OB Exam #2 Practice Questions and Answers (100% Pass)
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Course
OB
Institution
OB
OB Exam #2 Practice Questions and
Answers (100% Pass)
The is assisting a patient who just delivered a healthy baby boy weighing 7
pounds. Upon cord traction of placenta, she notices a sudden gushing of a
large amount of blood and the fundus is no longer palpable in the
abdomen. What are useful...
OB Exam #2 Practice Questions and
Answers (100% Pass)
The is assisting a patient who just delivered a healthy baby boy weighing 7
pounds. Upon cord traction of placenta, she notices a sudden gushing of a
large amount of blood and the fundus is no longer palpable in the
abdomen. What are useful nursing interventions if uterine inversion is
suspected?
1. Administering oxytocic
2. Assess vital signs
3. Discontinue uterotonic drugs
4. Do not attempt to remove the placenta
5. Establish IV access and fluids - Answer✔️✔️-2. Assess vital signs
3. Discontinue uterotonic drugs
4. Do not attempt to remove the placenta
5. Establish IV access and fluids
Rationale: Never attempt to remove the placenta if it is still attached,
because this will only create a larger surface area for bleeding. When an
inversion occurs a large amount of blood suddenly gushes from the vagina.
The fundus is not palpable in the abdomen. If the loss of blood continues
unchecked, the woman will immediately show signs of blood loss. Uterine
inversion may occur after the birth if traction is applied to the umbilical
cord too soon or if the pressure is applied to the uterine fundus when the
uterus is not contracted. Administering an oxytocic drug only compounds
the inversion. Uterotonic drugs should be discontinued to allow uterine
relaxation for replacement. IV fluids should be commenced to support
blood pressure.
A nurse is reviewing her assignments. Which patient should she assess
first?
1. A 12-hour infant who is small for gestational age.
2. Four hour infant with a cardiac defect.
3. 9 hour old infant who has not voided
4. 3 day old infant waiting for discharge - Answer✔️✔️-2. Four hour infant
with a cardiac defect
Rationale: The infant with a cardiac defect is at the most risk for
complications and should be assessed first.
At 32 weeks' gestation a 15-year-old primigravid client who is 5'2", has
gained 20 lbs, with a 1 lb weight gain in the last 2 weeks. Urinalysis reveals
negative glucose and a trace of protein. The nurse should advise the client
that which of the following factors increases her risk for preeclampsia?
4. Proteinuria - Answer✔️✔️-3. Adolescent age group
Rationale: Client's with increased risk for preeclampsia include
primigravid clients younger than 20 years or older than 40 years, clients
with 5 or more pregnancies, women of color, women with multifetal
pregnancies, women with diabetes or heart issues. A total weight gain of 20
lbs in the at 32 weeks gestation with a 1 lb weight gain in the last 2 weeks is
within normal limits. Trace amounts of protein in the urine is common
during pregnancy but amounts of +1 or more may be pregnancy induced
hypertension.
A patient has meconium-stained amniotic fluid. Fetal scalp sampling
indicates a blood pH of 7.12 and fetal bradycardia is present. Based on
these findings, the nurse should take which action?
1. Administer amnioinfusion.
2. Prepare for cesarean section.
3. Reposition the patient.
4. Start IV as prescribed. - Answer✔️✔️-2. Prepare for cesarean section.
Rationale: Infants with meconium-stained amniotic fluid may have
respiratory difficulties and bradycardia at birth. Based on this assessment,
fetal metabolic acidosis is present. These findings pose a great threat to the
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