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Obstetric Nursing Exam Questions, Exams of Nursing

Academy For Nursing And Health OccupationsNursing

34 multiple-choice questions related to obstetric nursing. The questions cover a range of topics including pain management during labor, prenatal care, neonatal assessment, and postpartum care. Each question is followed by four possible answers, and the correct answer is highlighted. This document could be useful for nursing students studying for an obstetric nursing exam or for nurses looking to refresh their knowledge in this area.

Typology: Exams

2022/2023

Available from 04/01/2023

expertnurse01
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Answer question and highlight correct
Answer
1. A nurse on a labor and delivery unit is providing teaching to a client who plans to
use hypnosis to control labor pain. Which of the following information should the
nurse include?
a) Hypnosis does not work for controlling pain associated with labor
b) Focusing on controlling body functions will be helpful during hypnosis
c) Hypnosis can be beneficial if you practiced it during the prenatal period
d) Synchronized breathing will be required during hypnosis
2. Anurse is caring for a client who is at 20weeks gestation has trichomoniasis. Which
of the following findings should the nurse expect?
a) Vulva lesions
b) Urinary frequency
c) Thick white vaginal discharge
d) Malodorous discharge
3. A nurse is providing teaching to a client who has mild preeclampsia and will be caring
for herself at home during the last 2months of pregnancy. Which of the following
statements by the client indicates an understanding of the teaching?
a) I will count my baby's kicks every other day
b) I will check my urine for protein daily
c) I will consume 50grams of protein daily
d) I will alternate the arm I use to check my blood pressure
4. A nurse is planning care for a client who is receiving oxytocin by continuous IV
infusion for labor induction. Which of the following interventions should the nurse
include in the plan?
a) Maintain the client in a supine position
b) Increase the infusion rate every 30 to 60min
c) Titrate the infusion rate by 4milliunits/min
d) Limit IV intake to 4L per 24hr
5. A nurse is developing an educational program about the hemolytic disease in newborns
for a group of newly licensed nurses. Which of the following genetic information
should the nurse include in the program as a cause of hemolytic disease?
a) The mother is Rh-negative and the father is Rh-positive
b) The mother is Rh-positive and the father is Rh-negative
c) The mother and the father are both Rh-negative
d) The mother and the father are both Rh positive
6. A nurse on the labor and delivery unit is assessing four clients. Which of the
following clients is a candidate for the induction of labor with misoprostol?
a) A client who has placenta previa
b) A client who has active genital herpes
c) A client who has a previous uterine incision
d) A client who has gestational diabetes mellitus
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Answer question and highlight correct Answer

  1. A nurse on a labor and delivery unit is providing teaching to a client who plans to use hypnosis to control labor pain. Which of the following information should the nurse include? a) Hypnosis does not work for controlling pain associated with labor b) Focusing on controlling body functions will be helpful during hypnosis c) Hypnosis can be beneficial if you practiced it during the prenatal period d) Synchronized breathing will be required during hypnosis
  2. Anurse is caring for a client who is at 20weeks gestation has trichomoniasis. Which of the following findings should the nurse expect? a) Vulva lesions b) Urinary frequency c) Thick white vaginal discharge d) Malodorous discharge
  3. A nurse is providing teaching to a client who has mild preeclampsia and will be caring for herself at home during the last 2months of pregnancy. Which of the following statements by the client indicates an understanding of the teaching? a) I will count my baby's kicks every other day b) I will check my urine for protein daily c) I will consume 50grams of protein daily d) I will alternate the arm I use to check my blood pressure
  4. A nurse is planning care for a client who is receiving oxytocin by continuous IV infusion for labor induction. Which of the following interventions should the nurse include in the plan? a) Maintain the client in a supine position b) Increase the infusion rate every 30 to 60min c) Titrate the infusion rate by 4milliunits/min d) Limit IV intake to 4L per 24hr
  5. A nurse is developing an educational program about the hemolytic disease in newborns for a group of newly licensed nurses. Which of the following genetic information should the nurse include in the program as a cause of hemolytic disease? a) The mother is Rh-negative and the father is Rh-positive b) The mother is Rh-positive and the father is Rh-negative c) The mother and the father are both Rh-negative d) The mother and the father are both Rh positive
  6. A nurse on the labor and delivery unit is assessing four clients. Which of the following clients is a candidate for the induction of labor with misoprostol? a) A client who has placenta previa b) A client who has active genital herpes c) A client who has a previous uterine incision d) A client who has gestational diabetes mellitus
  1. A nurse is caring for a client who is receiving oxytocin for induction of labor and notes late decelerations of the fetal heart rate on the monitor tracing. Which of the following actions should the nurse take? a) Place the client in a lateral position b) Decrease maintenance IV solution infusion rate c) Administer oxygen via a face mask at 2 L/min d) Administer misoprostol 25mcg vaginally
  2. A nurse is assessing a newborn who was born post-term. Which of the following findings should the nurse expect? a) Nails extending over tips of finger b)The thin covering of fine hair on shoulders and back c) Large deposits of subcutaneous fat d)Pale translucent skin
  3. A nurse is providing teaching about terbutaline to a client who is experiencing preterm labor. Which of the following statements by the client indicates an understanding of the teaching? a)This medication could cause me to experience frequent urination b) This medication could cause me to experience heart palpitations c) This medication could cause me to experience ringing in my ears
  4. A nurse is caring for a client who is receiving an epidural block with an opioid analgesic. The nurse should monitor for which of the following findings as an adverse effect of the medication? a) Polyuria b) Hyperglycemia c) Hypotension d) Bilateral crackles
  5. A nurse is reviewing the laboratory results of a client who is at 13 weeks of gestation and has hyperemesis gravidarum. Which of the following findings should the nurse identify as an indication of dehydration? a) Serum creatinine 0.9mg/dl b)Urine specific gravity 1. c)Urine pH 6. d) BUN 15mg /dl

d) Cleanse the sac with povidone-iodine immediately following birth

  1. A nurse is monitoring a client who has preeclampsia and is receiving magnesium sulfate by continuous IV infusion. Which of the following findings should the nurse report to the provider? a) Respiratory rate 14/min b) Urinary output 2ml/hr c) 2+deep tendon reflexes d) Blood pressure 148/94mm Hg
  2. A charge nurse is teaching a group of staff nurses about fetal monitoring during labor. Which of the following findings should the charge nurse instruct the staff nurses to report to the provider? a) Absent early deceleration of fetal heart rate b) Contraction frequency of 2 to 3 min apart c) Fetal heart rate is 140/min d) Contraction duration of 95 to 100 seconds
  4. A nurse is caring for four clients. For which of the following clients should the nurse auscultate the fetal heart rate during the prenatal visit? a) A client who has a positive urine pregnancy test 1 week after missed menses b) A client who has left quickening for the first time c) A client who has an ultrasound that confirms a molar pregnancy d) A client who has a crown-rump length of 7 weeks gestation
  5. A nurse is caring for a client who is experiencing preterm labor and has a prescription for 4 doses of dexamethasone 6mg IM every 12hr. Available is dexamethasone 10mg/ml. How many ml of dexamethasone should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero) 2.4 mg/ml
  6. A postpartum nurse is caring for a client and their newborn. Which of the following observations should indicate to the nurse that the client is in the taking in a phase of maternal role attainment? a) The client desires privacy with their newborn b) The client takes charge of all mothering tasks

c) The client reviews their birth experience with others d) The client puts their personal needs aside

  1. A nurse is caring for a client following an amniocentesis. The nurse should observe the client for which of the following complications? a) Proteinuria b) Hemorrhage c) Hyperemesis d) Hypoxia
  2. A nurse on an antepartum unit is reviewing the medical records for four clients. Which of the following clients should the nurse assess first? a) A client who has preeclampsia and a creatinine level of 1.1 mg /dl b) A client who has hyperemesis gravidarum and a sodium level of 110mEq/L c) A client who has placenta previa and a hematocrit of 36% d) A client who has diabetes mellitus and an HbA1c of 5.8%
  3. A nurse is providing nutritional guidance to a client who is pregnant and follows a vegan diet. The client asks the nurse which foods she should eat to ensure adequate calcium intake. The nurse should instruct the client which of the following foods has the highest amount of calcium? a) !cup cooked broccoli b) !/2 cups cubed avocado c) 1 large banana d) 1 medium potato
  4. A nurse is caring for a newborn who is 1hr old and has a respiratory rate of 50/min, a heart rate of 130/ min. and an axillary temperature of 36.1C (97 F). Which of the following actions should the nurse take? a) Obtain an oxygen saturation level b) Give the newborn a warm bath c) Apply a cap to the newborns head
  5. A nurse is caring for four newborns. Which of the following newborns should the nurse assess first? a) A newborn who has subconjunctival hemorrhage of the left eye b) A newborn who has overlapping suture lines

c) Heart rate 89/min d) Cool, clammy skin

  1. A nurse is caring for a client who has hyperemesis gravidarum. Which of the following laboratory tests should the nurse anticipate? a) Rapid plasma regain b) Prothrombin time c) Urine culture d) Urine ketones
  2. A nurse is providing teaching about expected changes during pregnancy to a client who is at 24 weeks of gestation. Which of the following information should the nurse include? a) You should expect your uterus to double in size b) You should anticipate nasal stuffiness c) Your nipples will become lighter in color d) Your stomach will empty rapidly
  3. A nurse is caring for a client who is receiving prenatal care and is at her 24-week appointment. Which of the following laboratory test should the nurse plan to conduct? a) 1 hr glucose tolerance test b) Rubella tilter c) Group B strep culture d) Blood type and Rh
  4. A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effects should the nurse include? a) Breast tenderness b) Tinnitus c) Chills d) Urinary frequency
  5. A nurse is providing discharge teaching to a client following tubal ligation. Which of the following statements by the client indicates an understanding of the teaching? a) Premenstrual tension will no longer be present b) Ovulation will remain the same

c) Hormone replacements will be needed following this procedure d) My monthly menstrual period will be shorter

  1. A nurse is caring for an infant who has signs of neonatal abstinence syndrome. Which of the following actions should the nurse take? a) Monitor blood glucose level every hr b) Initiate seizure a stimulating environment c) Place the infant on his back with legs extended
  2. A nurse is assessing a preterm newborn who is at 32 weeks of gestation. Which of the following findings should the nurse expect? a) popliteal angle of less than 90 b) Creases over the entire sole c) Sparse lanugo d) Minimal arm recoil
  3. A nurse is caring for a 2-day old newborn who was born at 35weeks of gestation. Which of the following actions should the nurse take? (click on the “Exhibit” button for additional information about the newborn. There are three tabs that contain separate categories of data) a) Measure the abdominal circumference at the level of the newborn's umbilicus every12hr b) Administer nitric oxide inhalation therapy to the newborn c) Provide the newborn with an iron-rich formula containing vitamin B12 every 2hr d) Insert an orogastric decompression tube with low wall suction
  4. A nurse is assessing a newborn's Apgar score 1 min after birth. Which of the following signs should the nurse score a 1? a) Heart rate of 110/min b) Respiratory rate of 40/min c) Weak cry d) Flaccid muscle tone
  5. A nurse is assessing a client following an amniocentesis. Which of the following findings should the nurse recognize as complications? (select all that apply) a) Polyhydramnios b) Amnionites c) Leakage of amniotic fluid

c) Encouraging the client to void every 6 hr d) Having the client lie in a supine position

  1. A nurse is caring for a newborn who has jaundice and a new prescription for phototherapy. Which of the following actions should the nurse take? ANS (a) Provide the newborn with 15 ml of glucose water after each feeding. (b) Turn the newborn every 4 hr. © Apply hydrating lotion to the newborn's skin prior to treatment. (d) Close the newborn's eyes before applying eyepatches.
  2. A nurse is assessing a client who is at 37 weeks of gestation. Which of the following statement by the client requires immediate intervention by the nurse? Ans (a) My feet are really swollen today. (b) “I have been seeing spots this morning.” © “It burns when I urinate.” (d) “I didn’t have lunch today, but I had breakfast this morning.”
  3. A nurse in a women’s health clinic is obtaining a health history from a client. Which of the following findings should the nurse identify as increasing the client’s risk for developing pelvic inflammatory disease (PID)? ANSWER (a) Recurrent cystitis (b) Chlamydial infection (c) Use of oral contraceptives (d) Frequent alcohol use
  4. A nurse is preparing to administer methylergonovine 0.2 mg orally to a client who is 2 hr postpartum and has a boggy uterus. For which of the following assessment findings should the nurse withhold the medication? ANS (a ) Urine output 100 ml in 3 hr. (b ) Pulse 58/min

( c ) Respiratory rate 14/min (d ) Blood pressure 142/92mm hg

  1. A nurse is planning to administer misoprostol 50 mcg intravaginally for cervical ripening to a client who is at 40 weeks of gestation. Available is misoprostol 200 mcg tablets. How many tables should the nurse plan to administer? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.) Ans 0.25 tablet (s)
  2. A nurse is planning to teach a group of clients who are pregnant about breastfeeding after returning to work. Which of the following information should the nurse include in the teaching? Ans ( a ) “Breast milk can be stored at room temperature for up to 12 hours.” (b) “Thawed breast milk can be refrigerated for up to 72 hours.” ( c ) “Thawed breast milk that is unused can be refrozen.” ( d ) “Breast milk can be stored in a deep freezer for 12 months.”
  3. A nurse is caring for a newborn who is 24 hr old. Which of the following laboratory findings should the nurse report to the provider? ANS ( a ) Platelets 200,000/mm^ ( b ) WBC count 32,000/mm^ ( c ) Bilirubin 2 mg/dl ( d ) Hgb 20 g/dl
  4. Nurse is caring for a client who is in active labor. Following epidural placement, the nurse notes a maternal blood pressure of 98/58 mm Hg and normal FHR variability on the fetal monitor. Which of the following images indicates the action the nurse should take? Ans B

ANS

A. Feed the newborn immediately. B. Administer 50 ml of dextrose solution IV. C. Reassess the blood glucose level prior to the next feeding. D. Obtain a blood sample for a serum glucose level.

  1. A nurse on a labor and delivery unit is reviewing inflection control standards with a newly licensed nurse. The nurse should instruct the newly licensed nurse to don gloves for which of the following procedures? ANS A. Performing umbilical cord care B. Administering the measles, mumps, rubella vaccine C. Performing a newborn’s initial bath D. Assisting a mother with breastfeeding
  2. A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia. Which of the following of the findings should the nurse report to the provider? ANS A. Hemoglobin 14.8 g/dl B. Urine protein concentration 200 mg/24 hr C. Platelet count 60,000/mm^ D. Creatinine 0.8 mg/dl
  3. A nurse is reviewing the electronic medical record of a postpartum client. The nurse should identify that which of the following factors places the client at risk for an infection? ANS A. Placenta previa B. Meconium-stained fluid C. Gestational hypertension D. Midline episiotomy
  4. A nurse on the postpartum unit is caring for four clients. Which of the following clients should receive Rh. (D) Immune globulin to prevent Rh-isoimmunization? ANS A. An Rh-negative mother who has an Rh-positive infant. B. An Rh-negative mother who has an Rh-negative infant. C. AN Rh-positive mother who has an Rh-negative infant D. An Rh-positive mother who has an Rh-positive infant.