Test Prep for Nursing Exam about Obstetric Nursing (31-35)

SAVE

31. Which of the following findings should the nurse report to the physician when observed in a 6-month old infant?

a) absent moro reflex
b) positive kernig's sign
c) positive babinski's sign
d) absent tonic neck reflex

32. A pregnant client is admitted in the emergency room, with cervix fully dilated. Which of the following is the priority action by the RN to facilitate proper bearing down?

a) put the client in sitting position with shoulders supported
b) put the client in lithotomy position
c) put the client in right side-lying position
d) put the client in semi-sitting position and use elbows for support

33. The client is 3 days postpartum, and she bottle-feeds her newborn. She complains of hardness and swelling of hr breasts. Which of the following is the most essential intervention?

a) apply ice cap over the breasts
b) massage the breasts
c) use breast pump to express the milk
d) apply warm compress over the breasts

34. A woman is in active labor. In what position does the nurse properly place the client?

a) semi-fowler's position
b) side-lying position
c) trendelenburg position
supine position

35. The client has been diagnosed to have placenta previa. Which of the following should be included in the nursing care plan of the client? Select all that apply

a) promote bed rest with bathroom privileges
b) ask for prescription of internal fetal heart rate (FHR) monitoring
c) perform vaginal examination every 8 hours
d) place the client in the left lateral position
e) administer blood transfusion as prescribed
f) administer Rh globulin as prescribed if the mother is Rh negative
g) prepare for premature delivery or cesarean section



ANSWERS AND RATIONALE

31) B
- positive kernig's sign is a manifestation of meningeal irritation. This should be reported to the physician. Moro reflex and tonic neck reflex disappear at 3 to 4 months of age. Babinski's sign disappears at 1-year of age.

32) B
- lithotomy position facilitates bearing down in a woman whose cervix is fully dilated.

33) A
- ice cap is used to relieve swelling of the breasts when the mother will not breastfeed. Cold application inhibits milk production. Massaging the breasts, using breast pump, and applying warm compress stimulate milk production.

34) B
- side-lying position relieves compression of the inferior vena cava.

35) D, E, F, G
- these are appropriate nursing interventions for a client with placenta previa. Placenta previa is low implantation of placenta. The client should be on complete bed rest; invasive procedures like vaginal examination and internal FHR monitoring should be avoided



Related Topics:

• Test Prep for Nursing Exam about Obstetric Nursing (36-40) 
• Or go back to Test Prep for Nursing Exam about Pediatric Nursing (1-5) to start the practice test from the beginning.