QUIZ 2: practice for you and your people PDF

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try these questions to help prep for ob maternal and newborn. Helps for proctored, final, and quizzes. This includes various questions and topics...

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Q2 1. A nurse is performing a vaginal examination of a client who is in active labor, with the fetus in a longitudinal lie. When the nurse determines that the fetal head is at station 0 it means that a. The lowermost portion of the head is at the level of the ischial spine 2. A woman you are caring for in labor requests an epidural for pain relief in labor. Included in your preparation for epidural placement is a baseline set of vital signs. The most common vital sign to change after epidural placement: a. Blood pressure, hypotension 3. The labor and delivery nurse is assigned to four clients in early labor. Which of the following electronic fetal monitoring findings would require prompt intervention? a. Late deceleration with minimal variability 4. The primigravida in labor asks the nurse to explain the electronic fetal heart rate monitor strip. The fetal heart rate baseline is 150 with accelerations to 165, variable decelerations, and moderate variability. Which statement indicates that the client understands the nurse's teaching? "The best indication that my baby is getting enough oxygen is the: a. Presence of moderate variability 5. The nurse has detected recurrent variable decelerations in the fetal heart rate. Which priority intervention should the nurse perform first to alleviate the decelerations? a. Reposition the PT 6. A registered nurse is caring for an antepartum client who is scheduled for an alphafetoprotein (AFP) blood test at 15 weeks of gestation. The nurse should understand that this test screens for the possibility of a. Spinal defects, twins, or increased risk of Trisomy 21 in the fetus 7. A nurse in a prenatal clinic is caring for a client who is at 39 weeks of gestation and who asks about the signs that precede the onset of labor. Which of the following should the nurse identify as a sign that precedes labor? a. A surge of energy 8. The nurse knows that an FHR monitor printout indicates a Category III abnormal fetal heart rate pattern when: a. Baseline variability is absent with recurrent variable decelerations 9. You continue to monitor your 40 weeks pregnant patient who was 7 cm dilated one hour ago. You notice that the patient becomes irritable when you ask her about how she feels. She appears very uncomfortable, starts yelling at her husband, and sends all her visitors out of the room. Based on her behavior, the nurse predicts that the woman has progressed to which phase of labor? a. Transition Phase 10. A 16-week pregnant client is being recommended for amniocentesis. What is most likely the indication for performing this test? a. To identify the presence of a genetic disorder in the fetus 11. A nurse is caring for a client during a nonstress test (NST). At the end of a 40-min period of observation, the nurse notes the following findings: the fetal heart rate baseline is 120

beats per minute with moderate variability and no accelerations. Which of the following interpretations of these findings should the nurse make? a. A nonreactive test 12. A 37-week, G2P1 client obtains a total of 2/10 on the BioPhysical Profile (BPP) screening. This result indicates a. The need for prompt delivery of the fetus 13. You are precepting a new-grad nurse in the antepartum unit. You overheard a patient asking her how to perform “kick counts”. Which instruction statement, given by the newgrad nurse, would require you to intervene? a. “Do not worry; it is an easy procedure to do if your baby isn't moving. Here is an information sheet on how to do kick counts.” 14. The woman who is 10 weeks pregnant agreed to have chorionic villi sampling to detect genetic disorder on her baby. After receiving explanation from the doctor, the woman understands that the procedure will involve a. Collection of sample from the placenta 15. Early decelerations are caused by: a. Momentary increase in intracranial pressure due to head compression 16. The multigravida mother with a history of rapid labor is now in active labor and calls out to the nurse, “The baby is coming!” Which of the following would be the nurse’s first action? a. Visually check for CROWNING and then perform sterile vaginal exam 17. A nurse in a prenatal clinic is caring for a woman at 39 weeks gestation who asks about the signs that indicate true labor. Which of the following is an appropriate response by the nurse? a. Progressive cervical dilation 18. A nurse is caring for a client during a nonstress test (NST). At the end of a 40-min period of observation, the nurse notes the following findings: The fetal truecateg9heart rate baseline is 120 beats per minute with moderate variability and no accelerations. Which of the following interpretations of these findings should the nurse make? a. A nonreactive test 19. leopold maneuvers is an obstetrics assessment that can provide vitathe perinatal team the following information(SATA) a. Fetal lie b. Fetal position c. Fetal back d. NOT AMNIOTIC MEMBRANE e. NOT FETAL WELL-BEING 20. A nurse is caring for a patient who is receiving opioid epidural analgesia during labor. Which of the following findings is the nurse's priority? a. Blood pressure 80/56 mm Hg 21. For patient in active labor, the nurse-midwife plans to use an internal electronic fetal monitoring (EFM) device. What must occur before the internal EFM can be applied? a. The membrane must rupture

22. a pregnant client who is g2 p1 at 36 weeks presents to l&D stating her panties were wet this morning a. Amnisure or Fern Test 23. A nurse on the labor and delivery unit is caring for a client who is having a difficult, prolonged labor with severe backache. Which of the following contributing causes should the nurse identify? a. Fetal position is persistent occiput posterior. 24. A nurse in a prenatal clinic is caring for a woman at 39 weeks gestation who asks about the signs that indicate true labor a. Cervical dilation 25. As an antepartum nurse, your role during antepartal screenings and diagnostic procedures include all of the following except a. Interpret the results 26. STRIP PICTURE: the question asks, “What type of variability is this?” a. Answer was “minimal” 27. BPP a. Amniotic fluid index (AFI) b. Tone c. Breathing d. Movement e. Nonstress test f. NOT FETAL GROWTH 28. STRIP PICTURE showing variable decelerations. Question asks what is the nursing interventions? a. Reposition the patient 29. What would you see during latent phase? a. Woman able to talk with excitement through contractions 30. Contractions get farther apart and she feels contractions feel better when she walks. What type of labor is this? a. False labor 31. Uterine activity is which one of the P’s? a. Powers 32. A patient was prescribed RhoGAM following amniocentesis. What would the nurse include in the purpose of this? a. prevent antibodies of R+ antigens 33. Umbilic artery doppler at 30 weeks prescribed. What finding would warrant this? a. fundal height of 24cm 34. Fetal Heart tracing was performed after patient when to L&D triage after decreased movement. There was no acceleration after VAS. What procedure would the nurse anticipate performing? a. BPP (biophysical profile) 35. A BPP indicates fetal wellbeing with a score of a. 10

36. A nurse in a prenatal clinic is instructing a client about amniocentesis, which is scheduled at 15 weeks of GA. Which of the following should be included in the teaching? a. this test requires the presence of amniotic fluid 37. A patient is having FHR tracing performed. baseline of 145BPM. There is one acceleration at 3rd minute mark and no acceleration in 10 minutes. What would be an appropriate action by the nurse? (Edit to add would say there’s no acceleration at all on updated version if it shows up on final; SHE NOTED WILL BE ON FINAL) a. perform VAS 38. What component of FHR tracing would reassure the absence of fetal acidemia? a. moderate variability 39. A nurse is creating a teaching plan for a patient who is at 8 weeks gestation. She should include that movements start a. between 16-20 weeks 40. An AFI of 28.2 would be consistent with which diagnosis? a. polyhydramnios 41. A patient is receiving a prescription of RhoGAM following am amniocentesis. The nurse provides information of the purpose of RhoGAM. The nurse knows that the patient understands the purpose when she states it is to avoid her baby from developing a. Rh incompatibility 42. A patient is receiving AFP. The nurse explains AFP screens the possibility of a. neural tube deficit 43. A nurse is FHR is 175 PBM. What is a likely factor? a. maternal infection/fever 44. What is the correct fetal heart rate acceleration? a. increase in 15PBM for 15 seconds 45. A PUBS is prescribed for a high-risk client. What statement is correct? a. can be used to perform fetal blood transfusions in utero 46. A patient receives IV pain while in active labor. What may the nurse expect to see? a. decrease in variability 47. What’s visualized on ultrasound for nuchal translucency and what may this indicate? a. a collection of fluid in fetus neck for Down Syndrome 48. What is NOT a reason to perform 1st trimester ultrasound a. fetal gender 49. A nurse is reviewing the chart of a 32 year old G3P0,O,2 34 weeks’ gestation. FHR 150, Fundal height 31cm, AFI = 4.3cm is consistent with what diagnosis a. oligohydramnios 50. A complication after amniocentesis is performed is all BUT a. maternal or fetal infection b. rupture or leakage of amniotic fluid c. fetal development of abdominal umbilical artery doppler flow study d. uterine contractions 51. A daily fetal movement kick count is performed to a. Identify potential hypoxic fetuses...