Obstetrics Capstone Practice Exam

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• What is the significance of careful monitoring during labor?
• What should a nurse assess when caring for a patient on magnesium sulfate for preeclampsia?
• Which anticoagulant is frequently used to prevent thrombosis in pregnancy?
• What important information should a nurse include when teaching a patient about hormone therapy with conjugated equine estrogen?
• What key information should a nurse provide about prenatal nutrition to a patient who is 13 weeks pregnant with a BMI of 22?
• What statement by a patient about caring for a newborn's umbilical cord indicates understanding?
• What should the nurse's first action be for a client in active labor with late decelerations in the FHR?
• What finding should a nurse report for a 10-hour-old newborn?
• What is the purpose of continuous fetal monitoring during labor?
• What are signs of uterine atony after delivery?
• How should a nurse instruct a pregnant woman dealing with fatigue and anemia?
• Which of the following interventions should a nurse include for a client 2 weeks postpartum with mastitis?
• What is a key aspect of continuous fetal monitoring?
• What is the typical duration of a full-term pregnancy?
• What is the primary goal of massage in a patient with a boggy fundus after delivery?
• What does a non-stress test (NST) primarily evaluate?
• At what gestational age is the first trimester defined?
• What is an important dietary recommendation for pregnant women?
• Which questions should a nurse ask before administering ibuprofen to a postpartum client?
• At what gestational age is the first fetal heartbeat typically detected via ultrasound?
• Which of the following is a potential complication of untreated uterine atony?
• What is a key dietary recommendation for clients with high blood pressure during pregnancy?
• When caring for a patient receiving magnesium sulfate for preterm labor, what respiratory finding should be reported?
• What are the four main stages of labor?
• What is the purpose of a biophysical profile (BPP)?
• What are potential effects of maternal smoking during pregnancy?
• What finding is a contraindication for the insertion of an IUD?
• What is the estimated duration of lochia after childbirth?
• A client at 31 weeks of gestation is assessed for potential prenatal complications. Which finding is concerning?
• What is the Apgar score used for?
• How is the gestational age of the fetus typically estimated during ultrasounds?
• What benefit does skin-to-skin contact immediately after birth provide?
• What is the maximum recommended duration for a woman to remain in active labor?
• Which hormone is primarily responsible for the maintenance of pregnancy?
• What is the definition of postpartum hemorrhage?
• Which of the following is a common intervention for managing gestational hypertension?
• What is the purpose of the Apgar score?
• In a situation where a laboring client shows recurrent variable decelerations, what is the first action the nurse should take?
• What does "imminent delivery" refer to?
• What is the priority action for a nurse admitting a client at 35 weeks of gestation with vaginal bleeding due to placenta previa?
• At what point in pregnancy is glucose screening typically conducted?
• Which of the following is a common sign of labor onset?
• What is the primary benefit of prenatal vitamins?
• Which maternal factor is a risk for developing gestational diabetes?
• For a patient at 39 weeks of gestation with a positive GBS culture, what is the appropriate nursing action during active labor?
• When a postoperative mastectomy patient expresses concerns about losing femininity, what is a therapeutic response by the nurse?
• What is the role of the hormone human chorionic gonadotropin (hCG) during early pregnancy?
• What does the acronym GTPAL stand for in obstetrics?
• What is a typical sign that a woman has entered active labor?
• What is a common reason for a patient to discontinue hormone replacement therapy?
• What statement by a patient indicates a contraindication to undergoing a hysterosalpingography (HSG)?
• In educating a postpartum patient about body image concerns, what should the nurse emphasize?
• What is the role of an intrauterine device (IUD) postpartum?
• Why is it important to assess fetal position and presentation during labor?
• What action should a nurse take for a patient who had a vaginal birth 2 hours ago and has soaked 2 perineal pads in the last 30 minutes?
• What is the primary action of oxytocin during labor?
• What is the ideal timing for GBS screening during pregnancy?
• What key psychological issue might arise during the postpartum period?
• What are the signs of preeclampsia?
• What is the primary role of an obstetrician during delivery?
• What screening is recommended for Group B Streptococcus during pregnancy?
• What is the most common type of anemia that occurs during pregnancy?
• What is one risk factor for postpartum depression?
• Which statement by an Rh-negative client indicates understanding of Rh (D) immune globulin teaching?
• What information should be included when teaching a patient about chorionic villus sampling (CVS)?
• What is defined as assisted reproductive technology (ART)?
• What defines term gestation?
• What condition is tamoxifen used to treat?
• What does cervical dilation indicate during labor?
• What is chorioamnionitis?
• What is the recommended weight gain during pregnancy for a woman of normal weight?
• Which statement indicates a client understands newborn safety during induction of labor?
• What is one purpose of conducting antepartum tests on the fetus?
• During what stage of labor does cervical dilation reach 10 cm?
• Which of the following can indicate infection postpartum?
• What are the risks associated with advanced maternal age at pregnancy?
• What physiological changes occur in the cardiovascular system during pregnancy?
• What is the typical duration of a full-term pregnancy?
• For a client with placenta previa at 35 weeks of gestation, what is the priority nursing action?
• What are common prenatal visit schedules after 36 weeks of gestation?
• At what frequency do prenatal visits typically occur from 28 weeks to 36 weeks of gestation?
• Which type of exercise is recommended for pregnant women?
• What is the primary purpose of labor induction?
• What is the significance of the Bishop score in obstetrics?
• Which statement best describes the function of low molecular weight heparin (LMWH) during pregnancy?
• What information should be included when teaching a client experiencing stress incontinence at 32 weeks of gestation?
• What is the ideal fetal position for delivery?
• When teaching about intrauterine devices (IUDs) for contraception, what demonstrates client understanding?
• What is a potential risk associated with placenta previa?
• What is a common complication associated with macrosomia?
• What is a typical manifestation of neonatal abstinence syndrome in a newborn from a mother who used methadone during pregnancy?
• How do you calculate the estimated due date (EDD)?
• What is a significant risk associated with late-term pregnancy?
• What are the stages of normal postpartum recovery?
• Which of the following is a sign of labor?
• What screening test is performed to assess the risk of Down syndrome during the first trimester?
• Which is not a sign of labor?
• What action should be avoided when caring for a newborn with nasal faring?
• Which of the following is a potential complication of multiple gestation pregnancies?
• What is the primary goal of assisted reproductive technology (ART)?
• What condition is indicated by early decelerations of the fetal heart rate (FHR) during active labor?
• When should breastfeeding ideally commence after delivery?
• Which statement is true regarding fetal distress during labor?
• During pregnancy, how does blood volume change?
• What signifies a high-risk pregnancy that may need continuous monitoring?
• What is the recommended dietary consideration for a pregnant patient regarding fish intake?
• When should "hands-on" techniques be applied in labor?
• What factors can significantly affect a woman’s choice for mode of delivery?
• What does the term "nulligravida" refer to?
• Which vitamin is particularly important for the development of the fetal brain during pregnancy?
• For a client at 29 weeks of gestation with phenylketonuria, which food is most appropriate?
• What is the first action in responding to a newborn's respiratory distress?
• Which maternal condition indicates a need for increased monitoring during pregnancy?
• How does macrosomia affect delivery options?
• Which risk factor should a nurse monitor in a postpartum client with a history of thromboembolism?
• What are risk factors for developing postpartum depression?
• How often should prenatal visits occur during the third trimester?
• Which action should a nurse take to facilitate bonding between a father and his newborn?
• What does the term "lochia" refer to?
• Which symptom should a nurse identify as a manifestation of hypoglycemia in a newborn of a mother with gestational diabetes?
• Fetal growth assessment via ultrasound during pregnancy can help in detecting what?
• Why is monitoring fetal heart rate important during labor?
• What type of care is typically provided by midwives during labor?
• Which is a sign that labor may be approaching?
• What is the term used for the position of the fetus before delivery?
• What is the significance of fetal viability?
• When teaching a pregnant client about nutrition during pregnancy, which of the following should be emphasized?
• What is a common medical assessment performed during prenatal visits?
• What are some common reasons for performing a cesarean delivery?
• What is an appropriate action for a nurse to take when caring for a patient in labor with an active varicella zoster infection?
• During labor, what is the primary focus when monitoring uterine contractions?
• What is an expected outcome of administering VZIG to a newborn?
• Which complication is most often associated with obstructed labor?
• Which symptom is most commonly associated with endometriosis?
• How does pregnancy primarily affect the respiratory system?
• Which statement about storing breast milk is accurate?
• During the latent phase of labor, what is a common clinical manifestation the nurse should expect?
• What is the purpose of the Rh immunoglobulin injection during pregnancy?
• Which of the following may indicate fetal distress during labor?
• Which method is typically used for pain management during labor?
• Which of the following complications is NOT commonly associated with diabetes in pregnancy?
• What is the first action a nurse should take for a client experiencing excessive vaginal bleeding postpartum?
• What is the primary function of the placenta during pregnancy?
• Which of the following describes the three stages of labor?
• When administering heparin therapy to a postpartum client with deep-vein thrombosis, what is the appropriate action?
• What is a common treatment option for an ectopic pregnancy?
• What factors contribute to the decision of induction of labor?
• What are the two main types of breech presentation?
• Which symptom is commonly observed in a newborn who is exhibiting signs of alcohol withdrawal?
• What are common signs of a ruptured ectopic pregnancy?
• What should mothers expect regarding the recovery process after delivery?
• Which condition is associated with an increased risk during labor in late-term pregnancies?
• What is the primary purpose of prenatal vitamins during pregnancy?
• What is the recommended nursing instruction for parents caring for their newborn's uncircumcised penis?
• Define the term "gestational diabetes."
• In the third stage of labor, which action should the nurse prioritize for patient care?
• What medication should a nurse administer to a client at 14 weeks of gestation with hyperemesis gravidarum?
• What are the signs of a potential placental abruption?
• What is the expected duration for postpartum recovery?
• When assessing a patient receiving oxytocin via IV infusion for labor induction, what should be the nurse's priority action?
• Which factor is least likely to be associated with advanced maternal age during pregnancy?
• Which laboratory result for a client at 33 weeks of gestation with preeclampsia should be reported due to concern for worsening condition?
• During a vaginal exam on a client in active labor, the nurse notes a protruding umbilical cord. What is the best immediate action?
• Which factor can increase the risk of preterm labor?
• During the assessment of a newborn, which bluish area on the buttocks should be documented as mongolian spots?
• What are some common signs of labor?
• What does fetal heart rate variability indicate?
• What dietary advice should a nurse provide to a client with fibrocystic breast changes experiencing discomfort during menstruation?
• When a client is in the transition phase of labor, what intervention supports effective breathing?
• What statement indicates a client’s understanding of diaphragm use for contraception?
• What is the primary purpose of the non-stress test (NST)?
• Describe the role of an obstetrical nurse during labor.
• What contraception methods might be discussed during postpartum care?
• What is the significance of the 20-week anatomy scan?
• What is the recommended position for a woman to relieve back pain during labor?
• In what situation is continuous electronic fetal monitoring indicated?
• What can be a consequence of late identification of placental abruption?
• What is a common benefit of colostrum for newborns?
• What is the term for high blood pressure that is first noted during pregnancy?
• What is the most common cause of postpartum hemorrhage?
• What factors are considered to assess the safety of a vaginal birth after cesarean (VBAC)?
• Which maternal and fetal complication is associated with diabetes during pregnancy?
• Which of the following are recognized risk factors for ovarian cancer?
• What does the term "meconium staining" indicate in a newborn?
• How is Group B Streptococcus (GBS) screening conducted in pregnancy?
• What is the first action a nurse should take when assessing a 24-hour postpartum patient with a boggy fundus?
• What assessment is critical in determining the appropriateness of induction of labor?
• What is the significance of the 20-week anatomy scan?
• What is the key distinction between true labor and false labor?
• Which factor is identified as affecting a client's fertility in an infertility assessment?
• What finding is expected in a newborn experiencing opioid withdrawals?
• What is colostrum, and why is it important?
• What is the recommended weight gain during pregnancy for a woman with a normal pre-pregnancy BMI?
• What prenatal vitamin is crucial for women trying to conceive?
• What maternal health issue can result from untreated urinary tract infection during pregnancy?
• How is preterm labor defined?
• What finding is considered a contraindication for administering rubella immunization to a postpartum patient?
• What lifestyle changes are recommended to manage hyperemesis gravidarum?
• What is a key sign of an ectopic pregnancy?
• What are common indications for cesarean delivery?
• What is typically assessed during a 20-week anatomy scan?
• Which laboratory finding for a newborn who is 24 hours old should be reported to the provider?
• What assessment finding in a postpartum patient warrants immediate intervention?
• What complication is likely for a client experiencing continuous abdominal pain and vaginal bleeding at 38 weeks of gestation with a history of cocaine use?
• What is a common side effect of an epidural anesthesia in a laboring client?
• What intervention is appropriate for a client experiencing late decelerations in fetal heart rate during labor?
• What condition is characterized by high blood pressure and protein in the urine in pregnancy?
• Which risk is associated with estrogen therapy for menopausal women?
• For a client with group B streptococcus B-hemolytic infection in labor, which antibiotic should be administered?
• How is fetal positioning typically assessed during labor?
• What should a nurse include when teaching about the Papanicolaou (Pap) test?
• For a client with placenta previa, which interventions should the nurse implement?
• What is a key indicator of fetal distress during labor?
• Which finding is a contraindication for the administration of terbutaline in a client experiencing preterm labor?
• What does fetal presentation refer to?
• What is the main benefit of using a continuous fetal monitoring system during labor?
• What could be a consequence of inadequate prenatal vitamin intake?
• What is a common indicator of developing postpartum depression?
• Which of the following describes Braxton Hicks contractions?
• What is the primary focus of a maternal-fetal medicine specialist?
• In the management of hyperemesis gravidarum, what should be minimized?
• What is the role of ultrasound in obstetrics?
• What is the purpose of the Rh immune globulin injection?
• Which medication is commonly used to prevent postpartum hemorrhage?
• What is the main risk factor for gestational diabetes?
• Why is folic acid important during pregnancy?
• What is the most appropriate response of a nurse to a father anxious about bonding with his newborn?
• Which are common maternal complications associated with multiple gestations?
• What is one role of obstetrical care providers during labor?
• What important information should a nurse provide when teaching about depot medroxyprogesterone acetate?
• What is the primary role of a doula during pregnancy?
• Which of the following is not a sign of labor?
• What is the significance of antepartum fetal surveillance?
• In receiving a report for postpartum clients, which client requires immediate attention?
• During a routine check-up, which finding would indicate the need for further monitoring of a newborn?
• What is the role of folic acid during pregnancy?
• What is a primary goal during postpartum care regarding contraception?
• In assessing a newborn with a head swelling that crosses suture lines, which condition is indicated?
• What is considered a normal range for fetal heart rate during pregnancy?
• What is the significance of the Leopold maneuvers?
• What are Braxton Hicks contractions?
• For a patient experiencing postpartum hemorrhage, which action is critical for the nurse to perform first?
• What are the risks associated with prolonged rupture of membranes?
• What is the acceptable range for fetal heart rate during labor?
• Before administering nalbuphine to a patient in active labor who requests a bowel movement, what should the nurse do first?
• How does diabetes impact pregnancy outcomes?
• During postpartum assessment, which sign may indicate an infection?
• What is the correct advice regarding car seat safety for a newborn?
• How should a nurse document the obstetrical history of a client who is pregnant for the fourth time with two full-term deliveries and one spontaneous abortion?
• A nurse is assessing a client who gave birth 1 week ago. What emotional response is the client experiencing if they feel let down and cry for no reason?
• What conditions are commonly screened during the initial prenatal visit?
• Which of the following are signs and symptoms of placental abruption?
• At what stage should postpartum care begin after delivery?
• What is a common symptom associated with gestational hypertension?
• What is a common symptom of pregnancy that indicates potential complications?
• What action should a nurse take for a newborn with a blood glucose level of 45 mg/dL?