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OBSTETRICS AND GYNAECOLOGY NURSING QUESTIONS AND ANSWERS

1. As a client progresses through pregnancy, she develops constipation. What is the primary cause of this problem during pregnancy?
A. Decreased appetite
B. Inadequate fluid intake
C. Prolonged gastric emptying
D. Reduced intestinal motility

Answer: D. Reduced intestinal motility

2. The nurse Kannika Raj is caring for a client in her 34th week of pregnancy who wears an external monitor. Which statement by the client would indicate an understanding of the nurse's teaching?
A. "I'll need to lie perfectly still."
B. "You won't need to come in and check on me while I'm wearing this monitor."
C."I can lie in any comfortable position, but I should stay off my back."
D. "I know that the external monitor increases my risk of a uterine infection."

3. Which of the following functions would the nurse expect to be unrelated to the placenta?
A. Production of estrogen and progesterone
B. Detoxification of some drugs and chemicals
C. Exchange site for food, gases, and waste
D. Production of maternal antibodies 

103. The nurse Shamili Chandrashekar obtains the antepartum history of a client who's 6 weeks pregnant. Which finding should the nurse discuss with the client first?
A. Her participation in low-impact aerobics three times per week
B. Her consumption of six to eight cans of beer on weekends
C. Her consumption of four to six small meals daily
D. Her practice of taking a multivitamin supplement daily

4. A client Named Sharadha, 38 years, visits the nurse practitioner for a regular prenatal check-up. She's 32 weeks pregnant. When assessing her, the nurse Reena should stay especially alert for signs and symptoms of:
A. Pregnancy-induced hypertension (PIH).
B. Iron deficiency anemia.
C. Cephalopelvic disproportion.
D. Sexually transmitted diseases (STDs).

Answer: A. Pregnancy-induced hypertension (PIH).

5. The nurse Reeta John is providing care for a pregnant client in her second trimester. Glucose tolerance test results show a blood glucose level of 160 mg/dl. The nurse should anticipate that the client will need to:
A. Start using insulin.
B. Start taking an oral antidiabetic drug.
C. Monitor her urine for glucose.
D. Be taught about diet.

Answer: D. be taught about diet.

6. The nurse Chandravathi Nair is planning care for a 15-year-old client in the prenatal clinic. Adolescents are prone to which complication during pregnancy?
A. Iron deficiency anemia
B. Varicosities
C. Nausea and vomiting
D. Gestational diabetes


Answer: A. Iron deficiency anemia

7. The nurse Monika is caring for a client whose membranes ruptured prematurely 12 hours ago. When assessing this client, the nurse's highest priority is to evaluate:
A. Cervical effacement and dilation.
B. Maternal vital signs and FHR.
C. Frequency and duration of contractions.
D. White blood cell (WBC) count.

Answer: B. Maternal vital signs and FHR. 

8. The nurse Kannika is caring for a 18-year-old pregnant client. The client is taking an iron supplement. What should this client drink to increase the absorption of iron?
A. A glass of milk
B. A cup of hot tea
C. A liquid antacid
D. A glass of orange juice

Answer: D. A glass of orange juice

9. A client Mrs Albina Alam Sheikh is expecting her second child in 6 months. During the psychosocial assessment, she says, "I've been through this before. Why are you asking me these questions?" What is the nurse's best response?

A. "Each pregnancy has a unique psychosocial meaning."
B. "The facility requires these answers of all pregnant clients."
C. "A second pregnancy may require more psychosocial adjustment."
D. "A client can develop couvade with any pregnancy."

Answer: A. "Each pregnancy has a unique psychosocial meaning."
 
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