KAPLAN OB
Kaplan Obstetrics Quiz
Test your knowledge on obstetrics and maternal health with this comprehensive quiz tailored for nursing professionals and students. Covering a wide range of topics from prenatal care to intrapartum management, this quiz is designed to enhance your understanding and review essential concepts.
Key Features:
- 73 multiple-choice questions
- Focused on evidence-based nursing practices
- Ideal for exam preparation and self-assessment
Client jumps up and shouts to the parents "I hate you, why don't you get off my back?" and slams the door on the way out of the room. The parents are speechless. After a moment of silence which is the best response by the nurse
"Your child has had a frustrating day and is probably hungry, lunch may be helpful."
"I'm sure your child is just a little upset and will calm down in a few minutes and be right back."
"Why do you let your child talk to you that way
"This is not unusual behavior, it is hard to be on the receiving end of adolescent behavior."
The nurse palpates the head of the 4 month old infant during a routine physical examination. Which finding will the nurse expect to palpate
Posterior fontanel to be closed and the anterior fontanel to be open.
Anterior fontanel to be closed and the posterior fontanel to be bulging.
The posterior fontanel to be closed and the anterior fontanel to be bulging.
The anterior fontanel to be closed and the posterior fontanel to be open.
The client at 32 wks gestation is admitted to the L&D unit with severe preeclampsia+ Magnesium sulfate is started IV. The nurse recognizes that which is the therapeutic purpose of this medication
Increased cardiac function
Correct GI acidity
Improve thyroid function
Prevent convulsions
The nurse instructs the new mother about infant bathing. Which statement if made by the mother to the nurse indicates teaching is SUCCESSFUL
Babies don't require tub baths until they begin to crawl
Bathing my baby after feeding will help him sleep
I shouldn't give a tub bath until my baby's umbilicus is completely healed
I should undress my baby completely before washing his hair
The nurse reviews the physical signs of ovulation with the client who is trying to conceive. Which sign or symptom signals the onset of ovulation
Vaginal discharge consisted of clear and stringy cervical mucus
Tender and enlarged breasts
A persistent drop in basal body temperature
An increase in appetite and weight gain
The nurse cares for the pregnant woman scheduled for an alpha-fetoprotein (AFP) screening. The client asks the nurse why the... Which statement is the nurse's best response =Multiple Choice (Missing question)
This test helps to confirm the presence of a neural tube defect
This test tells us how many weeks pregnant you are
This test suggests the ability of the baby to withstand labor this test determines the baby's kidney function
______
The nurse identifies which client as a candidate for oxytocin induction of labor
Client diagnosed with placenta previa
Client diagnosed with an active genital herpes infection
Client with rupture of membranes at 38 weeks gestation
Client diagnosed with cephalopelvic disproportion
The nurse cares for the client in labor. The nurse notes that the client is completely dilated and efface+ The client begins to push. The nurse knows that which intervention could be potentially RISKY to the client and the fetus
Assisting the client to assume a side lying position during birth
Coaching the client to hold the client's breath and bear down with each contraction
Allowing the epidural block to wear off during the second stage of labor
Encouraging the client to make grunting noises during the birthing process
The pregnant client at 36 weeks gestation explains to the nurse what will happen when the client goes into labor. Which statement if made by the client SHOULD the nurse correct
My labor will start after several days of bloody show
I might expel the mucus plug just before my labor starts
I'll probably lose a few pounds just before my labor starts
My backache may become stronger and more persistent when I start labor
The 22-year-old female client tells the nurse in the family planning clinic that the client is fearful of contracting a sexually transmitted disease. Which statement if made by the nurse is best
Douche with a vinegar solution after each act of intercourse
Insert a diaphragm with spermicide before every act of intercourse
Limit your sexual encounters to people that you know
Use a condom and spermicide with every act of Intercourse
Which statement if made by the mother the day after delivery would alert the nurse that maternal-infant bonding may need the nurses support
I feel a little dizzy and I am afraid that I will drop him
He's got the funniest little face and ears
I think the baby looks like his father's side of the family
I really wanted to have a girl; I don't know anything about boys
The nurse prepares the laboring woman for placement of an internal fetal monitor. The nurse knows which statement is true about placement of this assessment tool
The cervix must be dilated sufficiently to place the electrode
The monitor can be put into place anytime during the labor process
An intrauterine pressure catheter (IPC) must be placed with the internal monitor
A small spiral electrode is attached to the uterine wall
The nurse in the clinic assesses the client taking contraceptives. Which finding by the nurse would require a referral to the OB/Gyn health care provider
Client reports breast enlargement and tenderness
The client has a fever of 101 f or 38.3 c and respiratory congestion
The client gains 5lbs in 3 months
The client complains of calf pain in her left leg
The nurse evaluates the pregnant client's risk for pica consumption. Which finding does NOT predispose a client to pica consumption
The woman lives in a rural area of the united states
The woman's ethnic background is Afro-American
The woman has a special fondness for fruit
The woman's mother and sisters were pica consumers
The client at 34 weeks gestation is admitted to the labor and delivery unit with a diagnosis of severe preeclampsi+ The nurse knows which symptom indicates preeclampsia
+1 deep tendon reflexes
+1 edema of both feet
Bright red vaginal bleeding
Generalized seizure
The nurse is in the neonatal intensive care unit and admits the 4lb 10 oz newborn. The newborn is 32 weeks gestation. The newborn is placed in an isolette. The nurse notes mottling of the skin and acrocyanosis with irregular respirations of 60. The nurse recognizes these findings indicate which newborn problem
Hypoglycemia
Cold stress
Hypovolemia
Birth asphyxia
The nurse cares for clients in the prenatal clinic The nurse instructs the new client on the danger signs of pregnancy that should be reported IMMEDIATELY. The nurse determines that teaching is effective if the client makes which statement
I will contact the clinic if I experience irregular contractions
I will call the clinic if I notice a white vaginal discharge
I should call the clinic if I experience a gush of bleeding from the vagina
I should contact the clinic if I have lower back pain
The clinic nurse receives a phone call from a client diagnosed with type 1 diabetes at 10 weeks gestation. The client reports that the client experiencing persistent nausea and vomiting. The nurse recognizes that the client is in danger of developing which complication
Hyperglycemia
Hypoglycemia
Iron deficiency anemia
Heartburn
The partner of a pregnant woman attends a childbirth education class. The partner asks the nurse why they need these classes. Which response by the nurse is best
These classes offer ways for you and your partner to manage the labor and delivery process
It's a best for you and your partner to be prepared for any situation during the labor and delivery process
These classes will help you and your partner manage the labor process without harmful medications
Childbirth classes teach you and your partner to be self-sufficient during the labor and delivery process
The nursing student in the prenatal clinic counsels a client at six weeks gestation. Which statement about medication use if made by the nursing student SHOULD the supervising nurse correct
The fetus development is highly susceptible to medication effects during the first three months
Remember that nicotine is a drug and has adverse effects on the fetus
You should stop all medications except for herbal treatments until after the baby is born
Be sure to check labels before you eat anything and limit your intake of caffeine
The client learns at the prenatal clinic that the client is pregnant with the client's first chil+ The client is certain that the first day of the client's last menstrual period was April 11th. The nurse determines which date is the correct estimated date of delivery (EDD)
Feb 11
Feb 18
Jan 11
Jan 18
The pregnant woman asks the nurse what is meant by a reactive non-stress test. Which explanation, if offered by the nurse, is accurate
When a non-stress test is reactive, it indicates a measure of fetal well-being with no obvious signs of distress
A reactive non stress test means it is inconclusive and must be repeated within a few weeks
When a non-stress test is reactive it means that the fetus must be monitored more closely for possible complications
A reactive non stress test reveals that the fetal heart is structurally normal and functioning adequately
The nurse discusses contractions with a new mother the day of discharge from the hospital. What should the nurse teach the client about the timing of ovulation after having a baby
Ovulation will not occur until the uterus is completely involuted
Ovulation is only possible after the twelfth week following delivery
Ovulation can occur before the client's menstrual periods return
Ovulation will not occur until the client stops Breastfeeding
The nurse cares for the newly delivered mother. The mother decides to formula feed the client's newborn. Which instruction is appropriate for the nurse to tell this client
Make a feeding schedule for the baby and follow it closely
Throw away any extra formula after the baby has fe+ Do not save it
Burp the baby at the end of the feeding rather than interrupt the baby's effort to suck
Place the baby on the left side after feeding with a folded-up blanket against the back
The nurse counsels a pregnant client. The nurse advises the client that which fluid is best to take with ferrous sulfate
2% milk
Water
Orange juice
Decaf tea
The nursing student presents a breastfeeding class to a group of expectant parents. Which statement if made by a parent to the nursing student indicates FURTHER teaching is required
Breastfeeding mothers are less likely to develop osteoporosis later in life
Breastfed infants receive antibodies that protect them against infections
Breastfeeding mothers tend to retain extra weight longer than mothers who formula feed
There is a lower risk of sudden infant death syndrome (SIDS) among breastfeeding infants
During the transition phase of labor, the laboring mother tells the client's coaching partner "Leave me alone, get lost!" The partner leaves the room. Which is the nurse's best action
Quickly warn the partner that it would be a big mistake to leave the room
Briefly let the partner know that this is a normal response and is to be expected
Immediately tell the client that this behavior is unacceptable and she needs to calm down
Agree that everyone needs a break and the partner should go to the hospital cafeteria
The woman at 11 weeks gestation with the client's first pregnancy asks the nurse why an ultrasound has been scheduled. Which is the best statement for the nurse to make
It is used to check the maturity of the placenta
It is used to detect congenital anomalies of the fetus
It is used to confirm viability of the fetus
It is used to determine fetal position
The nurse prepares to place the fetal heart monitor on a laboring woman. The fetal position is right occiput posterior (ROP) to obtain the point of maximum intensity (PMI) of the fetal heart. Where should the nurse place the ultrasound transducer
Below the umbilicus on the right side
Below the umbilicus on the left side
Above the umbilicus on the right side
Exactly over the umbilicus
The nurse knows which is the purpose of the surfactant in fetal development.
It strengthens the immune system
It keeps the alveoli from collapsing
It lines the GI tract
It protects the nose and throat from bacterial invasion
The nurse cares for the new mother and the client's 1-day old infant. The mother learns that the client's infant will not be discharged because the newborn's reticulocyte count is rising. The nurse explains to the mother that the client's infant is being monitored for which condition
Pathological jaundice
Inadequate oxygenation
A bacterial infection
Bleeding tendencies
The 2-day old infant develops mild physiological jaundice. Which statement if made by the infant's mother indicates to the nurse that the mother understands when medical intervention is needed immediately
I will call the health care provider if the baby has soft mustard-colored bowel movements more than once a day
I will call the health care provider if the baby sleeps more than usual and has a poor appetite
I will call the health care provider if they baby has 8-10 wet diapers per day
I will call the health care provider if the baby's yellow color deepens and covers the entire body
The nurse cares for the client in labor with spontaneous rupture of membranes. Which observation by the nurse would require IMMEDIATE notification of the health care provider
Contractions 5 minutes apart and lasting 60 seconds
Vaginal discharge that consists of blood and mucus
Pale, straw colored amniotic fluid
Fetal heart rate of 100 at the completion of contraction
The 21-year-old client tells the nurse that the client wants to take birth control pills as a contraceptive measure. Which factor is most important for the nurse to know
The client smokes half a pack of cigarettes per day
The client has fibrocystic breasts
The client's father is being treated for HTN
The client has had an ectopic pregnancy
The nurse performs an in-home assessment of the infant at three days of age. The infant was term and weighed 7 lbs. At birth. Which finding by the nurse requires immediate follow up
The infant's weight is 6 lbs.
The infant has visible irregular abdominal respirations
The infant's breasts are enlarged and secreting a milk substance
The infant dorsiflexes the big toe and fans the other toes when the sole of the foot is stroke+
The nurse assesses a 17-year-old client at 18 weeks gestation. The nurse assesses risk factors associated with delivering a small for gestational age (SGA) infant. Which finding would NOT predispose the client to deliver an SGA infant
The client lives with the client's partner who smokes a pack and a half a of cigarettes a day.
The client's hemoglobin has been 10 gm/dl for the past 8 weeks
The client's favorite foods are soda, tacos and French fries
The client's mother has type 2 diabetes
The nurse cares for the HIV positive client immediately after delivery of a full-term infant. Which statement if made by the client indicates to the nurse the client has an accurate understanding of the relationship of the client's HIV status to the client's newborn infant
I won't know for a while whether or not my baby is HIV positive
I will breastfeed my baby to provide important antibodies for HIV
I should wear gloves when feeding or bathing my baby
I should avoid holding the baby to keep him from getting HIV
The nurse teaches the client diagnosed with type 1 diabetes who is pregnant for the first time. The nurse teaches the client that as the pregnancy advances the client may require which implementation
Increased amount of protein in the diet
Decreased amount of carbohydrates in the diet
Increased amount of daily insulin
Decreased amount of daily insulin
The client at 20 weeks gestation asks the clinic nurse to describe the current development of the client's fetus. Which description by the nurse is the most accurate
The fetus is developing main blood vessels and the alveolar ducts are fully formed
The fetus is about 35 cm long and can breathe on its own if born at this point
The fetus weighs almost 11 ounces and has fine hair covering the entire body
The fetus has a fully formed brain with a definite sleep wake cycle
The client at 30 weeks comes to the clinic reporting vaginal bleeding. The nurse should prepare the client for which procedure
Cervical culture
Alpha fetoprotein culture
Vaginal examination
Transabdominal ultrasound
Which statement if made by an expectant parent, would indicate to the nurse that the expectant parent has come to terms with the reality of the partner's pregnancy
I'm not sure that I want to be a parent
I often take my cousins to the park so they can play on the swings
I'm working on a little wagon for the baby's first birthday
I've been changing the way I spend my time and Money
The client at 30 weeks gestation and the client's partner come to the OB clinic for a routine prenatal visit. The client's partner tells the nurse that the client appears to have trouble catching her breath. The nurse anticipates which process is causing this finding
The client is experiencing an unacceptable pulmonary event
The client is naturally breathing more shallowly and is decreasing her tidal volume
The client is experiencing changes in total lung capacity due to elevation of the diaphragm
The client is less sensitive to carbon dioxide and the carbon dioxide accumulates in her body
The nurse cares for the client who is Rh negative and pregnant with the client's second baby. The client is scheduled to receive Rh(D) immune globulin. The nurse teaches the client that the Rh(D) immune globulin is given for which reason
To suppress the production of the mother's antibodies against Rh positive blood cells
To enhance the production of fetal antibodies to counteract the mothers Rh negative blood cells
To help increase the woman's serum iron binding capacity (TIBC
To decrease the woman's production of maternal serum hemoglobin
The nurse cares for the woman 36 hours after the client's C-Section. The client asks when the client can have fluids to drink. Which response by the nurse is best
Fluids must be restricted until your uterus is firm and contracted
It would be risky to let you have fluids while you still have vaginal bleeding
You can have fluids when you are voiding in adequate amounts
You can have fluids when I hear bowel sounds in your abdomen
The nurse assists with the artificial rupture of a client's membranes during active labor. Which parameter should the nurse immediately monitor
The woman's respiratory status
The woman's blood pressure and pulse
The frequency of uterine contractions
The fetal heart rate
The nurse walks into a laboring client's room. The client cries "the baby is coming now" on examinations the nurse sees that the client's infants head is beginning to crown. After putting gloves on, what is the nurse's priority action
Apply hands on top of the bulging perineum and firmly push on the head
Place the client on the client's left side and ask the client to pant through the client's mouth
Tell the client to take a deep breath and push down as hard as the client can
Apply gentle pressure toward the vagina on the exposed fetal head
L34XX The nurse observes the nursing student conduct a class for young women about the prevention of cervical cancer. The nurse should INTERVENE if the student makes which statement
The risks of cervical cancer are greater if you are a smoker
Multiple sexual partners can increase your risk for cervical cancer
The longer you wait to become pregnant the greater your risk of cervical cancer
The HPV can increase your chances of getting cervical cancer
The nurse cares for the client is the PACU after an emergency cesarean delivery for an abruption placent+ During surgery the client received 6 units of packed cells. The client's vital signs are bp 100/60 pulse 80 respirations 20 with oxygen sat at 95% on room air. The client's abdominal dressing is heavily saturated with fresh blood and the client's urinary output for the last hour is 100ml of bloody urine. It is most important for the nurse to check which laboratory test
Creatinine level
Coagulation studies
Urinalysis
Arterial blood gases
The nurse cares for the low risk client at 40 weeks gestation. The client is in active labor. The client's cervix is 4 cm dilate+ Membranes have ruptured and contractions are 6 minutes apart and moderate intensity. Which intervention should the nurse use to care for this client
Encourage the client to void every two hours
Monitor the client's bp and P every two hours
Offer the client a full liquid diet as tolerated
Check the client's cervix every hour
The client has a contraction stress test (CST) the nurse should consider which outcome an indication of fetal health
An increase in fetal movements without fetal heart rate variability
Slowing of the fetal heart rate after the peak of the contraction that continues after the contraction has ended
Slowing of the fetal heart rate that begins at the onset of the contraction and returns to baseline at the end of the contraction
A rise in the maternal and fetal heart rates that coincides with the contraction
The nurse cares for a newly delivered healthy infant. After establishing the infant's respirations, which is the nurse's next priority action
Wash the infant and remove all blood and vernix
Monitor the infant's sensory functions noting any deficits
Check the blood glucose level of the infant
Determine if the infant is adequately covered or Warmed
A nursing student times the frequency of the laboring woman's contractions. The nurse knows that the nursing student is monitoring the contractions correctly if the nursing student makes which statement
I'm timing from the beginning of a contraction to its end, before the interval
I'm timing from the beginning of one contraction to the beginning of the next contraction
I'm timing from the end of one contraction to the beginning of the next contraction
I'm timing from the end of one contraction to the end of the next contraction
The nurse visits a 24-hour old newborn at home; the nurse notes the newborn's axillary temp is 96.1. The nurse notes the newborn is pink with a small amount of jaundice on the nose. The parent states the newborn has been spitting up most feedings and has been "too sleepy to eat" since early that morning. The newborn does not wake during the nurse's exam and has decreased muscle tone. The nurse prepares implementations for which medical diagnosis
Erythroblastosis fetalis
Hypoglycemia
Physiologic jaundice
Neonatal sepsis
The nurse performs a physical assessment on a full term 7 lb newborn. The nurse notes that the infant demonstrates hyperactive reflexes, irritability, sneezing, and a high-pitched cry. Based on these findings, the nurse should assess for which problem
Ophthalmia neonatorum
Cytomegalovirus infection
Intrauterine growth retardation
Neonatal abstinence syndrome
The nurse cares for the client diagnosed with chlamydia trachomatis infection. Which concept should the nurse include when discussing the infection with this client
Chlamydia is usually symptomatic in women and easily detected
Older clients are at greater risk of infection than younger client's
Chlamydia infections are relatively benign and non-recurring
The client will have to make sure that the client's partner is treated
The nurse admits the client in active labor to the birthing center. In order to monitor the client's uterine contractions electronically, the nurse places the tocodynamometer (pressure transducer) in which location
Over the uterine fundus
Where contractions are felt to be strong
Over the lower uterine segment
Over the back of the fetus
The nurse finds a 6-hour postpartum client sitting in a pool of blood the client reports to feeling faint. The nurse notes, skin is grayish and clammy, blood pressure is 88/55, pulse is 120 bpm, respirations are 40 breaths per minute. Which action should the nurse take first
Gently massage the client's uterus with two hands and call for help
Run to the nurses' station to get help and call the health care provider
Insert a Foley catheter and increases the client's IV fluid rate
Place the client in a high fowler's position and start Oxygen
The nurse in the newborn nursery admits the 7 lbs. newborn. The nurse prepares to administer intramuscular phytonadione to the infant. The nurse understands that phytonadione is given for which reason
To facilitate bilirubin excretion
To stimulate normal bowel flora
To promote normal blood clotting
To increase liver glycogen stores
The clinic nurse performs an INITIAL assessment on the client at 9 weeks gestation. Which sign or symptom does the nurse expect to document in the client's chart
Weight gain of 6lbs
Swollen ankles and feet
Complaints of heartburn
Complaints of urinary frequency
The client at 16 weeks gestation reports to the nurse that the client has vaginal spotting, no passage of fetal tissue and mild uterine cramping. On examination the client's cervix is closed. The nurse prepares to perform implementations for which potential problem
A complete abortion
A missed abortion
A threatened abortion
An inevitable abortion
The nurse assessed the client's obstetrical history. The client reports two living children, and is pregnant for the fourth time. The client's first pregnancy was preterm birth but the infant dies two days later. Using the five-digit (GTPAL) system how should the nurse classify the woman's history in the client's health record
4-4-1-0-3
4-2-1-0-2
3-3-1-1-2
4-3-1-1-1
The nurse cares for the client 1 day after delivering an infant by cesarean section. The nurse encourages the client to ambulate in the hall. The client responds with anger and asks "why are you making me walk so soon after having surgery?" Which response by the nurse is best
Walking will enable you to better care for your infant
Walking lowers the incidence of urinary infections
Walking prevents the development of venous thromboembolism (VTE)
Walking prevents your wound from opening
The nurse in the newborn nursery assesses the infant born at 42 weeks gestation. Which common physical characteristics is the nurse likely to document
Well disturbed pattern on the shoulders
Hypertonic reflexes
Copious amounts of vernix on the body
Longer finger and toe nails
The nurse cares for the client with a history of an ectopic pregnancy. The nurse should be aware that which factor increases the risk of ectopic pregnancies
The client's used a diaphragm for two years
The client's sister as endometriosis
The client had pelvic inflammatory disease
The client has 5-year-old twins
The client at 39 weeks gestation tells the nurse that she is experiencing urinary frequency. The nurse identifies which process as being the likely cause of this finding
Lightening
Effacement
Rupture of membranes
Quickening
The nurse cares for the client diagnosed with postpartum depression in order to prepare for the client to discharge it is essential for which information
Community resources that are available to the client
The support offered to the client by family and friends
The client's responsibilities
The client's financial resources
The newborn assessed by the number at five minutes after birth finds heart rate at 110 respiratory = good cry, muscle tone some flexion reflex irritability = strong cry, and color = body pink with extremities blue on this assessment, the nurse should assign which APGAR score
10
12
6
8
The nurse notes that the client two days has an oral temp of 102 F and yellow-brown foul-smelling lochia. The nurse should immediately take which action
Increase the client's fluid intake
Call the healthcare provider
Assess the woman for breast engorgement
Give the client a Sitz bath
The client who is 36 weeks pregnant asks the nurse how to prevent the recurrence of candida albicans infection. The nurse should recommend which implementation
The client should take a tub bath everyday
The client should increase her intake of dairy products
The client should keep her legs elevated as much as possible
The client should wear cotton underwear
The nurse counsels the female client and the client's partner planning their first pregnancy. Which statement if made by the nurse is most appropriate at this time
You and your partner will find a new home for your car
You should increase your intake of products with folic acid such as green leafy vegetables
A visit to the dentist is inadvisable until after you deliver your baby
By the second trimester you should try to stop Smoking
The nurse makes a home visit to a new mother who appears sad and withdrawn. Which statement if made by the nurse reflects the best approach to this client
You have so many things to be happy about
Can you tell me about your feelings
Is there anything I can do for you
I will talk to your healthcare provider about you
The first-time mother has decided to breastfeed her newborn baby. But is concerned about how to determine if the baby is getting adequate amounts of milk. The nurse informs the client to watch for which finding that will tell the client that the baby is getting enough milk
The baby rejects the use of a pacifier
The baby sleeps through the night
The baby feeds six times every day
The baby has 6 to 8 wet diapers per day
The nurse cares for the client in active labor. The nurse notes uterine contractions three minutes apart. The client is 6 cm dilate+ The fetal heart monitor shows variable decelerations with moderate baseline variability. Which action should the nurse take first
Encourage the client to void
Turn the client from the client's back to the client's left side
Increase the client's IV infusion rate
Check the client's vital signs
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