N8 OB Qs from Textbook

Review Questions Chapter 07
1.
Assessment of a couple experiencing difficulty conceiving usually begins with:

A. A complete history and physical assessment of both partners
B. Semen analysis
C. Testing of cervical mucous for LH surge
D. Postcoital (Sims-Huhner) test

2.Semen analysis is a common diagnostic procedure related to infertility. In instructing a male client regarding this test, the nurse would tell him to:

A. Ejaculate into a sterile container
B. Obtain the specimen after a period of abstinence from ejaculation of 2 - 5 days
C. Transport specimen with container packed in ice
D. Ensure that the specimen arrives at the laboratory within 30 minutes of ejaculation

3.A woman taking an oral contraceptive as her birth control method of choice should notify her health care provider immediately if she notes which of the following?

A. Breast tenderness and swelling
B. Weight gain
C. Swelling and pain in one of her legs
D. Mood swings

4.A 26-year-old woman is considering Depo-Provera as the form of contraception that is best for her since she does not like to worry about taking a pill every day. To assist this woman with decision-making concerning this method of contraception, the nurse would tell her that Depo-Provera:

A. Is a combination of progesterone and estrogen
B. Is a small adhesive hormonal birth control patch that is applied weekly
C. Thickens and decreases cervical mucus, thereby inhibiting sperm penetration and inhibit ovulation
D. Has an effectiveness rate in preventing pregnancy of 99% when used correctly

5.The nurse must evaluate a male client's knowledge regarding the use of a condom. The nurse would recognize the need for further instruction if the client states that he:

A. Lubricates the condom with a spermicide containing nonoxynol-9
B. Leaves an empty space at the tip of the condom
C. Leaves a small amount of air in the tip
D. Removes his still erect penis from the vagina while holding onto the base of the condom

Review Questions Chapter 10

1.Which of the following, if exhibited by a pregnant woman, represents a positive sign of pregnancy?

A. Morning sickness
B. Quickening
C. Positive pregnancy test
D. Fetal heart beat auscultated with Doppler/fetoscope

2.A pregnant woman is the mother of 2 children. Her first pregnancy ended in a still birth at 32 weeks' gestation, her second pregnancy with the birth of her daughter at 36 weeks, and her third pregnancy with the birth of her son at 41 weeks. Using the 5-digit system to describe this woman's current obstetric history, the nurse would record:

A. 4-1-2-0-2
B. 3-1-2-0-2
C. 4-2-1-0-1
D. 3-1-1-1-3

3.Which of the following hematocrit (HCT) and hemoglobin (HGB) results represent(s) the lowest acceptable values for a woman in the third trimester of pregnancy?

A. 38% HCT; 14 gm/dl HGB
B. 35% HCT; 13 gm/dl HGB
C. 33% HCT; 11 gm/dl HGB
D. 32% HCT; 10.5 gm/dl HGB

4. When assessing the fetal heart rate (FHR) of a woman at 30 weeks' gestation, the nurse counts a rate of 82 BPM. Initially, the nurse should:

A. Recognize that the rate is within normal limits and record it
B. Assess the woman's radial pulse
C. Notify the physician
D. Allow the woman to hear the heart beat

Review Questions Chapter 11

1.During the first trimester, the pregnant woman would be most motivated to learn about:

A. Fetal development
B. Impact of a new baby on family members
C. Measures to reduce nausea and fatigue so she can feel better
D. Location of childbirth preparation and breastfeeding classes

2.An expectant father confides in the nurse that his pregnant wife, 10 weeks' gestation, is driving him crazy. "One minute she seems happy and the next minute she is crying over nothing at all. Is there something wrong with her?" The nurse's best response would be:

A. "This is normal behavior and should begin to subside by the second trimester."
B. "She may be having difficulty adjusting to pregnancy; I will refer her to a counselor that I know."
C. "This is called emotional lability and is related to hormone changes and anxiety during pregnancy — the mood swings will eventually subside as she adjusts to being pregnant."
D. "You seem impatient with her — perhaps this is precipitating her behavior."

3.Which of the following, if exhibited by an expectant father, would be a warning sign of ineffective adaptation to his partner's first pregnancy?

A. Views pregnancy with pride as a confirmation of his virility
B. Consistently changes the subject when the topic of the fetus/newborn is raised
C. Expresses concern that he might faint at the birth of his baby
D. Experiences nausea and fatigue, along with his partner, during the first trimester

4.Which of the following laboratory results would be a cause for concern if exhibited by a woman at her first prenatal visit during the second month of her pregnancy?

A. Hematocrit 38%, Hemoglobin 13 gm/dl
B. White blood cell count 6,000/mm3
C. Platelets 300,000/mm3
D. Rubella titre 1:6

5.A Chinese-American expectant father tells the nurse that he does not view his role during childbirth to be that of a coach. The nurse recognizes that this behavior is most likely a reflection of:

A. Limited interest in the well being of his wife
B. Embarrassment
C. Couvade
D. Ambivalence regarding the pregnancy

6.A maternal serum alpha-fetoprotein (MsAFP) test is performed at 16 to 18 weeks' gestation. An elevated level has been associated with:

A. Down syndrome
B. Sickle cell anemia
C. Cardiac defects
D. Open neural tube defects such as spina bifida

7.An expectant couple asks the nurse about intercourse during pregnancy and if it is safe for the baby. The nurse should tell the couple:

A. Intercourse should be avoided if any spotting from the vagina occurs afterwards
B. Intercourse is safe until the third trimester
C. Safer sex practices should be used once the membranes rupture
D. Intercourse and orgasm are often contraindicated if a history of or signs of preterm labor are present

8.A pregnant woman at 32 weeks' gestation complains of feeling dizzy and lightheaded while her fundal height is being measured. Her skin is pale and moist. The nurse's initial response would be to:

A. Assess the woman's blood pressure and pulse
B. Have the woman breathe into a paper bag
C. Raise the woman's legs
D. Turn the woman on her side

9.A pregnant woman demonstrates understanding of the nurse's instructions regarding relief of leg cramps if she:

A. Wiggles and points her toes during the cramp
B. Applies cold compresses to the affected leg
C. Extends her leg and dorsiflexes her foot during the cramp
D. Avoids weight bearing on the affected leg during the cramp

10.A pregnant woman's last menstrual period began on April 8, 2005, and ended on April 13. Using Nägele's rule her estimated date of birth would be:

A. January 15, 2006
B. January 20, 2006
C. July 1, 2006
D. November 5, 2005

Review Questions Chapter 12

1.When planning a diet with a pregnant woman, the nurse's first action would be to:

A. Review the woman's current dietary intake
B. Teach the woman about the food pyramid
C. Caution the woman to avoid large doses of vitamins, especially those that are fat-soluble
D. Instruct the woman to limit the intake of fatty foods

2.A pregnant woman with a BMI of 22 asks the nurse how she should be gaining weight during pregnancy. The nurse's best response would be to tell the woman that her pattern of weight gain should be approximately:

A. A pound a week throughout pregnancy
B. 2 to 5 pounds during the first trimester, then a pound each week until the end of pregnancy
C. A pound a week during the first two trimesters, then 2 pounds per week during the third trimester
D. A total of 25 to 35 pounds

3.A pregnant woman at 7 weeks' gestation complains to her nurse midwife about frequent episodes of nausea during the day with occasional vomiting. She asks what she can do to feel better. The nurse midwife could suggest that the woman:

A. Drink warm fluids with each of her meals
B. Eat a high-protein snack before going to bed
C. Keep crackers and peanut butter at her bedside to eat in the morning before getting out of bed
D. Schedule three meals and one mid-afternoon snack a day