OB Rotational Exam B2

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Test your knowledge of OB rotations!

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Yvette Joy Dumalhin

Philippines

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OB Rotational Exam B2


OB Rotational Exam B2Online version Test your knowledge of OB rotations! by Yvette Joy Dumalhin 1 A postpartum woman reports feeling dizzy and lightheaded upon standing. Her BP drops from 120/80 to 90/60 mmHg. What is the best initial response? a Administer IV fluids b Call the provider c Check the lochia amount d Have her sit up slowly 2 A woman is being induced for post-term pregnancy. She asks why continuous fetal monitoring is necessary. The best response is: a "It helps track contractions." b "It’s standard for all labors." c "Post-term babies are at higher risk to experience distress." d "You’re at risk of infection." 3 A woman is admitted with ruptured membranes and no contractions. What is the priority concern? a Cesarean risk b Prolonged labor c Infection risk d Pain management 4 A term newborn has a respiratory rate of 70 breaths/min, nasal flaring, and grunting. What is the priority nursing action? a Delay breastfeeding b Notify the healthcare provider c Perform bulb suctioning d Wrap the infant to conserve heat 5 What is the normal fetal heart rate range? a 140-180 bpm b 60-100 bpm c 120-160 bpm d 180-200 bpm 6 A nurse is educating a new mother on umbilical cord care. Which statement indicates a need for further teaching? a “I’ll fold the diaper below the cord stump.” b “I’ll keep the area clean and dry.” c “I’ll pull off the stump if it looks loose.” d “I’ll call if I see redness or discharge.” 7 What is the main goal of prenatal care? a Prevent all infections b Manage labor pain c Ensure healthy pregnancy and delivery d Treat all illnesses 8 Which position is ideal for a woman in labor? a Supine position b Lateral position c Prone position d Lithotomy position 9 A nurse is preparing to give a vitamin K injection to a newborn. What is the rationale? a Stimulate lung maturity b Prevent hypoglycemia c Prevent bleeding disorders d Promote liver enzyme function 10 A mother 12 hours post-NSD asks when she can begin walking. The nurse's best response is: a “Early ambulation helps prevent complications like blood clots.” b “You should stay in bed for 24 hours.” c “Let your provider decide when.” d “Wait until your lochia stops.” 11 A mother who delivered via LSCS is complaining of abdominal gas pain. What nursing intervention is most appropriate? a Promote early ambulation b Administer prescribed pain medication c Encourage lying flat on the back d Restrict oral fluids 12 A mother reports her newborn sleeps most of the time and is difficult to wake for feeds. What is the best nursing intervention? a Suggest waking the baby every 2–3 hours for feeding b Reassure the mother it is normal c Wait until the baby cries to feed d Let the baby sleep through the night 13 A nurse is assessing lochia in a woman 3 days post-delivery. She notes dark red bleeding with small clots. What is the most appropriate action? a Notify the provider b Document as normal c Administer oxytocin d Start antibiotics 14 A nurse observes a postpartum woman ambulating for the first time after LSCS. She suddenly complains of dizziness. What should the nurse do? a Have her sit and call for assistance b Tell her to walk slowly c Offer orange juice d Encourage deep breathing 15 A mother asks how to know if her newborn is getting enough milk. The nurse should respond: a “If the baby has 6–8 wet diapers daily and gains weight.” b “If the baby sleeps a lot, he’s satisfied.” c “If you feel full before feeding and empty after.” d “If your breasts feel sore.” 16 A postpartum woman verbalizes feeling overwhelmed, tired, and unsure about feeding and changing her baby. Which is the best diagnosis? a Risk for impaired parenting b Ineffective breastfeeding c Readiness for enhanced parenting d Readiness for enhanced coping 17 After D&C, the nurse notes the patient is anxious and frequently asking if she can still get pregnant. What nursing diagnosis is most suitable? a Anxiety related to perceived threat to fertility b Risk for powerlessness related to surgical intervention c Disturbed body image related to miscarriage d Deficient knowledge related to postoperative care 18 A 48-year-old woman reports irregular and heavy menstrual bleeding, fatigue, and lightheadedness. Which nursing diagnosis is most appropriate? a Activity intolerance related to decreased oxygen-carrying capacity b Deficient knowledge related to abnormal bleeding c Risk for infection related to hormonal imbalance d Ineffective coping related to menopause 19 A woman 6 hours post-NSD has a saturated perineal pad every 30 minutes. The uterus is boggy. Which nursing diagnosis is most appropriate? a Risk for deficient fluid volume related to postpartum hemorrhage b Risk for infection related to retained placenta c Acute pain related to uterine contractions d Ineffective uterine perfusion related to uterine atony 20 A cesarean section client is hesitant to move, citing pain. She refuses to ambulate. Which nursing diagnosis is most appropriate? a Activity intolerance related to pain associated with mobility b Impaired skin integrity related to surgical wound c Risk for constipation related to opioid use d Acute confusion related to anesthesia 21 A nurse observes poor latch and nipple trauma in a breastfeeding mother. Which nursing diagnosis is best? a Ineffective breastfeeding related to improper latch-on technique b Interrupted family process c Risk for imbalanced nutrition: more than body requirements d Risk for impaired parenting 22 A 35-year-old woman presents with heavy, prolonged menstrual bleeding and reports fatigue. The nurse's priority assessment should be: a Hemoglobin and hematocrit levels b Color of menstrual blood c Family history of cancer d Number of sexual partners 23 A client is recovering from a D&C. Which nursing intervention is most important in the immediate post-op period? a Monitoring for signs of hemorrhage b Assessing for uterine contractions c Teaching Kegel’s exercises d Offering psychosocial counseling 24 A nurse is counseling a patient who had a spontaneous abortion. Which of the following responses is most therapeutic? a “This must be a very difficult time for you.” b “You can always try again soon.” c “At least it happened early in pregnancy.” d “You should be grateful you can conceive.” 25 A term newborn is hypothermic with a temperature of 35.6°C (96°F), and skin appears mottled. Which diagnosis is most appropriate? a Ineffective thermoregulation related to immature temperature control mechanisms b Risk for infection related to cold environment c Hypothermia related to delayed skin-to-skin contact d Risk for impaired gas exchange 26 What does FDU stand for? Written answer 27 What does AOG stand for Written answer 28 What does AGA stand for? Written answer 29 Garvidity means what? Written answer 30 PUFT means? Written answer 31 What does CIL mean? Written answer 32 What is BOW? Written answer 33 Write the OB Score of a woman who is just gave birth to her 4th child. She has 3 young children at home. All the children are born via NSD at full term. She claims to have had an abortion prior to her first child. Written answer 34 What is the normal Respiratory Rate for a newborn? Written answer 35 A woman with an OB score of G5P4 (3-1-1-4), is currently pregnant. Is the statement true or false? Written answer

OB Rotational Exam B2

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About this activity

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OB Rotational Exam B2Online version

by Yvette Joy Dumalhin

A postpartum woman reports feeling dizzy and lightheaded upon standing. Her BP drops from 120/80 to 90/60 mmHg. What is the best initial response?

A woman is being induced for post-term pregnancy. She asks why continuous fetal monitoring is necessary. The best response is:

A woman is admitted with ruptured membranes and no contractions. What is the priority concern?

A term newborn has a respiratory rate of 70 breaths/min, nasal flaring, and grunting. What is the priority nursing action?

What is the normal fetal heart rate range?

A nurse is educating a new mother on umbilical cord care. Which statement indicates a need for further teaching?

What is the main goal of prenatal care?

Which position is ideal for a woman in labor?

A nurse is preparing to give a vitamin K injection to a newborn. What is the rationale?

A mother 12 hours post-NSD asks when she can begin walking. The nurse's best response is:

A mother who delivered via LSCS is complaining of abdominal gas pain. What nursing intervention is most appropriate?

A mother reports her newborn sleeps most of the time and is difficult to wake for feeds. What is the best nursing intervention?

A nurse is assessing lochia in a woman 3 days post-delivery. She notes dark red bleeding with small clots. What is the most appropriate action?

A nurse observes a postpartum woman ambulating for the first time after LSCS. She suddenly complains of dizziness. What should the nurse do?

A mother asks how to know if her newborn is getting enough milk. The nurse should respond:

A postpartum woman verbalizes feeling overwhelmed, tired, and unsure about feeding and changing her baby. Which is the best diagnosis?

After D&C, the nurse notes the patient is anxious and frequently asking if she can still get pregnant. What nursing diagnosis is most suitable?

A 48-year-old woman reports irregular and heavy menstrual bleeding, fatigue, and lightheadedness. Which nursing diagnosis is most appropriate?

A woman 6 hours post-NSD has a saturated perineal pad every 30 minutes. The uterus is boggy. Which nursing diagnosis is most appropriate?

A cesarean section client is hesitant to move, citing pain. She refuses to ambulate. Which nursing diagnosis is most appropriate?

A nurse observes poor latch and nipple trauma in a breastfeeding mother. Which nursing diagnosis is best?

A 35-year-old woman presents with heavy, prolonged menstrual bleeding and reports fatigue. The nurse's priority assessment should be:

A client is recovering from a D&C. Which nursing intervention is most important in the immediate post-op period?

A nurse is counseling a patient who had a spontaneous abortion. Which of the following responses is most therapeutic?

A term newborn is hypothermic with a temperature of 35.6°C (96°F), and skin appears mottled. Which diagnosis is most appropriate?

What does FDU stand for?

What does AOG stand for

What does AGA stand for?

Garvidity means what?

PUFT means?

What does CIL mean?

What is BOW?

Write the OB Score of a woman who is just gave birth to her 4th child. She has 3 young children at home. All the children are born via NSD at full term. She claims to have had an abortion prior to her first child.

What is the normal Respiratory Rate for a newborn?

A woman with an OB score of G5P4 (3-1-1-4), is currently pregnant. Is the statement true or false?