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OBSTETRICS

QUESTIONS

 

CASE I

You are a nurse teaching a group of primigravida clients about the discomforts of pregnancy. A client asks you, “What causes my nausea and vomiting?” 

 

Question 1:

You responded that the contributing factor to first-trimester emesis is:

1. ____________________________________________________________________________________________________________________________________________________.

 

Question 2:

You instructed this client what to do about her nausea and vomiting. Identify two (2) interventions.

1. ____________________________________________________________________________________________________________________________________________________.

2. ____________________________________________________________________________________________________________________________________________________.

 

CASE II

Following a difficult 12 hours labor, Mrs. A develops a 3rd degree perineal tear. The next day, her perineum is a little edematous and she states that she has pain 3/10. You administered Tylenol 650 mg for her pain.

 

Question 1:

She asked you if there is any other way to relieve the pain apart from taking medication. Identify three (3):

1. ____________________________________________________________________________________________________________________________________________________.

2. ____________________________________________________________________________________________________________________________________________________.

3. ____________________________________________________________________________________________________________________________________________________.

 

CASE III

Mrs. B 34 weeks pregnant arrives at the ER with severe abdominal pain, uterine tenderness and an increased uterine tone. The patient denies any vaginal bleeding. The external fetal monitor shows fetal distress with severe, variable deceleration.

 

Question 1:

The patient is most likely has which complication?

1. ____________________________________________________________________________________________________________________________________________________.

 

CASE IV

A patient is concerned that her 2 days old breast feeding neonate is not getting enough milk. 

 

Question 1:

Teach the patient how often should she breast feed her baby per day?

1. ____________________________________________________________________________________________________________________________________________________.

 

CASE V

Mrs. C 9 days postpartum and is breast-feeding  her neonate. The patient experience pain, redness, and swelling in her left breast and is diagnosed with mastitis. 

 

Question 1:

Give two teachings to Mrs. C on how to take care for her infected breast?

1. ____________________________________________________________________________________________________________________________________________________.

2. ____________________________________________________________________________________________________________________________________________________.

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