MCPHS NUR 807 OB Exam 3 Latest Update -

MCPHS NUR 807 OB Exam 3 Latest Update - 80 Questions and Verified Correct Answers Golden Ticket to Guaranteed A+ Verified by Professor

A breast biopsy indicates the presence of malignant cells, and the client is scheduled for a mastectomy. Which nursing diagnosis would the nurse most likely include in the clients preoperative plan of care as the priority?

• Risk for deficient fluid volume
• Activity intolerance
• Disturbed body image

D. Impaired urinary elimination - CORRECT ANSWER: C. Disturbed body image

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A client experienced prolonged labor with prolonged premature rupture of membranes.The nurse would be alert for which of the following in the mother and the newborn?

• Infection
• Hemorrhage
• Trauma

D. Hypovolemia - CORRECT ANSWER: A. Infection

PROM disrupts the sterile environment of the uterus before there is aseptic technique and doctors/nurses in play for managing labor Prolonged labor is a risk factor for infection because there are typically more vaginal examinations

A client is diagnosed with gestational hypertension and is receiving magnesium sulfate.Which finding would the nurse interpret as indicating a therapeutic level of medication?

• UO of 20 mL per hour
• RR of 10 breaths/min 1 / 3

C. DTR 2+

D. Difficulty in arousing - CORRECT ANSWER: C. DTR 2+

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Signs of toxicity include flushing, sweating, hypotension, decreased UO, cardiac and CNS depression (decreased RR and difficulty arousing)

DTR 2+ is a normal finding, suggesting the Mg sulfate is within therapeutic range

A client who was in active labor and whose cervix had dilated to 4 cm experiences a weakening in the intensity and frequency of her contractions and exhibits no further

progress in labor. The nurse interprets this as a sign of:

• Hypertonic labor
• Precipitate labor
• Hypotonic labor

d. Dysfunctional labor - CORRECT ANSWER: c. Hypotonic labor

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A group of nursing students are reviewing information about cesarean birth. The students demonstrate understanding of the information when they identify which of the following as an appropriate indication? (Select all that apply.)

• Active genital herpes infection
• Placenta previa
• Previous cesarean birth
• Prolonged labor

E. Fetal distress - CORRECT ANSWER: A. Active genital herpes infection

• Placenta previa
• Previous cesarean birth
• Fetal distress
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A group of nursing students are reviewing information about mastitis and its causes.The students demonstrate understanding of the information when they identify which of the following as the most common cause?

• E. coli
• S. aureus
• Proteus

D. Klebisella - CORRECT ANSWER: B. S. aureus

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A group of nursing students are reviewing information about methods used for cervical ripening. The students demonstrate understanding of the information when they identify which of the following as a mechanical method?

• Herbal agents
• Laminaria
• Membrane stripping

D. Amniotomy - CORRECT ANSWER: B. Laminaria

Membrane stripping is considered a surgical intervention; herbal agents non- pharmacological

Amniotomy is used to alleviate cord compression as well as create a heaviness on the cervix to promote prostaglandin release and cervical ripening

A group of students are reviewing the causes of postpartum hemorrhage. The students demonstrate understanding of the information when they identify which of the following as the most common cause?

• Labor augmentation
• Uterine atony
• Cervical or vaginal lacerations

D. Uterine inversion - CORRECT ANSWER: B. Uterine atony

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