MCQ Obg

SOME MCQs RELATED TO OBG
(1). The nurse is providing instructions to a pregnant client who is scheduled for
an amniocentesis.What instruction should the nurse provide?
1. Strict bed rest is required after the procedure.
2. Hospitalization is necessary for 24 hours after the procedure.
3. An informed consent needs to be signed before the procedure.
4. A fever is expected after the procedure because of the trauma to the abdomen.
(2). A pregnant client in the first trimester calls the nurse at a health care clinic
and reports that she has noticed a thin, colorless vaginal drainage. The nurse
should make which statement to the client?
1. “Come to the clinic immediately.”
2. “The vaginal discharge may be bothersome, but is a normal occurrence.”
3. “Report to the emergency department at the maternity center immediately.”
4. “Use tampons if the discharge is bothersome, but be sure to change the tampons
every 2 hours.”
(3). A nonstress test is performed on a client who is pregnant, and the results of the
test indicate nonreactive findings. The health care provider prescribes a
contraction stress test, and the results are documented as negative. How should the
nurse document this finding?
1. A normal test result
2. An abnormal test result
3. A high risk for fetal demise
4. The need for a cesarean section
(4). A rubella titer result of a 1-day postpartum client is less than 1:8, and a
rubella virus vaccine is prescribed to be administered before discharge. The nurse
provides which information to the client about the vaccine? Select all that apply.
1. Breast-feeding needs to be stopped for 3 months.
2. Pregnancy needs to be avoided for 1 to 3 months.
3. The vaccine is administered by the subcutaneous route.
4. Exposure to immunosuppressed individuals needs to be avoided.
5. A hypersensitivity reaction can occur if the client has an allergy to eggs.
6. The area of the injection needs to be covered with a sterile gauze for 1 week.
(5). The nurse in a health care clinic is instructing a pregnant client how to
perform “kick counts.” Which statement by the client indicates a need for further
instruction?
1. “I will record the number of movements or kicks.”
2. “I need to lie flat on my back to perform the procedure.”
3. “If I count fewer than 10 kicks in a 2-hour period, I should count the kicks
again over the next 2 hours.”
4. “I should place my hands on the largest part of my abdomen and concentrate on
the fetal movements to count the kicks.”
(6). The nurse is performing an assessment of a pregnant client who is at 28 weeks

of gestation. The nurse measures the fundal height in centimeters and notes that
the fundal height is 30 cm. How should the nurse interpret this finding?
1. The client is measuring large for gestational age.
2. The client ismeasuring small for gestational age.
3. The client ismeasuringnormal for gestational age.
4. More evidence is needed to determine size for gestational age.
(7) The nurse is performing an assessment on a client who suspects that she is
pregnant and is checking the client for probable signs of pregnancy. The nurse
should assess for which probable signs of pregnancy? Select all that apply.
1. Ballottement
2. Chadwick’s sign
3. Uterine enlargement
4. Positive pregnancy test
5. Fetal heart rate detected by a nonelectronic
device
6. Outline of fetus via radiography or
ultrasonography
(8) A pregnant client is seen for a regular prenatal visit and tells the nurse that she
is experiencing irregular contractions. The nurse determines that she is
experiencing Braxton Hicks contractions. On the basis of this finding, which
nursing action is appropriate?
1. Contact the health care provider.
2. Instruct the client to maintain bed rest for the remainder of the pregnancy.
3. Inform the client that these contractions are common and may occur throughout
the pregnancy.
4. Call the maternity unit and inform them that the client will be admitted in a
preterm labor condition.
(9) A client arrives at the clinicfor the first prenatal assessment. She tells the nurse
that the first day of her last normal menstrual period was October 19, 2018.
Using Na¨gele’s rule, which expected date of delivery should the nurse document
in the client’s chart?
1. July 12, 2019
2. July 26, 2019
3. August 12, 2019
4. August 26, 2019
(10) The nurse is collecting data during an admission assessment of a client who is
pregnant with twins. The client has a healthy 5-year-old child who was delivered
at 38 weeks and tells the nurse that she does not have a history of any type of
abortion or fetal demise. Using GTPAL, what should the nurse document in the
client’s chart?
1. G.3, T.2, P.0, A.0, L.1
2. G.2, T.1, P.0, A.0, L.1
3. G.1, T.1, P.1, A.0, L.1
4. G.2, T.0, P.0, A.0, L.1
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MCQ Obg

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SOME MCQs RELATED TO OBG

(6). The nurse is performing an assessment of a pregnant client who is at 28 weeks

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