Title WORKBOOK - OB - (KEY) ✅

3 | Page D. Gravida 5,para 4;G5T1P1A1L1 34. Mrs. Rhee Tukee is admitted with a diagnosis of severe Pregnancy Induced Hypertension (PIH). Which assessment findings is an indicative of severe Pregnancy Induced Hypertension? A. A weight gain of 3 lbs/week during the previous 2 weeks. B. Severe pedal and facial edema, B/P 170/98, +4 protein on urine deep stick. C. Constant headache with visual changes, B/P 140/100, traced proteinuria. D. Urine deep stick with +2 protein, B/P 100/64, slight pedal edema. 35. A client comes to labor and delivery at 39 weeks gestation with severe headache for the past 2 days, nausea, right upper quadrant pain and visual changes including flashes of light. What should the nurse do first? A. Check clients vital signs and reflexes. B. Perform vaginal exam for cervical dilatation. C. Administer acetamenophen for the headache pain. D. Ask if the client has uterine contractions. SITUATION: Thea Nak comes to the hospital because she knows she’s in labor. Nurse Duen Dy is the staff nurse present who assesses her and provide nursing care and management. 36. When describing fetal position, the first letter in the series denotes which of the following? A. Presenting part of the fetus. B. Side of the maternal pelvis. C. Size of the maternal pelvis. D. Type of fetal delivery. 37. During which of the following stage of labor would the nurse assess “Crowning”? A. First stage B. Second stage C. Third stage D. Forth stage 38. Six hours into labor, Mrs. Thea Nak’s conditions are occurring every 2 minutes, and lasting 80 seconds. She is diaphoretic, restless and very irritable. According to these assessment findings, which stage or phase of labor is she in? A. Latent phase B. Second stage C. Third stage D. Transitional phase 39. After the neonate is delivered, the physician instructs nurse Duen to add 10 units of oxytocin (Pitocin) to Mrs. Thea’s IV to: A. Contract the uterine muscles. B. Prevent DIC C. Relax the uterine muscles D. Augment the clotting action of the platelets. 40. Which procedure would best determine if Mrs. Thea has spontaneously ruptured amniotic membranes? A. A complete blood count B. A fern test C. Urinalysis D. A vaginal exam SITUATION: Mrs. Maga Mata, gravida 2, para 0010 is admitted to the labor and delivery area in labor. Mr. and Mrs. Mata have attended Lamaze classess. Initial assessment reveals cervical dilatation of 5 cm; Cx effacement 80%, station -3, frequency of contractions 5-8 mins; duration of contractions 20-45 seconds; membrane ruptured spontaneously 1 hour before admission; presentation, vertex; fetal position, left occiput anterior (LOA), Mrs. Maga Mata is connected to external fetal monitor. 41. The FHR should be most audible in which quadrant of Mrs. Maga’s abdomen? A. Left upper quadrant B. Left lower quadrant C. Right upper quadrant D. Right lower quadrant 42. The physician places Mrs. Mata on bedrest. Which assessment findings necessitates this action? A. 5 cm cervical dilatation B. 80% cervical effacement C. Contraction every 5 to 8 minutes D. -3 station 43. During the third stage of labor, the significant nursing intervention that the nurse should perform is: A. Obtaining urine specimen and other laboratory test. B. Assess uterine contractions every 30 minutes. C. Coach for effective client pushing. D. Promote parent-newborn interaction. 44. Basing on the above assessment findings which phase of labor is Mrs. Mata manifesting? A. Latent B. Active C. Passive D. Transitional 45. A client in active labor is lying in a supine position. The nurse knows that by encouraging this position in labor, it may lead to: A. Increased venous return. B. Increased cardiac output. C. Increased blood flow to the lower extremities. D. Supine hypotension. 46. During the active phase of labor the woman reports severe back pain that becomes increasingly intense during contractions.The nurse should place the woman in which position A. Supine position B. Semi-Fowler’s C. Squatting D. Side lying on the side of the fetal back SITUATION: You are rotated in a new area of assignment from ER nurse to OB ward nurse. It is expected of you to take care of post-partum mothers so you decided to review on some concepts in post partum care. 47. Which of the following is the priority focus of nursing practice with the current early post partum discharge? A. Promoting comfort and restoration of health. B. Exploring the emotional status of the family. C. Facilitating safe and effective self and newborn care. D. Teaching about the importance of family planning. 48. Lochia serosa is characterized by which of the following? A. Creamy yellow color. B. Characteristic odor. C. Serosanguineous appearance D. White to colorless 49. Which of the following factors most influences the new mother’s successful transition to parenthood? A. Early discharge, which offers the mother and newborn an opportunity to attain needed rest and sleep at home. B. The need of both parents to know that everything is okay and that no problems will occur. C. The new mother having full emotional support of family and friends and being emotionally ready for parenthood. D. The new mother understanding the signs and symptoms of “post-partum blues” and being able to deal with them. 50. According to nurse Sing, during which of the following periods would the new mother frequently her labor and delivery experience? A. Letting-down B. Letting-go C. Taking-hold D. Taking-in 51. The woman is complaining of sore nipples while breastfeeding. The nurse instructs her to: A. Wait to latch the infant unless the infant is really hungry. B. Put warm compress on the breast and express the breast milk. C. Put ice packs on the breasts and stimulate them. D. When latching be sure that the infant has the large areola in the mouth. 52. Before assessing the post-partum client’s uterus for firmness and position in relation to umbilicus and midline. Which of the following should the nurse do first? A. Assess the vital signs. B. Administer analgesia. C. Ambulate in the hall