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Indiana University OB-Maternal exam 3

Total Questions : 45

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Question 1:

A client in her first trimester of pregnancy is scheduled for an ultrasound.
Which of the following would not be a reason for an ultrasound at this stage?

Answer and Explanation

A
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Question 2:

A pregnant client, who is 35 weeks along, comes in for weekly fetal heart monitoring.

After 20 minutes on the monitor, the fetal heart rate tracing shows three accelerations measuring 15 beats by 15 seconds.

How should the nurse report this finding to the provider?

Answer and Explanation

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Question 3:

A pregnant client is undergoing a nipple-stimulated contraction stress test (CST). She is experiencing contractions every three minutes.

The fetal heart rate (FHR) baseline is approximately 120 beats/min with no decelerations.

How should the nurse document this test?

Answer and Explanation

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Question 4:

A couple is struggling with infertility and wants to know how to maintain their emotional balance.
Which response from the nurse would be most appropriate?

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Question 5:

A 24-year-old woman arrives at the clinic to confirm her pregnancy.
She has a body mass index (BMI) of 17, admits to occasional cocaine use and alcohol consumption, and has a blood pressure of 108/70 mm Hg. Her family history includes diabetes mellitus and cancer, including a sister who recently gave birth to an infant with a neural tube defect (NTD). Which factors place her in a high-risk category?

Answer and Explanation

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Question 6:

During the oliguric phase of acute renal failure, which of the following occurs?

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Question 7:

A client, who is 39 weeks pregnant, has been admitted to the hospital for induction.
The doctor has prescribed misoprostol (Cytotec). Which statement by the client indicates a need for further education?

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Question 8:

A pregnant client is undergoing a quad screen test and inquires about the possible results.
Which of the following responses is most appropriate?

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Question 9:

A pregnant client is at the prenatal clinic for a fetal nuchal translucency test.
What does the nurse understand about this test?

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Question 10:

In addition to oxytocin (Pitocin) administration, what other methods can induce labor?

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Question 11:

A pregnant client is at the prenatal clinic for a fetal nuchal translucency test.
What does the nurse understand about this test?

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Question 12:

In addition to oxytocin (Pitocin) administration, what other methods can induce labor?

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Question 13:

In the diuretic phase of renal failure, which of the following happens?

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Question 14:

A pregnant patient has a biophysical profile score of 8. What does this result mean?

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Question 15:

A 37-year-old patient visits her OBGYN office for a routine check-up. She mentions that she and her partner are trying to conceive.

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Question 16:

A 40-year-old pregnant patient, currently hospitalized for preterm labor at 34 weeks’ gestation, is discussing potential delivery options with her provider based on the results of a fetal lung maturity test.

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Question 17:

The emergency department nurse notes that a patient with chronic kidney failure has a potassium level of 6.5 mEq/L. Which medications would the nurse expect to administer? Select all that apply.

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Question 18:

A couple has been diagnosed with infertility after trying to conceive for a year.

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Question 19:

A pregnant woman is getting ready for a chorionic villus sampling procedure at 10 weeks.

The nurse has been educating her about the procedure.

Which of the following statements, if made by the client, would indicate that the teaching has been effective?

Answer and Explanation

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Question 20:

What do nurses understand about the induction of labor?

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Question 21:

A pregnant woman comes in for her weekly fetal heart monitoring.

She is 35 weeks’ gestation.

After 20 minutes on the monitor, the fetal heart rate tracing shows 3 accelerations measuring 15 beats by 15 seconds.

How should the nurse report this finding to the provider?

Answer and Explanation

A
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Question 22:

The nurse is examining a female patient in an OB clinic who complains of severe pain during menstruation and intercourse.

The nurse suspects endometriosis.

Which of the following is true?

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Question 23:

Which of the following practices reflect safe administration of oxytocin (Pitocin)?

Answer and Explanation

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Question 24:

A nurse is caring for a patient in labor who is receiving oxytocin (Pitocin) by IV infusion to stimulate uterine contractions.
Which assessment finding would indicate to the nurse that the infusion needs to be discontinued?

Answer and Explanation

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Question 25:

The nurse is teaching a pregnant client about fetal kick counts.
Which statement made by the client indicates a need for further instruction?

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