Docsity
Log inSign up
Docsity
Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity

Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan

Guidelines and tips
Guidelines and tips
Sell on Docsity
Sell on Docsity
Log inSign up

Prepare for your exams

Study with the several resources on Docsity

Find documents

Prepare for your exams with the study notes shared by other students like you on Docsity

Search Store documents

The best documents sold by students who completed their studies

Search through all study resources
Docsity AINEW

Summarize your documents, ask them questions, convert them into quizzes and concept maps

Explore questions

Clear up your doubts by reading the answers to questions asked by your fellow students

Earn points to download

Earn points by helping other students or get them with a premium plan

Share documents
download point icon20 Points

For each uploaded document

Answer questions
download point icon5 Points

For each given answer (max 1 per day)

All the ways to get free points
Get points immediately

Choose a premium plan with all the points you need

Study Opportunities

Choose your next study program

Get in touch with the best universities in the world. Search through thousands of universities and official partners

Community

Ask the community

Ask the community for help and clear up your study doubts

University Rankings

Discover the best universities in your country according to Docsity users

Free resources

Our save-the-student-ebooks!

Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors

From our blog

Exams and Study
Go to the blog

Obstetric Nursing Final Exam: Multiple Choice Questions and Answers, Exams of Nursing

Ivy Tech Community College - Central IndianaNursing

The NCLEX exam assesses nursing graduates' readiness for entry-level practice. It covers medical-surgical, pediatric, maternity, psychiatric-mental health nursing, pharmacology, and nursing management. The exam utilizes computerized adaptive testing and includes multiple-choice questions and alternate formats. Preparation involves various study resources like review books, practice exams, and courses. Passing the NCLEX demonstrates competency for safe patient care across diverse healthcare settings.

Typology: Exams

2023/2024

Available from 04/01/2024

star_score_grades
star_score_grades 🇺🇸

3.6

(19)

1.7K documents

1 / 9

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
NURSING*RADTECH*DENTISTRY*CRIMINOLOGY*MIDWIFERY
*MEDTECH
LET*PSYCHOMET*RESPIRATORY
THERAPY*CIVIL SERVICE*NAPOLCOM
NCLEX*DHA*HAAD* PROMETRIC* UK-CBT
1
TOPRANK REVIEW ACADEMY- NURSING
MODULE
OBSTETRIC
NURSING FINAL
EXAM
Prof. John Anthony Octubre
1. The nurse is assessing the fundal height of a client at 26 weeks’ gestation. The nurse should expect the
fundus to be:
A. Level with the umbilicus.
B. Halfway between the symphysis and umbilicus.
C. Slightly below ensiform cartilage.
D. At 26 cm.
2. What statement by a woman who is 28 weeks pregnant would indicate that she understands the
pattern of normal prenatal visits?
A. “My next visit will be in 1 month.”
B. “I will be back at 34 weeks for my next visit.”
C. “I need to come for prenatal check-ups every week.”
D. “My next visit will be in 2 weeks.”
3. A nurse is planning to teach a 14-year-old pregnant adolescent at 38 weeks’ gestation. Which topic
would be most helpful at this time in the pregnancy?
A. Nutrition for the third trimester
B. Signs of true labor
C. Abdominal exercises for postpartum
D. Infant bathing
4. The nurse is assessing the weight of a client who is having a normal pregnancy. The nurse would expect
the client to have gained pounds by 20 weeks’ gestation.
A. 8.5 – 10 lbs.
B. 10.5 – 12 lbs.
C. 12.5 – 15 lbs.
D.
15 – 17 lbs.
5. Another client at 30 weeks’ gestation is admitted to the birthing unit with vaginal bleeding. What is the
first action the nurse should take?
A. Administer oxygen.
B. Prepare equipment for examination.
C. Assess family coping skills.
D. Take vital signs.
6. A nurse is assessing a client with rupture of membranes. A pelvic exam reveals the cervix to be 4 cm
dilated, and the presenting part is ballottable. Based on this data, the client is most at risk for:
A. Placenta previa.
B. Amniotic infection.
C. Abruptio placentae.
D. Prolapsed cord.
7. Information gained using Leopold’s maneuver reveals that the fetus is in a cephalic position. Where
should the nurse place the Doppler to hear the fetal heart tones?
A. The lower quadrant of the maternal abdomen
B. The level of the maternal umbilicus
C. The upper quadrant of the maternal abdomen
D. Above the apex of the fetal heart
pf3
pf4
pf5
pf8
pf9

Partial preview of the text

Download Obstetric Nursing Final Exam: Multiple Choice Questions and Answers and more Exams Nursing in PDF only on Docsity!

MEDTECH LETPSYCHOMETRESPIRATORY THERAPYCIVIL SERVICENAPOLCOM NCLEXDHAHAAD PROMETRIC* UK-CBT**

1 TOPRANK REVIEW ACADEMY- NURSING

OBSTETRIC

NURSING FINAL

EXAM

Prof. John Anthony Octubre

  1. The nurse is assessing the fundal height of a client at 26 weeks’ gestation. The nurse should expect the fundus to be: A. Level with the umbilicus. B. Halfway between the symphysis and umbilicus. C. Slightly below ensiform cartilage. D. At 26 cm.
  2. What statement by a woman who is 28 weeks pregnant would indicate that she understands the pattern of normal prenatal visits? A. “My next visit will be in 1 month.” B. “I will be back at 34 weeks for my next visit.” C. “I need to come for prenatal check-ups every week.” D. “My next visit will be in 2 weeks.”
  3. A nurse is planning to teach a 14-year-old pregnant adolescent at 38 weeks’ gestation. Which topic would be most helpful at this time in the pregnancy? A. Nutrition for the third trimester B. Signs of true labor C. Abdominal exercises for postpartum D. Infant bathing
  4. The nurse is assessing the weight of a client who is having a normal pregnancy. The nurse would expect the client to have gained pounds by 20 weeks’ gestation. A. 8.5 – 10 lbs. B. 10.5 – 12 lbs. C. 12.5 – 15 lbs. D. 15 – 17 lbs.
  5. Another client at 30 weeks’ gestation is admitted to the birthing unit with vaginal bleeding. What is the first action the nurse should take? A. Administer oxygen. B. Prepare equipment for examination. C. Assess family coping skills. D. Take vital signs.
  6. A nurse is assessing a client with rupture of membranes. A pelvic exam reveals the cervix to be 4 cm dilated, and the presenting part is ballottable. Based on this data, the client is most at risk for: A. Placenta previa. B. Amniotic infection. C. Abruptio placentae. D. Prolapsed cord.
  7. Information gained using Leopold’s maneuver reveals that the fetus is in a cephalic position. Where should the nurse place the Doppler to hear the fetal heart tones? A. The lower quadrant of the maternal abdomen B. The level of the maternal umbilicus C. The upper quadrant of the maternal abdomen D. Above the apex of the fetal heart

MEDTECH LETPSYCHOMETRESPIRATORY THERAPYCIVIL SERVICENAPOLCOM NCLEXDHAHAAD PROMETRIC* UK-CBT**

2 TOPRANK REVIEW ACADEMY- NURSING

  1. A male infant was born 60 seconds ago. Now his heart rate is 132 bpm; he gives several vigorous cries; he has strong flexion at his hips and elbows, with his knees elevated off the mattress; and his coloring shows acrocyanosis. A. 9 C. 5 B. 7 D. 3
  2. Three hours postpartum, a primiparous client’s fundus is firm and midline. On perineal inspection, the nurse observes a small, constant trickle of blood. Which of the following conditions should the nurse suspect? A. retained placental tissue C. bladder distention B. uterine inversion D. perineal lacerations
  3. While making a home visit to a postpartum client on day 11, the nurse would anticipate that the client’s lochia would be which of the following colors? A. dark red C. brown B. pink D. white
  4. During a home visit on the fourth postpartum day, a primiparous client tells the nurse that she has been experiencing breast engorgement. To relieve engorgement, the nurse teaches the client that before nursing her baby; the client should do which of the following? A. apply an ice cube to the nipples B. rub her nipples gently with lanolin cream C. express a small amount of breast milk D. offer the neonate a small amount of formula
  5. A nurse is assessing the lochia in a 24-hour-postpartum client, and expresses blood clots with fundal massage. The client’s fundus is firm but elevated, and deviated to the right. What would be the most appropriate nursing action? A. Assess the activity pattern. B. Change the perineal pad. C. Assess the voiding pattern. D. Administer analgesics.
  6. The clitoris is the seat of sexual excitement in the female. Its significance is valuable for obstetrics is that it: A. guides catheterization. B. serves as the sexual organ of stimulation. C. guides internal examination. D. protects vestibular parts.
  7. The pregnant mothers ask about external organs of reproduction and are collectively called: A. Vulva B. Perineum C. Vagina D. External organs
  8. The mothers are excited to know the onset of labor and delivery. In which the exact cause of labor is unknown. However, some of the theories were explain to them which include:
    1. decreased estrogen level
    2. uterine stretch
    3. increased progesterone level
    4. oxytocin theory A. 1, 2 and 4 B. 1, 3 and 4 C. 2 and 4 D. 2, 3 and 4

MEDTECH LETPSYCHOMETRESPIRATORY THERAPYCIVIL SERVICENAPOLCOM NCLEXDHAHAAD PROMETRIC* UK-CBT**

4 TOPRANK REVIEW ACADEMY- NURSING

  1. A G2P1 woman in labor (parturient) asked if she can still walk around in the labor room-DR-nursery area. Which of the following is the most important criterion to consider before allowing her to ambulate? A. station B. status of the bag of waters C. permission by the physician D. cervical effacement
  2. Katerina is to receive Ergonovine maleate (Methergine) by mouth during the first to third postpartum days. Before administering Methergine, it is most important to check her: A. lochia B. deep tendon reflexes C. blood pressure D. uterine tone
  3. Jo a post partum mother wants to breast feed her baby. As part of your nursing care to prevent sore nipple soreness during breastfeeding, you would determine that the client needs further instruction when she states which of the following? A. “I should position the baby the same way for each feeding.” B. “I should make sure the baby grasps the entire areola and nipple.” C. “I should air dry my breast and nipples for 10-15 minutes after the feeding.” D. “I shouldn’t use a hand breast pump if my nipples get sore.”
  4. A G3 P4 client who is breastfeeding complains of severe cramps or after pains 30 hours after cesarean delivery. The nurse explains that these are caused by which of the following? A. flatulence accumulation after a cesarean delivery B. healing of the abdominal incision after cesarean delivery C. side effects of the medications administered after delivery D. release of oxytocin during the breastfeeding session
  5. Primigravida Nora is seen crying in the postpartum ward. As a MCN nurse what would be your priority assessment for a postpartum mother experiencing depression? A. comfort measures to foster feelings of general well-being B. privacy and reassurance that crying is therapeutic and normal C. to see and make tactile contact with her baby D. to talk about her labor experience Situation: As a MCN nurse in the community it is expected that you will conduct a post-partum visit after delivery. The following findings were noted during the visit: her left calf is swollen, warm to touch, reddened and painful. Temperature is 37.9C.
  6. You would advise her for immediate check and instructed her not to: A. decrease leg movement B. apply warmth to the leg C. elevate the leg D. gently massage the painful area of the leg
  7. Mrs. Fe G2, P2, just undergone post Cesarean Section and is diagnosed with Thrombophlebitis. The Physician started treatment on her condition. The client’s response to treatment will be evaluated regularly assessing the client for: A. dysuria, frequency, urgency B. red, swollen, painful calf C. hematuria, ecchymosis, and epistaxis D. sudden chest pains and dyspnea

MEDTECH LETPSYCHOMETRESPIRATORY THERAPYCIVIL SERVICENAPOLCOM NCLEXDHAHAAD PROMETRIC* UK-CBT**

5 TOPRANK REVIEW ACADEMY- NURSING

  1. While an Obstetric nurse is assessing the mother’s perineum on her third postpartum day after having a vaginal delivery. She notes a large ecchymotic area located to the left of the mother’s perineum. Which one of the following interventions should the OB nurse initiates at this time? A. Have the client expose the area to air B. Apply ice to the perineum C. Encourage the client to take warm sitz baths. D. Inform the physician STAT
  2. In the immediate care of the newborn, which nursing action is implemented first to ensure newborn safety? A. Identify a newborn using a foot tag identical with that of the mother B. Clear the mouth and the nose of mucus C. Inject vitamin K to prevent bleeding D. Dry the baby
  3. Nurse Josie is evaluating a return demonstration on a client performing breast self-examination. Which of the following techniques require further teaching from the Registered Nurse? A. Client compresses the nipple with the thumb and finger. B. Client uses palm of hand to palpate breast tissue. C. Client palpates tissue from the axilla to the sternum. D. Client inspects breast by lifting arms over her head
  4. The nurse has requested the client to return tomorrow for an ultrasound. Which of the following instructions is most appropriate prior to the ultrasound? A. Do not eat prior to the ultrasound. C. Drink 1 quart of water 2 hours before the ultrasound. B. Empty your bladder right before the ultrasound. D. Do not drink fluids prior to the ultrasound.
  5. Nurse Sarah is trying to determine the estimated date of delivery for a client whose last menstrual period began on May 6 and ended on May 11. The estimated date of delivery using Naegele’s rule is which of the following dates in February? A. 6 C. 13 B. 11 D. 18
  6. A pregnant client states she had a boy at 40 weeks’ gestation and a girl at 38 weeks’ gestation. Nurse Sarah documents this as: A. G3P2/T2A0 C. G2P1/T1A B. G2P2/T2A0 D. G3P1/T1A
  7. A client arrives in the birthing room with the fetal head crowning. The nurse recognizes that birth is imminent and tells the client to: a. push with all her power b. Use pant blowing c. Assume trendelenburg position d. Hold her breath and turn to left side
  8. A 17 year old client tells the nurse that her sister had an ectopic pregnancy about three months ago and had to have her tube removed. The nurse knows that this young woman needs further explanation when she states: a. I guess I’ll have to wait awhile to become aunt b. This kind of thing can happen to my sister again c. This kind of thing can happen after pelvic infection d. My sister is lucky because she’ll never have a period again

MEDTECH LETPSYCHOMETRESPIRATORY THERAPYCIVIL SERVICENAPOLCOM NCLEXDHAHAAD PROMETRIC* UK-CBT**

7 TOPRANK REVIEW ACADEMY- NURSING

  1. A nurse performing an assessment of the client who is scheduled for a cesarean section. Which assessment finding would indicate a need to contact doctor immediately a. hemoglobin 11g/l b. FHT of 180bpm c. maternal pulse of 85bpm d. WBC of 12,000/mm
  2. The nurse determine that the client is beginning the second stage of labor when which of the following assessment is noted. a. contractions are regular b. membranes are ruptured c. cervix is dilated completely d. the client begins to expel clear vaginal fluid
  3. The nurse is checking a laboring client,her assessment reveals the head at +3 station.What will the nurse do? a. prepare for delivery of baby b. administer oxygen c. determine if contraction is increasing d. determine FHT
  4. When discovering prolapse cord,the nurse anticipates that the client’s delivery is: a. CS b. induced with oxytocin c. vaginal birth with forcep d. postponed as possible
  5. The post partum mother ask the nurse about when should coitus can be resumed. a.48 hours b.2 weeks c.1 week d.6 weeks

MEDTECH LETPSYCHOMETRESPIRATORY THERAPYCIVIL SERVICENAPOLCOM NCLEXDHAHAAD PROMETRIC* UK-CBT**

8 TOPRANK REVIEW ACADEMY- NURSING

  1. D. At 26 cm.

OBSTETRIC

NURSING ANSWER

KEY

Prof. John Anthony Octubre

  1. D. release of oxytocin during the breastfeeding session
  2. A. “My next visit will be in 1 month.”
  3. B. Signs of true labor
  4. B. 10.5 – 12 lbs.
  5. D. Take vital signs.
  6. D. Prolapsed cord.
  7. A. The lower quadrant of the maternal abdomen
  8. A. 9
  9. D. perineal lacerations
  10. D. white
  11. C.express a small amount of breast milk
  12. C.Assess the voiding pattern.
  13. A. guides catheterization.
  14. A. Vulva
  15. C. 2 and 4
  16. A. 1 and 2
  17. D. The membranes have ruptured
  18. D. beginning of one contraction to the beginning of the next contraction
  19. B. Continuous contraction of 2 minutes duration
  20. D. Have the client empty her bladder before beginning the exam
  21. B. The fetus is in breech presentation
  22. B. signs and symptoms of increasing discomfort
  23. A. station
  24. C. blood pressure
  25. A. “I should position the baby the same way for each feeding.”