L&D
A patient comes in for decreased fetal movement. The doctor has ordered a NST (non stress test). What should the nurse look for?
A. 2 accelrations in 20 min periodB. 1 accelration in a 30 min period
C. 2 accelerations in a 40 min period
D. 1 acceleration in a 40 min period
A
Select all that apply:
A nurse is caring for a patient who is breastfeeding. The nurse determines that the patient has understood the breastfeeding instructions if the patient makes which of the following statements?
1. I should wear a bra that provides support
2. Drinking alcohol can affect my milk supply
3. The use of caffeine can decrease my milk supply
4. I will start my estrogen birth control pills again as soon as I get home
5. I know if my breasts get engorged I will limit my breastfeeding and supplement my baby
6. I plan on having bottled water available in the refrigerator so I can get additional fluids easily
1,2,3,6
1. Place a pulse ox on infant
2. Tell dad you need to take the infant to the nursery for extended monitoring and notify provider
3. Check HR, RR, and temp
4. Ensure dad this is normal and called acrocyanosis, which can last 24-48 hours.
4
A nurse is assessing a 28 week pregnant patient in an OB clinic. What would the nurse expect to find her fundal height to be?
A. 28
B. 30
C. 32
D. 34
B. 30, fundal height should roughly be weeks gestation + 2cm
A patient has been pushing for 1 hour. The nurse anticipates to support the patient by:
A. Ambulate
B. Change positions frequently
C. Prepare patient for a c/s
D. Rest between contractions
D
A nurse is preparing to perform a fundal assessment on a postpartum patient. The initial nursing action in performing this assessment is which of the following?
1. Ask the patient to turn to her side
2. Ask the patient to empty her bladder.
3. Massage the fundus gently before determining the level of the fundus
4. Ask the patient to lay flat on her back with her legs straight.
A mom is changing her first diaper on the postpartum unit and she notices a dark tarry substance in the infants diaper. This is called:
1. meconium
2. transitional stool
3. seedy stool
4. normal newborn stool
1.
A OB clinic nurse is collecting a history on a new OB patient. She is currently 16 weeks pregnant with twins, she has a 5 YO son delivered at 38 weeks, she denies any abortions or miscarriages. The nurse would document her GTPAL as?
G (gravida # of pregnancies): 2
T (Term): 1
P (Preterm):0
A (Abortions):0
L (Living):1
A nurse is caring for a patient who is receiving pitocin. She develops hypertonic contctaction pattern (tachysytole). In order what should the nurse do first.
1. Reposition the patient
2. Stop the infusion
3. Perform a vaginal exam
4. Check the patient's BP
5. Administer oxygen 10L per Non rebreather
6. Administer meds as prescribed to reduce uterine activity.
Stop infusion, reposition the patient, O2, vag exam, BP, administer meds
When performing a postpartum assessment on a patient, the nurse notes the presence of clots. The nurse examines the clots and notes they are larger than 1cm. Which is the most appropriate action?
1. Notify the provider
2. Document the findings
3. Reassess the patient in 2 hours4. Encourage increased oral intake
1
You assess an infant that the family has heavily bundled with a hat, extra clothing, and heavy swaddling blankets. The infant temp is 100.0F. What is the best action of the nurse. Select all that apply:
1. Appropriately dress the infant
2. Provide education that overheating can increase risks of SIDS
3. Recheck temp in 15-30 min
4. Notify provider
1,2,3
A nurse in an OB office is caring for a patient that has genital herpes. What important info should the nurse give the patient about protecting her baby leading up to birth? (Select all that apply)
A. total abstinence from sexual intercourse for the remainder of pregnancy
B. Sitz bath when active lesions are present
C. Daily admin of acyclovir starting at 36 weeks of pregnancy until delivery
D. A c/s delivery will be required if active lesions are present upon presentation to unit for delivery.
C & D
A nurse is preparing a patient for a scheduled c/s. Which finding would require the provider to be notified?
A. hemoglobin of 11B. FHR of 180
C. Maternal HR 85
D. WBC 12,000
B
A nurse is caring for a patient and notes a vital sign 4 hours after birth of BP: 166/112. Which of the following actions would be appropriate. Select all that apply.
1. Dim room lights
2. Notify provider
3. retake BP in 15 minutes
4. have patient take a warm shower
1,2,3
A nursery nurse is expecting to receive a baby estimated at 42 weeks gestation that was just born and had an APGAR score of 1 and 4. The nurses first priority should be:
1. Turn on the apnea monitor and cardio-respiratory monitors
2. Connect the resuscitation bag to the O2 outlet
3. Set up an IV line with 5% dextrose
4. Set the radiant warmer to 97.6F
2
A first time pregnant mother calls into the clinic asking when she should start feeling the baby move? What should the nurse advise?
A. 6-8
B. 8-10
C. 10-12
D. 16-20
D
A patient comes in at 37 weeks with heavy vaginal bleeding a ultrasound shows a placental abruption. What should you anticipate as the nurse?
A. Delivery via c/s
B. Strict I/O's
C. Bedrest until delivery with fetal monitoring
D. Weekly outpatient monitoring for maternal H/H and fetal monitoring
A
A nurse is monitoring a patient who delivered 2 hours ago. She notes that the pad is saturated within 1 hour. The nurse would report this flow as?
1. scant
2. light
3. heavy
4. excessive
3
A nurse is assessing an infant born to a mother who was taking methadone throughout her pregnancy. Which assessment finding would the nurse expect to note during the assessment of this newborn. Select all that apply:
1. lethargy
2. sleepiness
3. incessant crying
4. loose stools
5. elevated body temperatureA patient is having first trimester N/V. What education can the nurse give the patient to help alleviate symptoms? (Select all that apply.)
A. Eat small frequent mealsB. Avoid fry foods
C. Take herbal remedies to help relieve nausea
D. Report rapid weight loss
A, B, D