Title WORKBOOK - OB (SC) ✅

2 | Page SITUATION: Maria Ososera is a reliable nurse on OB-Gyne ward that can give information regarding human conception and fetal development. The following questions pertains to this topic. 17. Which of the following would be Maria’s best response to a pregnant client asking if she can have a “social drink” with her clients 2 to 3 times a week? A. “It is best to avoid all alcoholic beverages during pregnancy.” B. “After the first trimester, you may have 3 drinks per week.” C. “Beer is safer to drink, because it has less alcohol.” D. “If you’re used to drink alcohol, you may continue during pregnancy.” 18. Trudis asks the nurse. “What is the purpose of amniotic fluid?” The nurse correct explanation is that: A. Amniotic fluid helps to cushion the fetus. B. Amniotic fluid helps to keep your baby clean inside of you. C. Amniotic fluid is the primary source of nutrition for your baby. D. Amniotic fluid keeps you healthy during pregnancy. 19. In discussing fetal growth and development of the embryonic membrane, the nurse states that the membrane responsible for the development of the heart is the: A. Ectoderm B. Mesoderm C. Chorion D. Amnion 20. Which of the following would the nurse estimate as the approximate gestational age for a 16 cm fetus expelled by the client? A. 2 months B. 3 months B. 4 months D. 5 months 21. A pregnant woman verbalizes, “I must about 4 months pregnant. I cannot remember exactly my LMP, but I have been feeling the baby kicking for 3 to 4 weeks now.” The nurse states that this assessment indicates what sign of pregnancy? A. Presumptive B. Probable C. Positive D. Negative 22. While discussing the growth and development of the product of conception, a patient asks nurse Pokwang, “During what time in my pregnancy is my baby most vulnerable to getting birth defects? “Pokwang’s best response is A. “As your baby is forming in the first 2 months because organ development takes place at this time.” B. “Throughout the pregnancy.” C. “Near the end of your pregnancy.” D. “Halfway through your pregnancy, around 20 weeks or 5 months. SITUATION: Mrs. Angta Ngatanga is the charge nurse in the Maternity Ward. She is assigned there for about 5 years and well verse on different aspect of pregnancy and the adaptation of the mother to this. The following assessment and nursing interventions are all included in the care of the pregnant mothers during this period. 23. Which of the following would the nurse identify as a presumptive sign of pregnancy? A. Softening of the cervix. B. Presence of chloasma C. Bluish discoloration of the vagina D. Positive serum pregnancy test. 24. In the first trimester of pregnancy the physician orders Pap Smear. The client asks the nurse for the reason of the test. The nurse respond that the test is to: A. Determine the presence of chlamydia that can affect the fetal growth and development. B. Detect the presence of fetal protein which may indicate neural tube defect C. Check for abnormal cervical cells that may be precursors to cervical cancer. D. Obtain fetal cells to test for chromosomal abnormalities. 25. When talking with a pregnant client who is experiencing aching, swollen leg veins, the nurse would explain that this is most probably the result of which of the following? A. Thrombophlebitis B. Pregnancy-induced hypertension C. Pressure on blood vessels of the enlarging uterus D. The force of gravity pulling down the uterus 26. Which of the following common emotional reactions to pregnancy would the nurse expect to occur during the first trimester? A. Introversion, egocentric, narcissism B. Awkwardness, clumsiness, and unattractiveness C. Anxiety, passivity, extroversion D. Ambivalence, regression, denial 27. Which of the following urinary symptoms does the pregnant woman most frequently experience during the first trimester? A. Dysuria B. Frequency C. Incontinence C. Burning 28. Which of the following would be the nurse best response to a woman who at 5 mos gestation, reports that she has felt intermittent, painless, irregular contractions of her uterus? A. “It is important to time these contractions, because it may be the beginning of labor.” B. “If this contractions occur again, call your physician immediately.” C. “The contractions help stimulate the movement through the placenta.” D.“They are called Braxton Hicks contraction. They may occur throughout pregnancy.” 29. Changes in the consistency of the cervix and purplish discoloration of the vagina are classified as what sign of pregnancy? A. Diagnostic sign B. Probable sign C. Presumptive sign D. Positive sign SITUATION: Nuli Metangere was promoted as a head nurse of the Maternity Ward in Baog Hospital. She uses the principles of caring a pregnant woman during her antepartum period which are implied in the following questions. 30. A client about 8 weeks pregnant, asks the nurse when she will be able to hear the fetal heartbeat. The nurse would respond by telling that the fetal heartbeat could be hear with a fetoscope when the gestation is as early as which of the following? A. 4 weeks B. 8 weeks C. 16 weeks D. 25 weeks 31. A patient of a pre-natal class asks the nurse, “How do my baby’s lungs get air now that I’m pregnant?” The nurse correct response is: A. “Your baby gets air from the placenta. “ B. “No one knows how baby’s gets air in the uterus.” C. “Your lungs provide enough air for your baby to breathe.” D. “The baby’s lungs follow as the mothers breathe.” 32. A 20-year old primigravida at 8 weeks gestation visits the clinic with symptoms of slight reddish vaginal bleeding and an occasional uterine cramping. The pregnancy test is positive. IE indicates that there is no cervical dilatation noted. The nurse should explain to the patient that in is an indicative of: A. Missed Abortion B. Inevitable Abortion C. Incomplete Abortion D. Threatened Abortion 33. The pregnant client reports that she has a 3-year old child at home who was born at term, had a miscarriage at 10 weeks gestation, and delivered a set of twins at 28 weeks gestation that died within 24 hours. In the pre-natal record, the nurse should record: A. Gravida 2,para 1; G2TOPOA1L1 B. Gravida 3,para 3; G3T1P1A1L1 C. Gravida 4,para 2; G4T1P1A1L1 D. Gravida 5,para 4;G5T1P1A1L1