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206 OB Peds Final Exam Review Flashcards | StudBud
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206 OB Peds Final Exam Review
206 OB Peds Final Exam Review
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Characteristics of preterm infant
Flashcards
45 cards
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Practice quiz
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Questions
45
Answers
1
An infant should triple their birth weight by one year of age. True/false
True
False
2
A client has been ambulating in the halls when her water breaks. What is the priority intervention?
Look at the time the event occurred, and document in the nurse's notes
Place the client in bed and immediately obtain fetal heart rate
Take her into the bathroom to clean her up and change her gown
Inform the client that her labor will begin progressing more quickly
3
The client is 2 cm dilated/80% effaced/-1 station, pain 2/10. Which comfort measure is
most
appropriate for this client?
Turning off the oxytocin
Contacting anesthesia for epidural
Placing client in supine position
Assisting client onto birthing ball
4
Injury prevention measures include:
All the above
Wearing proper safety equipment when playing sports or riding bicycles
Locking all medications and poisonous substances in a high cabinet
Covering all electrical outlets with plug covers
5
Which client demonstrates readiness for discharge?
"I can't wait to get home and put my baby in the bathtub!"
"I will be sure to put breast pads in my bra after I shower."
"I threw my squirt bottle away since I won't need it at home."
"I have been breastfeeding my baby every 4-5 hours."
6
The nurse is caring for a client with the fetal heart rate pattern below. What is the nurse's priority?
Continue to monitor the baby and contractions
Turn the client to her left side and apply oxygen
Contact the OR for a stat c-section
Notify the provider immediately
7
Name one characteristic of a preterm newborn?
Decreased brown fat
Good suck/swallow/breathe reflex
Increased Subq fat
Decreased body surface area
8
The client is 34 weeks' pregnant with her third baby and has painless bright red bleeding. What does the nurse suspect?
Threatened abortion
Ectopic pregnancy
Placental abruption
Placenta previa
9
A child has just returned from surgery in a hip spica cast. The priority nursing intervention is to:
Offer sips of water
Turn the child to the right side
Check circulation
Elevate the head of the bed
10
The client has poorly controlled Type 2 diabetes throughout pregnancy. What does the nurse anticipate at delivery?
Small for gestational age newborn
Normal blood glucose levels in newborn
Macrosomic newborn
Low insulin level in newborn
11
Pregnant now, delivered 1 at 28 weeks deceased, 1 at 39 weeks now 2 years old, and 1 miscarriage. What is the GTPAL?
4-1-2-1-1
4-2-1-1-1
4-1-1-1-1
4-2-0-1-1
12
The client is admitted for preeclampsia. Which assessment finding will the nurse immediately report to the provider?
Mild edema in lower extremities
Frontal headache
Platelet count of 150,000
Hemoglobin 12.3 and hematocrit 36.9
13
Which condition presents with the following: BP 164/112, headache, proteinuria, RUQ pain, blurry vision and edema?
Severe preeclampsia
Gestational hypertension
Mild preeclampsia
Eclampsia
14
Hepatitis B vaccine is recommended at what age?
Birth, 2 months, and 6 months
Birth, 2 months, and 4 months
Birth, 4 months, and 6 months
Birth, 6 months, and 9 months
15
Clinical manifestation(s) for a child with increased ICP include:
Headache
All the above
Nausea/vomiting
Diplopia
16
Which client below will
always
need a cesarean section delivery?
First baby was delivered by low transverse incision
First baby was born breech
Second baby was in fetal distress
Second baby was delivered by classic incision
17
The nurse should push the prolapsed umbilical cord back up into the vagina and notify the MD. True/False
False
True
18
The client has a quantitative blood loss of 1500 mL. She has a history of asthma. Which drug is contraindicated?
Misoprostol (Cytotec)
Methylergonovine (Methergine)
Tranexamic acid (TXA)
Carboprost (Hemabate)
19
Babies born with cleft palates have a higher incidence of ear infections. True/false
True
False
20
Nursing interventions for a newborn with myelomeningocele include:
All the above
Prone position
Axillary temperatures
Protect the sac
21
What is the priority intervention for this fetal heart rate tracing?
Apply oxygen at 10 LPM
Prepare client for cesarean delivery
Notify the obstetrician immediately
Turn client to left side
22
What is appropriate to add to a care plan for a newborn with developmental dysplasia of the hip?
Avoid splinting devices
Tightly swaddle the legs
Avoid Ortolani & Barlow
Keep hips abducted
23
During which time period is exposure to teratogens most dangerous during fetal development?
Ectoderm
Fetal
Pre-embyronic
Embryonic
24
Parents of the child with a congenital heart defect should know the signs of congestive heart failure, which include:
Sudden weight gain
Increased efforts to breathe
All the above
Poor feeding
25
An adolescent arrives at the clinic today for a physical. Which intervention should occur
first
?
Ask the teen if they have anything bothering them
Ask the parents to leave the room during the exam
Ask the parents questions about the teen
Ask the teen if they want their parents in the room
26
The client's last menstrual period (LMP) is 8/12/2024. What is her (estimated date of delivery)EDD using Naegele's rule?
March 12, 2025
November 19, 2025
May 19, 2025
June 12, 2025
27
Fetal oxygenation occurs from the placenta through the umbilical arteries. True/false
True
False
28
The client is one day postpartum from a c-section. Which assessment finding is the priority?
Hypoactive bowel sounds
Fundus firm, midline, 1 finger below umbilicus
Blood pressure 100/68
Steady trickle of blood from the vagina
29
The client is admitted into triage and is 6 cm dilated at 26 weeks gestation. What does the nurse anticipate?
The nurse will prepare for amniotomy
The client will receive magnesium sulfate and corticosteroids
The client will deliver vaginally
The provider will discuss no resuscitation measures
30
Two toddlers are sitting next to each other and playing. What type of play is this?
Collaborative
Parallel
Communicative
Interactive
31
The nurse is caring for four clients. Which one is at
greatest
risk for postpartum hemorrhage?
The client who received oxytocin for 2 hours
The client with oligohydramnios
The client who is primipara
The client pregnant with 7 lb. twins
32
Which newborn is transitioning well?
HR 160, RR 68, acrocyanosis, lusty cry, moving all extremities
HR 100, RR 28, acrocyanosis, slight movement, weak cry
HR 95, gasping respirations, circumoral cyanosis, flaccid, no grimace
Heart rate 140, RR 20, circumoral cyanosis, hypotonia, grimace
33
An appropriate pain scale to use for a developmentally appropriate 5-year-old is?
FLACC
Numeric scale 1-10
NIPS
FACES
34
Chemotherapy drugs administered intravenously must be administered through a peripheral intravenous line. True/false
True
False
35
When caring for a child after a tonsillectomy, the nurse should:
Watch for continuous swallowing
Apply warm compresses to the throat
Encourage gargling to reduce discomfort
Position the child on the back for sleeping
36
A client at 10 weeks' gestation presents with minimal cramping and vaginal bleeding. What does the nurse suspect?
Placental abruption
Missed abortion
Placenta previa
Threatened abortion
37
Projectile vomiting is a sign of:
Pyloric stenosis
Gastroesophageal reflux
Intussusception
Hirschsprung's disease
38
Which assessment finding is abnormal for a term newborn?
Thick vernix
Erythema toxicum
Milia on nose
Mongolian spots
39
A young child is diagnosed with vesicoureteral reflux. The nurse should know that this usually is associated with:
Infarction of renal vessels
Recurrent UTIs
Incontinence
Urinary obstruction
40
3 day old term newborn, shrill cry, poor feeding, mom Rh - and using methadone, baby Rh -, VS normal. Condition?
Respiratory distress syndrome
Neonatal abstinence syndrome
Hyperbilirubinemia
Hypoglycemia
41
The child has a patent ductus arteriosus (PDA). Which assessment finding is abnormal?
Increased respiratory rate
Skin color is pink
Slight heart murmur
Skin color is blue
42
When diagnosing acute lymphocytic leukemia, the bone marrow aspiration will show:
WBC elevated
Less than 25% blast cells present
More than 25% blast cells present
RBC elevated
43
Which fetal adaptation is responsible for shunting blood away from the pulmonary system?
Ductus venosus
Umbilical vein
Ductus arteriosus
Foramen ovale
44
A child presents to the ER with wt. gain, edema, tea-colored urine, low-grade fever, and HTN. The nurse suspects:
Urinary tract infection
Nephrotic syndrome
Rheumatic fever
Acute glomerulonephritis
45
The nurse is admitting a child to the hospital because bacterial meningitis is suspected. The priority nursing care is:
Administer sedatives/analgesics on a preventive schedule to manage pain
Initiate isolation precautions as soon as diagnosis is confirmed
Administer antibiotic therapy as soon as it is ordered
Initiate isolation precautions as soon as the causative agent is identified