OB exam 1 Practice Questions and Answers latest 2022/2023 100% Correct Verified Answers

OB exam 1 Practice Questions and

Answers

A woman's cousin gave birth to an infant with a congenital heart anomaly. The woman

asks the nurse when such anomalies occur during development. Which response by the

nurse is most accurate?

A. "We don't really know when such defects occur."

B. "It depends on what caused the defect."

C. "They occur between the third and fifth weeks of development."

D. "They usually occur in the first 2 weeks of development." correct answer- c

A woman is 8 months pregnant. She tells the nurse that she knows her baby listens to

her, but her husband thinks she is imagining things. Which response by the nurse is

most appropriate?

A. "Many women imagine what their baby is like."

B. "A baby in utero does respond to the mother's voice."

C. "You'll need to ask the doctor if the baby can hear yet."

D. "Thinking that your baby hears will help you bond with the baby." correct answer- b

A maternity nurse should be aware of which fact about the amniotic fluid?

A. It serves as a source of oral fluid and as a repository for waste from the fetus.

B. The volume remains about the same throughout the term of a healthy pregnancy.

C. A volume of less than 300 ml is associated with gastrointestinal malformations.

D. A volume of more than 2 L is associated with fetal renal abnormalities correct

answer- a

Many parents-to-be have questions about multiple births. Maternity nurses should be

able to tell them that:

A. Rates of twinning and other multiple births are increasing because of the use of

fertility drugs and delayed childbearing.

B. Dizygotic twins (two fertilized ova) have the potential to be conjoined twins.

C. Identical twins are more common in Caucasian families.

D. Fraternal twins are same gender, usually male. correct answer- a

The nurse caring for a pregnant woman knows that her health teaching regarding fetal

circulation has been effective when the woman reports that she has been sleeping:

A. In a side-lying position.

B. On her back with a pillow under her knees.

C. With the head of the bed elevated.

D. On her abdomen. correct answer- a

A woman at 35 weeks of gestation has had an amniocentesis. The results reveal that

surface-active phospholipids are present in the amniotic fluid. The nurse is aware that

this finding indicates that:

A. The fetus is at risk for Down syndrome.

B. The woman is at high risk for developing preterm labor.

C. The lungs are mature.

D. Meconium is present in the amniotic fluid correct answer- c

Which time span delineates the appropriate length for a normal pregnancy?

A. 9 lunar months, 8.5 calendar months, 39 weeks, 272 days

B. 10 lunar months, 9 calendar months, 40 weeks, 280 days

C. 9 calendar months, 10 lunar months, 42 weeks, 294 days

D. 9 calendar months, 38 weeks, 266 days correct answer- b

A pregnant woman has been diagnosed with oligohydramnios. Which presentation

would the nurse suspect to find on physical examination?

A. Fetus is in a breech position

B. FHR baseline is within normal range

C. Fetus with possible renal problems

D. Increased fundal height correct answer- c

Which developmental finding is accurate with regard to fetal growth?

A. Heart starts beating at 12 weeks.

B. Lungs take shape by 8 weeks.

C. Brain configuration is complete by 8 weeks.

D. Main blood vessels form by 8 weeks correct answer- d

In reviewing the history of a woman who wants to become pregnant, which medication

profile would indicate a potential concern relative to toxic exposure? (Select all that

apply.)

A. Tylenol OTC occasionally for a headache; twice last week

B. Anticonvulsant for seizure disorder

C. Lithium for bipolar disorder

D. Coumadin for atrial fibrillation

E. Multivitamins once a day correct answer- b,c,d

A woman is 6 weeks pregnant. She has had a previous spontaneous abortion at 14

weeks of gestation and a pregnancy that ended at 38 weeks with the birth of a stillborn

girl. What is her gravidity and parity according to the GTPAL system?

A. 2-0-0-1-1

B. 2-1-0-1-0

C. 3-1-0-1-0

D. 3-0-1-1-0 correct answer- c

Over-the-counter (OTC) pregnancy tests usually rely on which technology to test for

human chorionic gonadotropin (hCG)?

A. Radioimmunoassay

B. Radioreceptor assay

C. Latex agglutination test

D. Enzyme-linked immunosorbent assay (ELISA) correct answer- d

A nurse teaches a pregnant woman about the presumptive, probable, and positive signs

of pregnancy. The woman demonstrates understanding of the nurse's instructions if she

states that a positive sign of pregnancy is:

A. A positive pregnancy test result.

B. Fetal movement palpated by the nurse-midwife.

C. Braxton Hicks contractions.

D. Quickening. correct answer- b

During a client's physical examination, the nurse notes that the lower uterine segment is

soft on palpation. The nurse would document this finding as:

A. Hegar sign.

B. McDonald sign.

C. Chadwick sign.

D. Goodell sign. correct answer- a

Cardiovascular system changes occur during pregnancy. Which finding would be

considered normal for a woman in her second trimester?

A. Less audible heart sounds (S1, S2)

B. Increased pulse rate

C. Increased blood pressure

D. Decreased red blood cell (RBC) production correct answer- b

A woman who has completed one pregnancy with a fetus (or fetuses) reaching the

stage of fetal viability is called a:

A. Primipara

B. Primigravida

C. Multipara

D. Nulligravida correct answer- a

Which presumptive sign (felt by woman) or probable sign (observed by the examiner) of

pregnancy is not matched with another possible cause(s)?

A. Amenorrhea—stress, endocrine problems

B. Quickening—gas, peristalsis

C. Goodell sign—cervical polyps

D. Chadwick sign—pelvic congestion correct answer- c

In order to reassure and educate pregnant clients about changes in their blood

pressure, maternity nurses should be aware that:

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