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Obstetrics Exam
Total Questions : 68
Showing 10 questions, Sign in for moreA woman who is 37 weeks gestation is diagnosed with pre-eclampsia. She asks the nurse why she is getting Magnesium Sulfate. What is the best response?
A newborn is diagnosed with jaundice at 48 hours when the nurse is doing the discharge teaching. The newborn is treated with a biliblanket and frequent feedings. What type of jaundice did the newborn probably have?
When caring for a laboring mother, late decelerations are noted on the fetal heart rate monitor. What actions should the nurse take? (Select all that apply
A nurse is caring for a child who has epiglottitis due to an infection with Haemophilus influenzae type B. Which of the following actions should the nurse take? Select all that apply.
This is a category _______ (answer numerically i.e 1, 2, 3, 4 etc.).
Explanation
The fetal heart rate is within normal ranges between 110 to 160 beats/minute. It also shows moderate variability with the amplitude ranging between 6 to 25 bmp. Both late and variable decelerations are absent. Therefore, based on the above findings this is a category 1 tracing.
A patient had a vaginal birth 4 hours ago. Her hematocrit of 35% on admission for labor. Her current hematocrit is 25% which of the following statements by the nurse might best explain that
Place the cursor at where step #3 of Leopold's maneuver is performed.
Explanation
A. A blood pressure of 94/60 is low but not typically a contraindication for Terbutaline administration.
BP 142/88 mmHg
HR 102 bpm
RR 20/min
Temp 98.6 ((0)
Sp02 98% on RA
Client admitted for moderate amount of bright red vaginal bleeding, and abdominal pain rated as a 2 on a 0 to 10 scale. Abdomen soft and nontender to palpation. FHR is 124/min with moderate variability, no decelerations. Denies cramping and no UC's noted on the EFM. Client reports pregnancy has been eventful with three episodes of light vaginal bleeding.
WBC: 7,000/mm3 (5000 to 10,000/mm)
Hgb: 12 mg/dL (12 to 18 g/dL)
Hct: 35% (37% to 52%)
Platelets: 160,000/mm3 (150,000 to 400,000/mm)
Blood type: O
Rh: Negative
Fetal Hemoglobin Testing (Kleihauer-Betke): Negative
A nurse on an antepartum unit has been caring for a client who is G2 P1 at 34 weeks gestation who has been admitted for vaginal bleeding.
Which action is contraindicated
Explanation
Performing a vaginal examination is contraindicated in cases of unexplained vaginal bleeding, especially if placenta previa is suspected. It could disrupt the placenta, leading to severe hemorrhage.
Since the client is Rh-negative and there is a risk of fetal-maternal hemorrhage, administering RhoGAM is necessary to prevent Rh sensitization, which could affect future pregnancies.
While prenatal counseling is generally beneficial, it is non-essential in the acute management of vaginal bleeding and doesn't directly address the immediate clinical issue.
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