NR465 MATERNAL NURSING EXAM 2 (ANTEPARTUM,
LABOR AND DELIVERY, NEWBORN, MEDICATIONS)
What is Antepartum? - Answers -Time between conception and onset of labor.
When is a VBAC not an option? - Answers -A classical cesarean with a midline incision
on the uterus.
What does a positive coombs mean for a mother? - Answers -Mother can not recieve
Rhogam. She is already sensitized.
Define placenta Previa. - Answers -Presence of placental tissue overlying or near the
internal os.
Name the types of placental previa. (4 types) - Answers -1. Complete: covers internal
cervical os
2. Partial: partially covers internal os
3. Marginal: placenta adjacent to internal os
4. Low-lying: placenta in lower uterine segment
The nurse observes a late deceleration. It's characterized by and indicates which of the
following?
1. U-shaped deceleration occurring after the first half of the contraction, indicating
uteroplacental insufficiency
2. U-shaped deceleration occurring with the contraction, indicating cord compression
3. V-shaped deceleration occurring after the contraction, indicating uteroplacental
insufficiency
4. Deep U-shaped deceleration occurring before the contraction, indicating head
compression - Answers -1. U-shaped deceleration occurring after the first half of the
contraction, indicating uteroplacental insufficiency
The physician decides to artificially rupture the membranes. Following this procedure,
the nurse checks the fetal heart tones for which reason?
1. To determine fetal well-being
2. To assess for fetal bradycardia
3. To assess fetal position
4. To prepare for an imminent delivery - Answers -2. To assess for fetal bradycardia
, RATIONALES: After a client has an amniotomy, the nurse should assure that the cord
isn't prolapsed and that the baby tolerated the procedure well. The most effective way to
do this is to check the fetal heart rate.
The nurse is caring for a client in labor. The external fetal monitor shows a pattern of
variable decelerations in fetal heart rate. What should the nurse do first?
1. Change the client's position.
2. Prepare for emergency cesarean section.
3. Check for placenta previa.
4. Administer oxygen. - Answers -1. Change the client's position.
RATIONALES: Variable decelerations in fetal heart rate are an ominous sign, indicating
compression of the umbilical cord. Changing the client's position may immediately
correct the problem.
The nurse is monitoring a client who is receiving oxytocin (Pitocin) to induce labor. The
nurse should be prepared for which maternal adverse reactions?
(SELECT ALL THAT APPLY)
1. Hypertension
2. Jaundice
3. Dehydration
4. Fluid overload
5. Uterine tetany
6. Bradycardia - Answers -1. Hypertension
4. Fluid overload
5. Uterine tetany
A primigravid client, age 20, has just completed a difficult, forceps-assisted delivery of
twins. Her labor was unusually long and required oxytocin (Pitocin) augmentation. The
nurse who's caring for her should stay alert for:
1. uterine inversion.
2. uterine atony.
3. uterine involution.
4. uterine discomfort. - Answers -2. uterine atony.
LABOR AND DELIVERY, NEWBORN, MEDICATIONS)
What is Antepartum? - Answers -Time between conception and onset of labor.
When is a VBAC not an option? - Answers -A classical cesarean with a midline incision
on the uterus.
What does a positive coombs mean for a mother? - Answers -Mother can not recieve
Rhogam. She is already sensitized.
Define placenta Previa. - Answers -Presence of placental tissue overlying or near the
internal os.
Name the types of placental previa. (4 types) - Answers -1. Complete: covers internal
cervical os
2. Partial: partially covers internal os
3. Marginal: placenta adjacent to internal os
4. Low-lying: placenta in lower uterine segment
The nurse observes a late deceleration. It's characterized by and indicates which of the
following?
1. U-shaped deceleration occurring after the first half of the contraction, indicating
uteroplacental insufficiency
2. U-shaped deceleration occurring with the contraction, indicating cord compression
3. V-shaped deceleration occurring after the contraction, indicating uteroplacental
insufficiency
4. Deep U-shaped deceleration occurring before the contraction, indicating head
compression - Answers -1. U-shaped deceleration occurring after the first half of the
contraction, indicating uteroplacental insufficiency
The physician decides to artificially rupture the membranes. Following this procedure,
the nurse checks the fetal heart tones for which reason?
1. To determine fetal well-being
2. To assess for fetal bradycardia
3. To assess fetal position
4. To prepare for an imminent delivery - Answers -2. To assess for fetal bradycardia
, RATIONALES: After a client has an amniotomy, the nurse should assure that the cord
isn't prolapsed and that the baby tolerated the procedure well. The most effective way to
do this is to check the fetal heart rate.
The nurse is caring for a client in labor. The external fetal monitor shows a pattern of
variable decelerations in fetal heart rate. What should the nurse do first?
1. Change the client's position.
2. Prepare for emergency cesarean section.
3. Check for placenta previa.
4. Administer oxygen. - Answers -1. Change the client's position.
RATIONALES: Variable decelerations in fetal heart rate are an ominous sign, indicating
compression of the umbilical cord. Changing the client's position may immediately
correct the problem.
The nurse is monitoring a client who is receiving oxytocin (Pitocin) to induce labor. The
nurse should be prepared for which maternal adverse reactions?
(SELECT ALL THAT APPLY)
1. Hypertension
2. Jaundice
3. Dehydration
4. Fluid overload
5. Uterine tetany
6. Bradycardia - Answers -1. Hypertension
4. Fluid overload
5. Uterine tetany
A primigravid client, age 20, has just completed a difficult, forceps-assisted delivery of
twins. Her labor was unusually long and required oxytocin (Pitocin) augmentation. The
nurse who's caring for her should stay alert for:
1. uterine inversion.
2. uterine atony.
3. uterine involution.
4. uterine discomfort. - Answers -2. uterine atony.
