MATERNITY EXAM 3 STUDY GUIDE | COMPLETE MATERNAL-NEWBORN NURSING
EXAM REVIEW QUESTIONS AND ANSWERS 2026/2027
1. What assessment should you report immediately after an amniotomy? - ANS ✔✔FHR
$$ amniotic fluid is clear green past meconium associated with fetal compromise
2. A woman 2 weeks overdue, is receiving oxytocin to induce labor when her contractions are 90 seconds
apart what is your initial action? - ANS ✔✔a. Oxytocin is discontinued or its rate is reduced , if signs of
fetal compromise or excessive uterine contractions occur
3. What care should be delivered to a woman with a third-degree laceration immediately after delivery?
- ANS ✔✔a. ICE PACKS applied to perineum area for the first 12 hours to reduce pain, bruising, and
edema.
b. After the cold application for 12-24 hours then heat packs or sitz bath can enhance comfort and
healing; increasing blood circulation.
c. Mild oral analgesics for pain management
4. Patients cervix is 5cm, contractions are shorter and less frequent. What labor pattern is this? - ANS
✔✔a. Hypotonic labor
5. Labor dysfunction has occurred due to decreased uterine muscle tone, the patient is 5 cm, and
membranes are intact. What do you anticipate the physician to do? - ANS ✔✔a. Performs an Amniotomy
6. The baby is delivered using forceps. What are you going to assess the newborn for? - ANS ✔✔b.
FACIAL ASYMMETRY and injury to facial nerve.
Bruising, facial or scalp lacerations or abrasions, cephalohematoma, or intracranial hemorrhage
7. What is the cause of an elevated dome over the infant's posterior fontanelle? - ANS ✔✔a. Vacuum
extraction
8. What is the lowest Bishop score a patient can have prior to induction? - ANS ✔✔b. Six or more is
favorable
9. The baby is presenting in the right occipital position. What position can you encourage to promote
fetal rotation and pain relief? - ANS ✔✔a. Side lying on left side
$$, sit or kneel leaning Ford on a support$$
10. Patient is 9cm, she wants pain meds. What pain relief can you give her during precipitate labor? -
ANS ✔✔a. No meds focus on breathing (pg 191 percipatant birth cant get meds breat
11. A 33 week pregnant mom's membranes ruptured. What complication will you assess this patient for?
- ANS ✔✔a. Chorioamnionitis
12. Which adverse effect will you assess for after you give a patient Brethine? - ANS ✔✔a. Increased
pulse rate(TACHYCARDIA ) $$ and blood pressure
, 13. Which statement indicates a woman understands activity limitations for the management of preterm
labor? - ANS ✔✔a. Arrangement for household responsibilities should be in place...I.E childcare or help
from social services
14. What alteration should be made for the assessment of the fundus of a new postoperative cesarean
section? - ANS ✔✔a. Fundus is checked as GENTLY as possible having the mother flex knees slightly and
take slow deep breath to minimize the discomfort
15. During vaginal exam a pulsating structure is felt. How will you position the patient to prevent
compression of a prolapsed cord? - ANS ✔✔a. Knee chest or Trendelenburg (head down). Pg195(side
lying with hips elevated on pillows
$$ head down fetus upward so the woman head would be lower than the rest of her body$$
16. Mom is crying because she had a C-section instead of a vaginal delivery. What is the most
appropriate nursing diagnosis? - ANS ✔✔a. pg186 anxiety r/t development or impared r/t decreased
coping
$$ may feel grief guilt or anger because the expected birth path did not occur
17. At 34 weeks, mom's membranes ruptured, she is being d/c'd home. What are you going to teach her
to do? - ANS ✔✔a. Report a temperature that is {ABOVE 38C (100.4F)}
b. Avoid sexual intercourse or insertion of anything into vagina
c. Avoid orgasm
d. Avoid breast stimulation
e. Maintain activity restriction
f. Note uterine contractions, reduced fetal activity, or other signs of infection
g. Record fetal kicks counts daily, report fewer than 10 kicks in 12 hours.
18. A 24 week pregnant mom is started on magnesium sulfate. What side effect will you tell her she
might experience? - ANS ✔✔a. WARM FLUSH during the initiation of therapy.
19. Mom is anxious about delivery, her infant, and how quickly she will recover. How does anxiety affect
labor?$$ reduce flow - ANS ✔✔a. Using glucose the uterus needs for energy
b. DIVERTING BLOOD FROM the UTERUS
c. Increasing tension of the pelvic muscles, which impedes fetal descent
d. Increasing perception of pain, creating greater anxiety and stress and thus worsening the cycle
20. During strenuous labor, mom complains of pain between her scapulae. She wants pain meds. What is
your best nursing action? - ANS ✔✔a. Report signs of uterine rupture Pg195( PREPARE FOR C SECTION $
$CALL RN OR HCP
21. What is used to soften the cervix? - ANS ✔✔a. Prostaglandins
b. Prepidil( Cervidil) and Cytotec (Misoprostol
EXAM REVIEW QUESTIONS AND ANSWERS 2026/2027
1. What assessment should you report immediately after an amniotomy? - ANS ✔✔FHR
$$ amniotic fluid is clear green past meconium associated with fetal compromise
2. A woman 2 weeks overdue, is receiving oxytocin to induce labor when her contractions are 90 seconds
apart what is your initial action? - ANS ✔✔a. Oxytocin is discontinued or its rate is reduced , if signs of
fetal compromise or excessive uterine contractions occur
3. What care should be delivered to a woman with a third-degree laceration immediately after delivery?
- ANS ✔✔a. ICE PACKS applied to perineum area for the first 12 hours to reduce pain, bruising, and
edema.
b. After the cold application for 12-24 hours then heat packs or sitz bath can enhance comfort and
healing; increasing blood circulation.
c. Mild oral analgesics for pain management
4. Patients cervix is 5cm, contractions are shorter and less frequent. What labor pattern is this? - ANS
✔✔a. Hypotonic labor
5. Labor dysfunction has occurred due to decreased uterine muscle tone, the patient is 5 cm, and
membranes are intact. What do you anticipate the physician to do? - ANS ✔✔a. Performs an Amniotomy
6. The baby is delivered using forceps. What are you going to assess the newborn for? - ANS ✔✔b.
FACIAL ASYMMETRY and injury to facial nerve.
Bruising, facial or scalp lacerations or abrasions, cephalohematoma, or intracranial hemorrhage
7. What is the cause of an elevated dome over the infant's posterior fontanelle? - ANS ✔✔a. Vacuum
extraction
8. What is the lowest Bishop score a patient can have prior to induction? - ANS ✔✔b. Six or more is
favorable
9. The baby is presenting in the right occipital position. What position can you encourage to promote
fetal rotation and pain relief? - ANS ✔✔a. Side lying on left side
$$, sit or kneel leaning Ford on a support$$
10. Patient is 9cm, she wants pain meds. What pain relief can you give her during precipitate labor? -
ANS ✔✔a. No meds focus on breathing (pg 191 percipatant birth cant get meds breat
11. A 33 week pregnant mom's membranes ruptured. What complication will you assess this patient for?
- ANS ✔✔a. Chorioamnionitis
12. Which adverse effect will you assess for after you give a patient Brethine? - ANS ✔✔a. Increased
pulse rate(TACHYCARDIA ) $$ and blood pressure
, 13. Which statement indicates a woman understands activity limitations for the management of preterm
labor? - ANS ✔✔a. Arrangement for household responsibilities should be in place...I.E childcare or help
from social services
14. What alteration should be made for the assessment of the fundus of a new postoperative cesarean
section? - ANS ✔✔a. Fundus is checked as GENTLY as possible having the mother flex knees slightly and
take slow deep breath to minimize the discomfort
15. During vaginal exam a pulsating structure is felt. How will you position the patient to prevent
compression of a prolapsed cord? - ANS ✔✔a. Knee chest or Trendelenburg (head down). Pg195(side
lying with hips elevated on pillows
$$ head down fetus upward so the woman head would be lower than the rest of her body$$
16. Mom is crying because she had a C-section instead of a vaginal delivery. What is the most
appropriate nursing diagnosis? - ANS ✔✔a. pg186 anxiety r/t development or impared r/t decreased
coping
$$ may feel grief guilt or anger because the expected birth path did not occur
17. At 34 weeks, mom's membranes ruptured, she is being d/c'd home. What are you going to teach her
to do? - ANS ✔✔a. Report a temperature that is {ABOVE 38C (100.4F)}
b. Avoid sexual intercourse or insertion of anything into vagina
c. Avoid orgasm
d. Avoid breast stimulation
e. Maintain activity restriction
f. Note uterine contractions, reduced fetal activity, or other signs of infection
g. Record fetal kicks counts daily, report fewer than 10 kicks in 12 hours.
18. A 24 week pregnant mom is started on magnesium sulfate. What side effect will you tell her she
might experience? - ANS ✔✔a. WARM FLUSH during the initiation of therapy.
19. Mom is anxious about delivery, her infant, and how quickly she will recover. How does anxiety affect
labor?$$ reduce flow - ANS ✔✔a. Using glucose the uterus needs for energy
b. DIVERTING BLOOD FROM the UTERUS
c. Increasing tension of the pelvic muscles, which impedes fetal descent
d. Increasing perception of pain, creating greater anxiety and stress and thus worsening the cycle
20. During strenuous labor, mom complains of pain between her scapulae. She wants pain meds. What is
your best nursing action? - ANS ✔✔a. Report signs of uterine rupture Pg195( PREPARE FOR C SECTION $
$CALL RN OR HCP
21. What is used to soften the cervix? - ANS ✔✔a. Prostaglandins
b. Prepidil( Cervidil) and Cytotec (Misoprostol
