Obstetric Practice Exam - For All Aspiring Nurses
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Obstetrics is the field of study concentrated on pregnancy, childbirth and the postpartum period. As a medical specialty, obstetrics is combined with gynecology under the discipline known as obstetrics and gynecology, which is a surgical field. This is an Obstetric Practice Exam For All Aspiring Nurses
- 1.One factor that predisposes an epileptic women to seizures during pregnancy is?
- A.
Lack of food during labor
- B.
Sleep deprevation
- C.
Hypertension
- 2.Long term inhaled corticosteriod therapy to treat asthma has been implicated in increased incidence of:
- A.
Preeclampsia
- B.
Preterm labor
- C.
Respiratory distress in infants at birth
- 3.On admission to the postpartum unit, a 20 year old G1 complains of a headache. Her VS are 140/88, 110, 18. She has pitting edema in her legs with DTR's 4+ and 2 beats of clonus. Her urine dip for protein is 3+. The most important inital nursing action would be to:
- A.
Start IV
- B.
Notify provider
- C.
Raise and pad the side rails on the bed
- 4.The initial antihypertensive drug for a pregnant women with chronic hypertension is:
- A.
Aldomet (Methyldopa)
- B.
Magnesium Sulfate
- C.
Labetelol
- 5.A 24 year old white woman at 28wks gestation presents for her regular prenatal visit. She is 65 inches tall and weighs 120lbs. She has no history of diabetes in her family. According to the American Diabetes Association? What is the apporpriate screening for GDM?
- A.
Hemaglobin A1C
- B.
No need for testing
- C.
1 hour fasting glucola
- 6.What is the most common maternal congenital cardiac lesion with a left to right shunt that is detected during pregnancy?
- A.
Tetriology of fallot
- B.
Pre ventricular contractions
- C.
Mitral Stenosis
- 7.A pregnant woman with HIV + and is taking Zidovudine (ZDV). SHe asks about continuing the medication during labor. The nurse should explain that ZDV will be given:
- A.
To the infant following delivery
- B.
WIll be given until 38 weeks gestation
- C.
IV during labor
- 8.A hemoglobin A1c of 10.6 indicates a risk of congenital anomalies at what level?
- A.
Low
- B.
High
- C.
Medium
- 9.The initial antihypertensive drug for a pregnant woman with chonic hypertension is
- A.
Magnesium Sulfate
- B.
Methyldopa (Aldomet)
- C.
Labetolo (Trandate)
- 10.A 24 year old caucasian woman at 28 weeks gestation presents for her regular p renatal visit. She is 5 feet 5 inches tall, and her weight is 120 pounds. She has no history of diabetes in her fmaily. According to the American Diabetes Assosciation, what is the appropriate screening for gestational diabetes?
- A.
No need for testing
- B.
1 hour fasting glucose testing
- C.
Hemoglobin A1c
- 11.A woman at 38 weeks gestation presents in active labor with condyloma acuminata, which was being treated with trichloroacetic acid (TCA). The nurse should recognize that cesarean delivery would be indicated:
- A.
At 39 weeks or with active labor
- B.
At 37 weeks gestation to prevent pt goign in to natural labor
- C.
If lesions are large enough to increase risk of hemorrhage
- 12.On admission to the postpartum unit, a 20 year old G1, complains of headache. Her VS are 140-88, 110, and 18. She has pitting edema in her legs and DTR's +4 and 2 beats of clonus. A dipstick for protein is 3+. The most important nursing action would be to:
- A.
Notify provider immediately
- B.
Start an IV
- C.
Raise and pad the side rails of the bed
- 13.The parameter on which obstetric hemorrhage is defined is the
- A.
Way the patient feels
- B.
Vital signs
- C.
Hemodynamic status of the patient
- 14.A hemotological change in pregnancy that predisposes a patient to venous thrombosis is:
- A.
Depressed fibrinolytic activity
- B.
Hypertension
- C.
Gestational diabetes
- 15.When educating the pregnant woman who smokes cigarettes about the effect of smoking on the fetus, it is important to explain that:
- A.
The infant could have depressed lung function at birth
- B.
Any decrease in smoking improves fetal outcome
- C.
It is better to quit before, as quitting during pregnancy causes stress to the fetus
- 16.The fetal attitude in the mother's pelvis describes the relation of the:
- A.
Fetal parts to each other
- B.
Fetal head position
- C.
Fetal position in relation to maternal pelvic outlet
- 17.When performing Leopold's manuevers in the appropriate sequence, the first manuever should determine
- A.
Presentation
- B.
Size of expected fetus
- C.
What position the occiput is in
- 18.A woman at 37 weeks gestation has no risk factors and no complication to date. She calls because she thinks the baby is not moving as much as previously. She should be instructed to:
- A.
Perform a fetal kick count
- B.
Come in now for evaluation
- C.
Drink and eat, then assess again for fetal movement
- 19.A patient has been moved to the surgery suite for a cesarean birth. There is an internal fetal scalp electrode in place. This should be removed when the:
- A.
Patient is disconected from the monitor
- B.
Patient is placed on the operating room table
- C.
Abdominal prep is complete
- 20.A gravida 2 para1 at 34 weeks gestation with a history of ruptured uterus is underging amniocentesis for fetal lung maturity. The LS ratio is 2.5. The risk for neonatal RDS is
- A.
High
- B.
Minimal
- C.
Increased
- 21.A woman at 37 weeks gestation calls and reports contractions that occur every 15-25 mintues with cramping in the lower abdomen all afternoon. Walking helps give her some relief, but the contractions return. The nurse/ nurse practitioner knows that these symptoms represent:
- A.
Signs of progressing labor
- B.
False labor
- C.
Possible urinary infection
- 22.During the bearing down phase of the second stage of labor, the nurse should help facilitate the woman's perineum to stretch by:
- A.
No action
- B.
Perineal massage
- C.
Encouraging patient to not push
- 23.Compared to a mediolateral episiotomy, a midline episiotomy results in:
- A.
Less blood loss
- B.
Easier repair
- C.
A more difficult delivery
- 24.Cesarean in a previous pregnancy increases risk for:
- A.
Breech presentation
- B.
Placenta previa
- C.
Placenta accreta
- 25.The risk of water intoxication is decreased during induction of labor if oxytocin is given in a/an:
- A.
Balanced electrolyte solution
- B.
Room temperature solution
- C.
Restricted fluid intake patient
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