Obstetric Nursing Test (46-50)

Obstetric Nursing Test Questions 46-50

46. A mother complains of pain due to breast engorgement and is bottle-feeding her newborn. Which action by the mother needs follow-up?

a) the mother applies warm compress on her breasts
b) the mother wears support bra
c) the mother applies cold compress on her breasts
d) the mother takes prescribed analgesics

47. A nurse is assisting a client who is in first stage of labor (active phase). A priority nursing action for the nurse is:

a) encourage the woman to blow out strong, short breaths
b) assist the client to a comfortable position in bed
c) monitor client's temperature every hour
d) evaluate fetal heart rate (FHR) every hour

48. A nurse on the obstetric unit is providing care to a woman in the active phase of the first stage of labor. Which statement if made by the mother should be a priority concern for the nurse?

a) I will like to take a nap between contractions
b) I have not voided in the last hour, although I feel I need to
c) I am feeling some rectal pressure that is relieved when I push
d) I am feeling contractions every 5 minutes

49. A nursing instructor asks a nursing student to describe the procedure for performing the Helmlich maneuver on an unconscious pregnant woman at 8 month's gestation. The student describes the procedure correctly if the student states that she or he will:

a) place the hands in the pelvis to perform the thrusts
b) perform abdominal thrusts until the object is dislodged
c) perform left lateral abdominal thrusts until the object is dislodged
d) place a rolled blanket under the right abdominal flank and hip area

50. A nursing student is assigned to a client in labor. A nursing instructor asks the student to describe fetal circulation, specially the ductus venosus. The nursing instructor determines that the student understands fetal circulation if the student states that the ductus venosus:

a) connects the pulmonary artery to the aorta
b) is an opening between the right and left atria
c) connects the umbilical vein to the inferior vena cava
d) connects the umbilical artery to the inferior vena cava




Obstetric Nursing Test:
ANSWERS AND RATIONALE

46) A
- the mother who bottle-feeds her infant should apply cold compress on her breasts to relieve engorgement; not warm compress. Warm compress stimulates milk production.

47) A
- during active labor, pant-blow breathing exercises may minimize discomfort during uterine contraction. Pushing is done only when there is full cervical dilatation (10cm) to prevent exhaustion of the mother and to prevent laceration.

48) A
- the client should relax and be alert, but not to take a nap between contractions. Taking a nap may also make the fetus sleep and labor will be prolonged.

49) D
- to perform the Helmlich maneuver on an unconscious woman in an advanced stage of pregnancy, place a wedge, such as a pillow or rolled blanket, under the right abdominal flank and hip to displace the uterus to the left side of the abdomen. Option A, B and C are incorrect and can harm the woman and the fetus.


50) C
- the ductus venosus connects the umbilical vein to the inferior vena cava. Option A, B, and D are incorrect. The foramen ovale is a temporary opening between the right and left atria. The ductus arteriosus joins the aorta and the pulmonary artery. 

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