NCLEX : OB/GYN Condition Follow-Up

Study concepts, example questions & explanations for NCLEX

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Example Questions

Example Question #1 : Ob/Gyn Condition Follow Up

The nurse advises a woman with mild pre-eclampsia to do all of the following except __________.

Possible Answers:

weigh herself daily

limit water intake

check blood pressure often

measure the protein in her urine

keep track of fetal movement

Correct answer:

limit water intake

Explanation:

It is not necessary to limit water intake in women with pre-eclampsia. It is important that women with pre-eclampsia drink at least 8 glasses of water per day. The ingestion of water may even help reduce swelling. Checking blood pressure and body weight frequently are important in tracking fluid levels. It is also important to keep track of fetal movement and notify a provider immediately if decrease in movement is noted. Women who are preeclamptic may spill protein into their urine as a result of malfunctioning kidneys.

Example Question #2 : Ob/Gyn Condition Follow Up

The nurse is assessing a "high-risk" woman in labor. She notices that the baby's fetal heart rate is decreasing to 50 beats per minute for 80 second periods and recurring. The nurse should immediately __________.

Possible Answers:

turn the mother on her left side

turn the mother on her right side

place the mother in Trendelenburg

have the mother raise her legs

place the mother in the tripod position

Correct answer:

turn the mother on her left side

Explanation:

Placing the mother on her left side can increase placental blood flow and increase the baby's oxygenation. Placing the mother on her right side, in Trendelenburg (head down), in the tripod position (sitting forward, hands on knees), or with her feet in the air is not of equal benefit. 

Example Question #3 : Ob/Gyn Condition Follow Up

Which of the following assessments is not a focal point of the postpartum assessment?

Possible Answers:

Fundus, including height, location, and consistency.

Vital signs, including blood pressure and pulse

Stool assessment, including consistency and color

Bonding, including maternal/fetal and family dynamics

Lochia, including color and volume

Correct answer:

Stool assessment, including consistency and color

Explanation:

The postpartum assessment includes vital signs (blood pressure, pulse), fundus (location, height, consistency), lochia (color, volume), urinary output (measure first void), and bonding between the mother and infant. The postpartum assessment is valuable because it allows for nursing interventions at warning signs of postpartum complications, including infection, hemorrhage, and uterine atony. Stool assessment is not a vital part of the postpartum assessment because it does not lend information to the assessment of potential danger signs.

Example Question #4 : Ob/Gyn Condition Follow Up

Which of the following ethnic groups should consider genetic counseling for thalassemia?

Possible Answers:

Jewish

African American

Northern Europeans

Native Americans

Mediterranean ancestry

Correct answer:

Mediterranean ancestry

Explanation:

Thalassemia, an inherited autosomal recessive blood disorder, is characterized by an abnormal form of hemoglobin. Those of Mediterranean ancestry may be carriers of the disease and genetic counseling is recommended. African Americans are at risk for carrying the gene for sickle-cell disease, another inherited blood disorder that alters the form of hemoglobin. Nothern European descendants of Jewish ancestry are at risk for carrying Tay-Sachs disease, a rare, inherited nervous system disorder. Native Americans are not commonly at risk for passing on genetically inherited disorders.

Example Question #5 : Ob/Gyn Condition Follow Up

How can endometriosis affect fertility and miscarriage rates?

Possible Answers:

Increases fertility and decreases risk of miscarriage

Increases fertility and increases risk of miscarriage

Decreases fertility and increases risk of miscarriage

Decreases fertility and decreases risk of miscarriage

Correct answer:

Decreases fertility and increases risk of miscarriage

Explanation:

Endometriosis will increases risk of both infertility and of miscarriage. This may be due to a paracrine effect as hormones are released locally by ectopic endometrial tissue, causing disruptions in hormone levels required for implantation and for sustaining an implanted embryo before the formation of the placenta.

Example Question #6 : Ob/Gyn Condition Follow Up

Endometriosis is more common in the presence of what food allergy-related condition?

Possible Answers:

Celiac disease (gluten allergy)

Lactose intolerance 

Endometriosis is unrelated to any type of food allergy

Anaphylaxis

Correct answer:

Celiac disease (gluten allergy)

Explanation:

In a study surveying 120 women with endometriosis, the prevalence of celiac disease, an autoimmune condition triggered by ingestion of gluten, was nearly four times higher than the general population. No association has been made between the presence of endometriosis and lactose intolerance or incidence of anaphylaxis.

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