Test Prep for Nursing Exam about Obstetric Nursing (16-20)

16. A pregnant woman is being given magnesium sulfate per slow IV drip. This medication is intended to control

a) embolism
b) seizures
c) bleeding
d) uterine contractions

17. Abnormal fetal lie and position were noted. Which of the following procedures does the nurse expect to be arranged first, before external rotation (version) is done?

a) amniocentesis
b) ultrasound
c) fetal heart rate monitoring
d) x-ray

18. A client is 32 weeks pregnant. She experiences cord prolapse and is in active labor. Which of the following should be the most immediate action by the nurse?

a) push the cord back into the uterus with a gloved hand
b) cover cord with sterile dry gauze
c) place the client in knee-chest position
d) prepare the client for immediate vaginal delivery

19. Who among these pregnant clients is at risk for bleeding?

a) the client who has history of preterm delivery
b) the client who has twins in her present pregnancy
c) the client who is 18 years of age and is pregnant for the first time
d) the client who is pregnant for the third time

20. Which of the following health teachings should be included for a mother who complains of soreness of nipples because of breastfeeding her infant?

a) wash your breast with soap and water
b) stop breatfeeding for few days
c) apply lanolin cream on the nipple
d) avoid wearing bra until soreness of nipples disappears



ANSWERS AND RATIONALE

16) B
- magnesium sulfate is a CNS depressant. It is given to a client with PIH to prevent seizure.

17) C
- fetal heart rate monitoring should be done before external version procedure is done to correct breech presentation to cephalic presentation. This is to ensure that the fetus can tolerate the stress of the procedure.

18) C
- knee-chest position relieves pressure from prolapsed cord. The cord should not be pushed back into the uterus to prevent trauma. The cord should be covered with sterile moist gauze to prevent necrosis. Preparing the client for immediate delivery will be the next nursing action after positioning the client.

19) B
- the client with multiple gestation is prone to bleeding, due to over distention of the uterus.

20) C
- lanolin cream soothes the sore nipples.
Choice A - wash the breast with water only; no soap
Choice B - there is no need to stop breastfeeding
Choice D- wearing supportive bra minimizes the discomfort


Related Topics:

• Test Prep for Nursing Exam about Obstetric Nursing (21-25) 
• Or go back to Test Prep for Nursing Exam about Pediatric Nursing (1-5) to start the practice test from the beginning.