Reid State Technical College NUR 113
TEST 2 (Chapters 8, 9, 10, 12, 13, 14) maternity AND STUDY
GUIDE COMPLETE TEST 2025/2026 ACTUAL QUESTIONS AND
CORRECT DETAILED ANSWERS (COMPLETE VERIFIED SOLUTIONS)
A NEW UPDATED VERSION |GUARANTEED PASS A+ (BRAND
NEW!!)
Students also studied
Flashcard sets Study guides
C
Terms in this set (205)
What nursing assessment should be C
reported immediately after an amniotomy? Amniotic fluid should be clear. Green fluid indicates the fetus
a.Fetal heart rate is regular at 154 beats/min. has passed meconium, which is associated with fetal
b.Amniotic fluid is clear with flecks of compromise.
vernix.
c.Amniotic fluid is watery and pale green.
d. Maternal temperature is 37.8 C
A woman 2 weeks past her expected A
delivery date is receiving an oxytocin Oxytocin is discontinued if signs of fetal compromise or
infusion to induce labor and begins to have excessive uterine contractions occur.
contractions every 90 seconds. What is the
nurses initial action?
a.Stop the oxytocin infusion.
b.Continue the infusion and report the
findings to the physician.
c.Turn her on her left side and reassess the
contractions. d. Administer oxygen by
mask.
What nursing care should be provided to a B
woman with a third-degree laceration Ice is applied to the perineum to reduce bruising and edema.
immediately after delivery?
a.Warm compresses to the perineum
b. Cold pack to the perineum
c. Warm sitz bath
d. Elevation of hips to prevent edema
,After several hours of labor, a nursing B
assessment reveals that a womans cervix is 5 The woman with labor dysfunction related to decreased
cm dilated but contractions are becoming uterine muscle tone begins labor normally, but
shorter and less frequent. What is this labor NURSINGTB.COM
pattern considered? NURSINGTB.COM
a. Normal
b. Hypotonic INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING
c. Hypertonic d. False 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e
(by Leifer) 71
contractions diminish after the active phase.
A labor dysfunction due to decreased A
uterine muscle tone occurs in a patient Medical treatment for hypotonic labor dysfunction
who is dilated to 5 cm with membranes includes an amniotomy as the first remedy if the membranes
intact. are intact.
What action by the physician will the nurse
anticipate?
a.Perform an amniotomy.
b. Initiate tocolytic drugs.
c. Order a sedative for the patient.
d. Plan to do an emergency cesarean
section.
An infant is delivered with the use of C
forceps. What should the nurse assess for Pressure from forceps may injure the infants facial nerve,
in the newborn? which is evidenced by facial asymmetry.
a.Loss of hair from contact with forceps
b. Sacral hematoma
c. Facial asymmetry
d. Shoulder dislocation
A new mother is distressed and tearful D
about the elevated dome over her infants The chignon is due to the effect of the vacuum extractor and
posterior fontanelle. The nurse responds, will disappear in a few days.
This condition will resolve itself in a few
days. What is the cause?
a.Prolonged pressure against the partially
dilated cervix
b. Small leak of fluid through the posterior
fontanelle
c. Pressure of the forceps during delivery d.
The effect of the vacuum extractor
A frustrated patient in labor has been A
affected by decreased uterine muscle tone The Bishop score evaluates the suitability of the patient for a
and reports, My doctor wont induce my vaginal delivery. A minimum score of 6 is recommended by
labor because of some silly score. He said I the American Congress of Obstetricians and Gynecologists
was a 4. What kind of magic number do I (ACOG).
need? What is the lowest Bishop score the
patient should have prior to induction?
a. 6
b. 8
c. 10
d. 12
,A woman is having a difficult labor because D
the fetus is presenting in the right occipital A position that favors fetal rotation and descent and that is
position (ROP). What position will the nurse helpful for the woman with back labor is to sit or kneel leaning
promote to encourage fetal rotation and forward on a support.
pain relief?
a.Prone with legs supported and give her a
back massage
b. Supine with legs bent at the knee
c. Standing with support
d. Sitting up and leaning forward on
the over-bed table
The initial vaginal examination of a woman C
admitted to the labor unit reveals that the The nurse would stay with the woman experiencing
cervix is dilated 9 cm. The panicked woman precipitate labor and breathe with her during contractions to
begs the nurse, Please give me something. help the woman focus and cope with each contraction.
What is the most appropriate pain relief
intervention for a woman in precipitate
labor?
a.Get an order for an intravenous narcotic.
b. Notify the anesthesiologist for an epidural
block. c. Stay and breathe with her
during
contractions.
d. Tell her to bear with it because she is
close to delivery
A woman who is 33 weeks pregnant is A
admitted to the obstetric unit because her Infection of the amniotic sac, called chorioamnionitis, may
membranes ruptured spontaneously. What cause prematurely ruptured membranes, or it may be a
complication should the nurse closely consequence of rupture because the barrier to the uterine
assess for with this patient? cavity is broken.
a.Chorioamnionitis
b. Hemorrhage
c. Hypotension
d.Amniotic fluid embolism
The nurse is administering terbutaline A
(Brethine) to a pregnant woman to prevent Maternal tachycardia is the common negative side effect of
preterm labor. The nurse would assess for terbutaline, which should be corrected with a dose of
which adverse effect? propranolol.
a.Maternal tachycardia
b. Maternal hypertension
c. Fetal bradycardia
d. Fetal hypokalemia
, Which statement indicates a woman B
understands activity limitations for the Lengthy activity restrictions are often needed to prevent
management of preterm labor? preterm birth. The nurse can help the woman identify ways to
a.After my shower in the morning, I do the organize necessary activities and maximize rest.
laundry and straighten up the house; then I
rest.
b. I pack a picnic basket and put it next
to the sofa so I do not have to get up for
food during the day.
c. I have a 2-year-old to care for, but I try to
rest as much as I can.
d. I get really bored at home, so I go to the
shopping mall for just a little while.
A student nurse questions the instructor B
regarding what alteration should be made Assessment of the fundus following a cesarean section is
for the assessment of the fundus of a new done as usual, but using especially gentle fundal massage.
postoperative cesarean section patient.
What is the best response?
a.The fundus is not assessed until
the second postoperative day.
b.The fundus is assessed by walking
fingers from the side of the uterus to the
midline.
c.The fundus is assessed only if large
clots appear in lochia. d. The fundus is
assessed only once every shift.
A pulsating structure is felt during a C
vaginal examination of a woman in The Trendelenburg (head down) position displaces the fetus
labor. How upward to stop compression of the prolapsed cord.
would the nurse position the woman to
prevent compression of a prolapsed cord?
a.On her right side with knees flexed
b. On her left side with a pillow
placed between her legs
c. On her back with her head lower than
the rest of her body d. Supine with her
legs
elevated and bent at the knee
Several hours after delivery the nurse finds D
a woman crying. The woman says Women who have cesarean births usually need greater
repeatedly, My baby is beautiful, but I was support than those who have vaginal births. They may feel
planning on a vaginal delivery. Instead I grief, guilt, or anger because the expected course of birth did
needed an not occur.
emergency C-section. What is the most
appropriate nursing diagnosis?
a.Anxiety related to the development of
postpartum complications
b. Ineffective individual coping related to
unfamiliarity with procedures c. Risk for
ineffective parenting related to emergency
cesarean section d. Grieving related to loss
of expected birth experience
TEST 2 (Chapters 8, 9, 10, 12, 13, 14) maternity AND STUDY
GUIDE COMPLETE TEST 2025/2026 ACTUAL QUESTIONS AND
CORRECT DETAILED ANSWERS (COMPLETE VERIFIED SOLUTIONS)
A NEW UPDATED VERSION |GUARANTEED PASS A+ (BRAND
NEW!!)
Students also studied
Flashcard sets Study guides
C
Terms in this set (205)
What nursing assessment should be C
reported immediately after an amniotomy? Amniotic fluid should be clear. Green fluid indicates the fetus
a.Fetal heart rate is regular at 154 beats/min. has passed meconium, which is associated with fetal
b.Amniotic fluid is clear with flecks of compromise.
vernix.
c.Amniotic fluid is watery and pale green.
d. Maternal temperature is 37.8 C
A woman 2 weeks past her expected A
delivery date is receiving an oxytocin Oxytocin is discontinued if signs of fetal compromise or
infusion to induce labor and begins to have excessive uterine contractions occur.
contractions every 90 seconds. What is the
nurses initial action?
a.Stop the oxytocin infusion.
b.Continue the infusion and report the
findings to the physician.
c.Turn her on her left side and reassess the
contractions. d. Administer oxygen by
mask.
What nursing care should be provided to a B
woman with a third-degree laceration Ice is applied to the perineum to reduce bruising and edema.
immediately after delivery?
a.Warm compresses to the perineum
b. Cold pack to the perineum
c. Warm sitz bath
d. Elevation of hips to prevent edema
,After several hours of labor, a nursing B
assessment reveals that a womans cervix is 5 The woman with labor dysfunction related to decreased
cm dilated but contractions are becoming uterine muscle tone begins labor normally, but
shorter and less frequent. What is this labor NURSINGTB.COM
pattern considered? NURSINGTB.COM
a. Normal
b. Hypotonic INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING
c. Hypertonic d. False 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e
(by Leifer) 71
contractions diminish after the active phase.
A labor dysfunction due to decreased A
uterine muscle tone occurs in a patient Medical treatment for hypotonic labor dysfunction
who is dilated to 5 cm with membranes includes an amniotomy as the first remedy if the membranes
intact. are intact.
What action by the physician will the nurse
anticipate?
a.Perform an amniotomy.
b. Initiate tocolytic drugs.
c. Order a sedative for the patient.
d. Plan to do an emergency cesarean
section.
An infant is delivered with the use of C
forceps. What should the nurse assess for Pressure from forceps may injure the infants facial nerve,
in the newborn? which is evidenced by facial asymmetry.
a.Loss of hair from contact with forceps
b. Sacral hematoma
c. Facial asymmetry
d. Shoulder dislocation
A new mother is distressed and tearful D
about the elevated dome over her infants The chignon is due to the effect of the vacuum extractor and
posterior fontanelle. The nurse responds, will disappear in a few days.
This condition will resolve itself in a few
days. What is the cause?
a.Prolonged pressure against the partially
dilated cervix
b. Small leak of fluid through the posterior
fontanelle
c. Pressure of the forceps during delivery d.
The effect of the vacuum extractor
A frustrated patient in labor has been A
affected by decreased uterine muscle tone The Bishop score evaluates the suitability of the patient for a
and reports, My doctor wont induce my vaginal delivery. A minimum score of 6 is recommended by
labor because of some silly score. He said I the American Congress of Obstetricians and Gynecologists
was a 4. What kind of magic number do I (ACOG).
need? What is the lowest Bishop score the
patient should have prior to induction?
a. 6
b. 8
c. 10
d. 12
,A woman is having a difficult labor because D
the fetus is presenting in the right occipital A position that favors fetal rotation and descent and that is
position (ROP). What position will the nurse helpful for the woman with back labor is to sit or kneel leaning
promote to encourage fetal rotation and forward on a support.
pain relief?
a.Prone with legs supported and give her a
back massage
b. Supine with legs bent at the knee
c. Standing with support
d. Sitting up and leaning forward on
the over-bed table
The initial vaginal examination of a woman C
admitted to the labor unit reveals that the The nurse would stay with the woman experiencing
cervix is dilated 9 cm. The panicked woman precipitate labor and breathe with her during contractions to
begs the nurse, Please give me something. help the woman focus and cope with each contraction.
What is the most appropriate pain relief
intervention for a woman in precipitate
labor?
a.Get an order for an intravenous narcotic.
b. Notify the anesthesiologist for an epidural
block. c. Stay and breathe with her
during
contractions.
d. Tell her to bear with it because she is
close to delivery
A woman who is 33 weeks pregnant is A
admitted to the obstetric unit because her Infection of the amniotic sac, called chorioamnionitis, may
membranes ruptured spontaneously. What cause prematurely ruptured membranes, or it may be a
complication should the nurse closely consequence of rupture because the barrier to the uterine
assess for with this patient? cavity is broken.
a.Chorioamnionitis
b. Hemorrhage
c. Hypotension
d.Amniotic fluid embolism
The nurse is administering terbutaline A
(Brethine) to a pregnant woman to prevent Maternal tachycardia is the common negative side effect of
preterm labor. The nurse would assess for terbutaline, which should be corrected with a dose of
which adverse effect? propranolol.
a.Maternal tachycardia
b. Maternal hypertension
c. Fetal bradycardia
d. Fetal hypokalemia
, Which statement indicates a woman B
understands activity limitations for the Lengthy activity restrictions are often needed to prevent
management of preterm labor? preterm birth. The nurse can help the woman identify ways to
a.After my shower in the morning, I do the organize necessary activities and maximize rest.
laundry and straighten up the house; then I
rest.
b. I pack a picnic basket and put it next
to the sofa so I do not have to get up for
food during the day.
c. I have a 2-year-old to care for, but I try to
rest as much as I can.
d. I get really bored at home, so I go to the
shopping mall for just a little while.
A student nurse questions the instructor B
regarding what alteration should be made Assessment of the fundus following a cesarean section is
for the assessment of the fundus of a new done as usual, but using especially gentle fundal massage.
postoperative cesarean section patient.
What is the best response?
a.The fundus is not assessed until
the second postoperative day.
b.The fundus is assessed by walking
fingers from the side of the uterus to the
midline.
c.The fundus is assessed only if large
clots appear in lochia. d. The fundus is
assessed only once every shift.
A pulsating structure is felt during a C
vaginal examination of a woman in The Trendelenburg (head down) position displaces the fetus
labor. How upward to stop compression of the prolapsed cord.
would the nurse position the woman to
prevent compression of a prolapsed cord?
a.On her right side with knees flexed
b. On her left side with a pillow
placed between her legs
c. On her back with her head lower than
the rest of her body d. Supine with her
legs
elevated and bent at the knee
Several hours after delivery the nurse finds D
a woman crying. The woman says Women who have cesarean births usually need greater
repeatedly, My baby is beautiful, but I was support than those who have vaginal births. They may feel
planning on a vaginal delivery. Instead I grief, guilt, or anger because the expected course of birth did
needed an not occur.
emergency C-section. What is the most
appropriate nursing diagnosis?
a.Anxiety related to the development of
postpartum complications
b. Ineffective individual coping related to
unfamiliarity with procedures c. Risk for
ineffective parenting related to emergency
cesarean section d. Grieving related to loss
of expected birth experience
