A pregnant woman is scheduled to undergo chorionic villus sampling (CVS) based on genetic family history. Which medication does the nurse anticipate will be administered

A pregnant patient has received the results of her triple-screen testing and it is positive. She provides you with a copy of the test results that she obtained from the lab. What would the nurse anticipate as being implemented in the patient’s plan of care?

The results of a contraction stress test (CST) are positive. Which intervention is necessary based on this test result?

In preparing a pregnant patient for a nonstress test (NST), which of the following should be included in the plan of care?

A biophysical profile is performed on a pregnant patient. The following assessments are noted: nonreactive stress test (NST), three episodes of fetal breathing movements (FBMs), limited gross movements, opening and closing of hang indicating the presence of fetal tone, and adequate amniotic fluid index (AFI) meeting criteria. Which answer would be the correct interpretation of this test result?

13. What is the purpose of initiating contractions in a contraction stress test (CST)?

What is the term for a nonstress test in which there are two or more fetal heart rate accelerations of 15 or more beats per minute (BPM) with fetal movement in a 20-minute period?

What does optimal nursing care after an amniocentesis include?

What is the purpose of amniocentesis for a patient hospitalized at 34 weeks of gestation with pregnancy-induced hypertension?

Which factors should be considered a contraindication for transcervical chorionic villus sampling?

The nurse’s role in diagnostic testing is to provide which of the following?

Which aspect of fetal diagnostic testing is most important to expectant parents?

When is the earliest interval that chorionic villus sampling (CVS) can be performed during pregnancy?

The primary reason for evaluating alpha-fetoprotein (AFP) levels in maternal serum is to determine whether the fetus has which condition?

What point in the pregnancy is the most accurate time to determine gestational age through ultrasound?

The clinic nurse is obtaining a health history on a newly pregnant patient. Which is an indication for fetal diagnostic procedures if present in the health history?

Which analysis of maternal serum is the best predictor of chromosomal abnormalities in the fetus?

A pregnant patient’s biophysical profile score is 8. The patient asks the nurse to explain the results. What is the nurse’s most appropriate response?