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OB EXAM 1 PRACTICE EXAM QUESTIONS WITH ANSWERS, Study Guides, Projects, Research of Obstetrics

Virginia State University (VSU)Obstetrics

OB EXAM 1 PRACTICE EXAM QUESTIONS WITH ANSWERS

Typology: Study Guides, Projects, Research

2024/2025

Available from 07/04/2025

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OB EXAM 1 PRACTICE EXAM QUESTIONS
WITH ANSWERS
1. The nurse is caring for a client at the prenatal clinic who asks the
nurse,” why do you need to know how much fluid is around the
baby when I get an ultrasound? “Which of the following should the
nurse make?
•“The amount of fluid can indicate if the baby needs to be
monitored more closely.”
•“Too much fluid means that you will need a cesarean section.”
•“The amount of fluid tells us how big the baby is going to be.”
•“Too little fluid means that the baby will have developmental delays.”
2. The nurse is teaching client a t a community center about the cycle
of violence that occurs in abusive relationships. Which of the
following statements should be included in the teaching?
•“The cycle of violence is completely preventable.”
•“In the tension building phase the abuser assaults the victims”.
•“The honeymoon phase is the longest phase of the cycle of abuse”.
•“The victim often feels that are responsible for the tension
building phase.”
The nurse is caring for a female client with cancer of the reproductive tract.
Which of the flowing interventions would be appropriate to support a nursing
diagnosing?
•Validate the client’s feelings using therapeutic communication.
•Encourage the client to have recommended screening tests,
•Teach the client about surgical treatment options.
•Educate the client about the important of smoking cessation.
The nurse is providing postoperative care to a client following a left
mastectomy, which of the following interventions should be included in the
plan care?
•Assess drainage every 48 hours
•Assist with turning, coughing and deep breathing every 4 hours
•No IV lines or bloodwork in the right arm.
•No blood pressures or needle sticks in the left arm.
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Download OB EXAM 1 PRACTICE EXAM QUESTIONS WITH ANSWERS and more Study Guides, Projects, Research Obstetrics in PDF only on Docsity!

OB EXAM 1 PRACTICE EXAM QUESTIONS

WITH ANSWERS

1. The nurse is caring for a client at the prenatal clinic who asks the nurse,” why do you need to know how much fluid is around the baby when I get an ultrasound? “Which of the following should the nurse make? - “The amount of fluid can indicate if the baby needs to be monitored more closely.” - “Too much fluid means that you will need a cesarean section.” - “The amount of fluid tells us how big the baby is going to be.” - “Too little fluid means that the baby will have developmental delays.” 2. The nurse is teaching client a t a community center about the cycle of violence that occurs in abusive relationships. Which of the following statements should be included in the teaching? - “The cycle of violence is completely preventable.” - “In the tension building phase the abuser assaults the victims”. - “The honeymoon phase is the longest phase of the cycle of abuse”. - “The victim often feels that are responsible for the tension building phase.” The nurse is caring for a female client with cancer of the reproductive tract. Which of the flowing interventions would be appropriate to support a nursing diagnosing?

  • Validate the client’s feelings using therapeutic communication.
  • Encourage the client to have recommended screening tests,
  • Teach the client about surgical treatment options.
  • Educate the client about the important of smoking cessation. The nurse is providing postoperative care to a client following a left mastectomy, which of the following interventions should be included in the plan care?
  • Assess drainage every 48 hours
  • Assist with turning, coughing and deep breathing every 4 hours
  • No IV lines or bloodwork in the right arm.
  • No blood pressures or needle sticks in the left arm.

The nurse is caring for a client who presents to the clinic to see if she is going through menopause. What are some of the questions the nurse should ask? Select all that apply.

  • When was the last time you had your menstrual cycle?
  • Do you experience hot flashes of the head and neck?
  • How old were you when you had your first pregnancy?
  • Do you get frequent urinate tract infections?
  • Have you noticed changes in your sleeping patterns? The nurse is assessing a client diagnosed with mastitis, which is the following would be suggested in the assessment findings? Select all that apply
  • Dimpling on the breast
  • Fever
  • Breast tumors
  • Localized breast edema
  • Unilateral breast erythema Sign of early Vulgar Cancer?
  • Purulent vaginal draining
  • Significant weight loss lower
  • Back pain
  • Vaginal bleeding The nurse is explaining to a female client who is pregnant what interventions will be performed for the first prenatal visit. Which of the following information with the nurse include? Select all that apply.
  • Your past medical history will be obtained.
  • You will be tested for sexually transmitted infections.
  • An oral glucose tolerance test will be performed.
  • You will be screened for risk of pregnancy abnormalities.
  • The estimate date of delivery will be determined.
  • Explained of the recommended gain weight for the client is between 15 and 20 pounds.
  • Encourage the consumption of nutrient rich, high calorie foods.
  • Educate the client about the risks of maternal obesity.
  1. The nurse is caring for a client at the prenatal clinic who asks the nurse,” why do you need to know how much fluid is around the baby when I get an ultrasound? “Which of the following should the nurse make?
  • “The amount of fluid can indicate if the baby needs to be monitored more closely.”
  • “Too much fluid means that you will need a cesarean section.”
  • “The amount of fluid tells us how big the baby is going to be.”
  • “Too little fluid means that the baby will have developmental delays.” 2. The nurse is teaching client a t a community center about the cycle of violence that occurs in abusive relationships. Which of the following statements should be included in the teaching?
  • “The cycle of violence is completely preventable.”
  • “In the tension building phase the abuser assaults the victims”.
  • “The honeymoon phase is the longest phase of the cycle of abuse”.
  • “The victim often feels that are responsible for the tension building phase.” 3. The nurse is screening a client for intimate partner violence. Which of the following statements by the nurse would be the most appropriate?
  • “I am required by law to ask you about abuse “
  • “I am asking these questions because I suspect that you are being abused.”
  • “I ask the following questions to all clients because violence is common.”
  • “I was told that you are probably experiencing abuse.” 4. The nurse developing a pamphlet about breast self-examinations (BSE) to be distributed at the community health fair. Which of the following information should be included in the pamphlets?
  • Changes in breast symmetry should be reported to your healthcare provider
  • Visualize the skin texture of the breast while lying down
  • Feel for lumps in the breast while wearing a supportive undergarment such as a bra.
  • Expect a mild increase in breast dimpling as you age. 5. The nurse is examining a woman who as at 36 weeks “gestation” and notice the presence of darkly pigmented vertical line on the abdomen. Which of the following statement should the nurse make?
  • “This is called linea nigra and indicates that your baby is growing too quickly.” 6. The nurse assessing a female client who is in the 3rd trimester of pregnancy and is stating that she becomes weak and dizzy when she stands up from a supine position. The nurse explain that this is most likely caused by which of the following physiologic changes?
  • Lordosis of the lumbar spine
  • Increased pressure on the bladder
  • Compression of the vena cava
  • Displacement of the intestines 7. The nurse is planning care for a female client who expresses concern about sexual activity during pregnancy. Which of the following information should the nurse include in the client care?
  • “Unless you have been instructed to avoid sexual activity, you can still have intercourse “
  • “Pregnancy will increase a woman’s sexual desire.”
  • “Having sex throughout pregnancy can cause harm to the placenta.
  • “Being pregnant helps reduce the risk of sexually transmitted infection transmission.” 8. The nurse is planning care for a female client with a chlamydial infection. Which of the following interventions should the nurse include in the client’s plan of care? Select all that apply.
  • Encourage the client to be screened for sexually transmitted infections regularly.
  • Pack the client’s vagina with sterile gauze.
  • Administer antibiotics as prescribed.
  • Educate the client about healthy sexual practices.
  • Closely monitor the clients intake and output.

13. The nurse is measuring the fetal heath rate for a female client who is at 32 weeks’ gestation. Which of the following would be the appropriate place for the nurse to listen for the heartbeat? - The chest of the fetus - Near the head of the fetus - The back of the fetus - Any area on or near the fetus. 14. The nurse is caring for a client diagnose with PID. Which of the following information should be following information should be priority for thee nurse to include clients plan of care? - Encourage the client to douche regular when sexually active. - Encourage the client to increase fluid intake. - Educate the client to increase fluid intake about preventing recurrence. - Emphasize the important of maintain semi fowlers position while in bed. 15. The nurse is caring for a female client in the third trimester of pregnancy who states, I am so scared of what labor will be like. “Which of the following responses by the nurse would be appropriate? - If you have a supportive partner, labor will not be as bad as you. - “Anxiety about labor is normal but taking a childbirth class can help you learnt what to expect.” - You cannot control what happens in labor, so try not spending time worrying about it. - Labor and delivery will be painful, but it is all over in a few hours.” 16. The nurse is caring for a 15 -year-old female client who reports an unwanted pregnancy. Which of the following findings should indicate to the nurse that the client may be a victim of human trafficking? Select all that apply: - A good family support system. - History of sexually transmitted infections. - A positive urine drug screen - Poor nutritional status - Bruises at multiple stages of healing.

17. The nurse is completing an initial assessment of a 50-year -old female client who has come to the clinic to determine if she entered menopause. Which of the following questions should the nurse ask the client? - “How old were you when you had your first pregnancy?” - “When was the last time you had a menstrual cycle?” - “Have you noticed a change in your sleeping pattern?” - “Do you get frequent urinary tract infections? - Do you experience hot flashes or flushing of the face and neck? 18. The nurse is caring for an adolescent client who has been diagnosed with chlamydia, which of the following should be the nurse’s priority when creating a plan of care for this client? - Encouraging urination after sexual intercourse - Educating the client about STI transmission - Scheduling the client for a follow up appointment - Inform the parents clients of the diagnosis. 19. The nurse is screening clients at a primary care clinic to identify those who gave an increased risk of developing breast cancer. Which of the following clients would have the highest risk? - A 54 -year-old Caucasian female with history of breast cancer - A 48-year-old Hispanic female who is menopausal. - A 36-year -old Asian-American male client who drinks several alcoholic beverages per week. - A 22-year-old African American female who smokes tobacco. 20. The nurse is assessing a client diagnosed with mastitis, which is the following would be suggested in the assessment findings? Select all that apply - Dimpling on the breast - Fever - Breast tumors - Localized breast edema - Unilateral breast erythema 21. The nurse is teaching a class about endometrial cancer at a community center. Which of the following should the nurse include as an early manifestation? - Significant weight loss

  • Client will get pregnant within one year of diagnosis. 26.The nurse is documenting the positive signs of pregnancy for a female client. Which of the following findings should the nurse include in the documentation?
  • Absence of menses
  • Ultrasound confirmation of fetus
  • Gooddell’s sign
  • Positive home pregnancy test. 27.The nurse is obtaining a health history for a client who has been diagnosis with secondary dysmenorrhea. Which of the following statements by the client should the nurse expect?
  • “My menstrual cycle is very consistent.”
  • “This cramping started after age 30 “
  • “I think I might be 2 months pregnant”.
  • “NSAIDs usually work well for my pain”. 28.The nurse is performing a genitourinary assessment for a client who reports vulvar itching. Which of the following findings may indicate the need for further investigation of the possibility of vulvar cancer? Select all the apply.
  • Vulvar pain
  • A leukoplakic vulvar lesion
  • Vulvar edema
  • A raised lump on the labia
  • Uterine prolapse. 29.The nurse is evaluating the health history of a couple, who is a family planning, for indications of the need for a referral for genetic testing. Which of the following information should the nurse consider to determine the need for a referral?
  • The age of both client
  • The female client has a blue eye and the male client has brown eyes
  • The female client is taller than the male client
  • The number of siblings each client has 30.The nurse is caring for a client who states” My mother just died from ovarium cancer, what are the chances that I will also get ovarium cancer?” Which of the following statements by the nurse would be appropriate?
  • You should not worry since ovarian cancer is rare
  • It is very likely that you will develop ovarium cancer
  • You have an increased risk and can be tested for genetic markers
  • There is no connection between genetics and cancer risk. 31.The nurse is providing postoperative care to a client following a left mastectomy, which of the following interventions should be included in the plan care?
  • Assess drainage every 48 hours
  • Assist with turning, coughing and deep breathing every 4 hours
  • No IV lines or bloodwork in the right arm.
  • No blood pressures or needle sticks in the left arm. 32.A 52-year-old client states that when she sneezes or coughs she wets a little. The nurse should recognize the description of symptoms as which as which of the following?
  • Stress incontinence.
  • Polyuria
  • Dysuria
  • Urge incontinence. 33.The nurse is teaching a female client who is pregnant how to monitor fetal movements during pregnancy. Which of the following information should the nurse include in the teaching?
  • You should feel the baby move starting at around 8 weeks of gestation.
  • Assessing the baby’s movements while standing is best
  • You should feel the baby move at least 10 times in a 2-hour time period
  • Count the baby’s movements at different times each day.

38.The nurse is teaching a female client in a health class about how to prevent vaginal infections. Which of the following information should the nurse include in the teaching?

  • Change out of wet clothes as soon as possible.
  • Douching reduces the risk of vaginal infections.
  • Antibiotics prevent vaginal infections from occurring
  • Wear tight fitting undergarments 39.The nurse is talking with a client who is on the first trimester of pregnancy and states "I feel like my heart is racing sometimes, even when I'm standing still". Which of the following responses should the nurse make?
  • You should call your healthcare provider immediately when this happens
  • This is a normal feeling when the fetus is moving around in your uterus That
  • Ya be caused by the increased amount of blood volume from pregnancy
  • When your in the second and third trimester you shouldn't Feel that anymore 40.The nurse is inserting an indwelling urinary catheter and notices the presence of several groups of fluid filled vesicles on the vulva and perineal area. Which of the following statement by the nurse would be most appropriate?
  • I need to wait for the healthcare provider to see you before I can insert the catheter
  • Have you told your partner that you have a sexually transmitted infection?
  • These lesions are consistent with herpes simplex virus type I
  • How long have you had these lesion? 41.The nurse is discussing congenital malformations of pregnancy, like cleft lip, spina bifida, with a couple who is family planning. Which of the following information should the nurse include?
  • Fathers cannot pass his traits to their sons.
  • A combination of genes and environmental factors can cause

these disorders.

  • These types of disorders are considered chromosomal abnormalities
  • One parent can pass this type of disorders to the fetus 42.The nurse is providing information regarding prevention screening measures for a sexually active 24-year-old female client. Which of the following are appropriate for this patient? Select all that apply.
  • Mammogram should be done every three years.
  • Colonoscopy should be completed every five years.
  • Papanikolaou(pap) smear test should be completed annually.
  • Papanikolaou (pap) test should be done every three years.
  • Papanikolaou (pap) test is not necessary if the patient has received the complete HPV vaccine. 43.The nurse is caring for a female client at 10 weeks of gestation who had a biophysical profile. Which of the following findings require immediate intervention by the nurse?
  • Amniotic fluid of 4cm
  • Absence of fetal body movement
  • Fetal heart rate of 150Bpm
  • Presence of fetal breathing movements 44.The nurse is supervising the care of a client who recently had a left radial mastectomy. Which of the following actions by the unlicensed assistive personnel (UAP) would require immediately intervention?
  • Weighing the client after the morning medications were administered?
  • Applying a compression sleeve on the client’s left arm
  • Taking the clint’s blood pressure on the left arm
  • Positioning the bed in a semi -fowler’s position.