Question: After delivering a full term male infant vaginally, the physician notes that placental separation does not occur normally and suspects an abnormal placental attachment. Which of the following conditions is this woman most at risk for?
Answer Choices: A. Uterine Inversion
B. Abruptio Placenta
C. Fluid volume overload
D. Perineal lacerations
Answer: A. Uterine Inversion
Question: The laboring woman wants to know if the epidural will affect the progress of labor. The nurse tells her that an epidural can prolong the second stage of labor primarily because it:
Answer Choices: A. Stops the labor contractions
B. Impairs the woman’s ability to push
C. Prevents the descent of the fetus
D. Slows the rate of cervical dilation
Answer: B. Impairs the woman’s ability to push
Question: A woman who is 2 weeks postpartum comes to the clinic because of pain in her left breast. Which of the following clinical manifestations would indicate she may be developing mastitis?
Answer Choices: A. She is experiencing some nipple soreness
B. She is having breast fullness before feeding
C. She reports fever and flu like symptoms
D. She sees a pink skin rash around the areola
Answer: C. She reports fever and flu like symptoms
Question: A 32 year old woman who has three healthy children just had a hormonal intrauterine device (IUD) inserted. Which of the following information repeated back by the woman would indicate to the nurse that the woman needs further teaching about the hormonal IUD?
Answer Choices: A. She may experience some cramping and discomfort initially
B. The IUD will need to be replaced in 5 years to prevent conception
C. Her monthly menstrual flow may become somewhat irregular
D. The IUD strings she feels in her vagina will dissolve in 1 month
Answer: D. The IUD strings she feels in her vagina will dissolve in 1 month
Question: A 9 pound 11 ounce infant was born vaginally to a woman who had a prolonged labor and pushed for 2 hours to give birth. Which of the following findings assessed in the newborn would be of greatest concern to the nurse?
Answer Choices: A. There is crepitus noted over the infant’s clavicles
B. Scalp edema is noted on the infant’s occiput
C. Babinski reflex is noted when the foot is stroked
D. There is no urine noted in the infant’s diaper
Answer: A. There is crepitus noted over the infant’s clavicles
Question: Which of the following is the reason for scheduling a woman experiencing infertility for a hysterosalpingogram?
Answer Choices: A. To assess the patency of the Fallopian tubes
B. To assess the functioning of the ovaries
C. To assess the consistency of the cervix
D. To assess the endometrial blood supply
Answer: A. To assess the patency of the Fallopian tubes
Question: Based on the maternal history of alcohol abuse, an infant is being assessed for signs of fetal alcohol syndrome. Which of the following would be consistent with this syndrome?
Answer Choices: A. Large head and protruding tongue
B. High forehead and a long nose
C. Large jaw and protruding chin
D. Thin upper lip and flat midface
Answer: D. Thin upper lip and flat midface
Question: A woman who was treated with tocolytic therapy for preterm labor is being discharged. Which of the following would the nurse include when providing this woman with discharge teaching?
Answer Choices: A. Monitor her urine for protein
B. Modify physical activities
C. Restrict her fluid intake
D. Increase the calories in her diet
Answer: B. Modify physical activities
Question: A primigravida at 39 weeks gestation comes to the Labor and Delivery unit because her contractions are 5 minutes apart. The physical examination done on admission reveals that the fetal position is Right Occiput Posterior (ROP) and the head is engaged. The fetus is estimated to weigh about 8 pounds and the baseline fetal heart rate is 140 bpm with moderate variability. Which of the following will most likely occur during labor for this woman?
Answer Choices: A. Rapid delivery once reaching 10cm dilated
B. Prolapse of the umbilical cord
C. Significant back pain with contractions
D. Evidence of significant fetal distress
Answer: C. Significant back pain with contractions
Question: Which of the following women would the contraceptive patch be an appropriate option for birth control?
Answer Choices: A. A 31 year-old woman who had twins born at 36 weeks last year
B. A 32 year-old woman who is under treatment for hypertension
C. A 37 year-old who had an estrogen receptor positive breast cancer
D. A 35 year-old woman who smokes 2 packs of cigarettes a day
Answer: A. A 31 year-old woman who had twins born at 36 weeks last year
Question: A nurse is admitting a woman, who is having regular contractions of mild intensity, because she is in preterm labor at 32 weeks. The plan is to try to stop the contractions. Which of the following medications may be used to stop labor contractions?
Answer Choices: A. Nifedipine
B. Oxytocin
C. Methylergonovine
D. Prostaglandin
Answer: A. Nifedipine
Question: Which of the following symptoms are most likely to be seen in a mother experiencing postpartum blues one week after delivery?
Answer Choices: A. Frequent feelings of guilt and failure
B. Occasional episodes of being sad and tearful
C. Constantly worrying that her baby will die
D. Intense severe and labile mood swings
Answer: B. Occasional episodes of being sad and tearful
Question: Which of the following women is demonstrating clinical manifestations of postpartum psychosis?
Answer Choices: A. A woman who questions every assessment finding on her baby
B. A woman who is upset because her baby is restless and crying
C. A woman who says that she hears her baby talking to her
D. A woman who feels awkward when bathing her infant
Answer: C. A woman who says that she hears her baby talking to her
Question: Which of the following postpartum women is at the highest risk for developing a postpartum endometritis?
Answer Choices: A. A woman with a history of having influenza during pregnancy
B. A woman whose two older school age children come for a visit
C. A woman who had a long labor with frequent pelvic examinations
D. A woman who has been voiding at least 400mL of urine every 4 hours
Answer: C. A woman who had a long labor with frequent pelvic examinations
Question: Which of the following infants would be most at risk for developing pathological jaundice in the first three days of life?
Answer Choices: A. Infants who are exclusively breastfeeding every 2 hours
B. Infants whose mothers had gall stones during the pregnancy
C. Infants born to mothers who take insulin during pregnancy
D. Infants who have an incompatibility with their mother’s blood
Answer: D. Infants who have an incompatibility with their mother’s blood
Question: A divorced 39-year-old mother of two teenaged children has started dating again and is seeking information about an effective barrier contraceptive method she can use when she has sex. Which of the following factors is important to consider when recommending a method for this woman?
Answer Choices: A. Whether she is concealing her sexual activity from her family
B. Whether she is having sex with several different men
C. Whether she has had any induced abortions previously
D. Whether she has regular monthly menstrual periods
Answer: B. Whether she is having sex with several different men