NUR4545 Brenda Patton vSim Focused Maternal-Newborn
Simulation Assessment Actual Exam 2026/2027 – Complete
Exam-Style Questions with Detailed Rationales | 100%
Verified | Pass Guaranteed – A+ Graded
Section A: Recognizing Cues – Antepartum & Intrapartum Assessment
Q1: A nursing student begins the Brenda Patton vSim scenario and enters the room to
perform an initial assessment on a patient admitted for induction of labor at 39 weeks
gestation. Which action represents the first priority in recognizing cues?
A. Reviewing the patient's prenatal record for group B streptococcus (GBS) status
before entering the room
B. Assessing maternal vital signs and fetal heart rate immediately upon arrival
C. Asking the patient about her birth plan preferences for pain management
D. Checking the medication administration record for scheduled medications
Correct Answer: B
Rationale: Upon admission for induction, immediate assessment of maternal vital signs
and fetal heart rate establishes baseline status and identifies urgent complications such
as preeclampsia or fetal distress. Options A, C, and D are important but secondary to
immediate physiological assessment of maternal-fetal safety.
Q2: During the initial assessment of Brenda Patton, the student notes the following:
blood pressure 138/88 mmHg, temperature 98.6°F, pulse 92, respirations 18, fetal heart
rate 140s with moderate variability. Which finding requires immediate follow-up?
A. Blood pressure of 138/88 mmHg
B. Temperature of 98.6°F
C. Fetal heart rate in the 140s
D. Respiratory rate of 18 breaths per minute
Correct Answer: A
Rationale: A blood pressure of 138/88 mmHg indicates elevated blood pressure (normal
is <120/80) and may signal developing preeclampsia or gestational hypertension,
requiring further evaluation. Options B, C, and D are within normal ranges for pregnancy.
, Q3: The student reviews Brenda Patton's prenatal record and notes she is GBS positive.
Which assessment finding in the current scenario is most important to recognize as a
contraindication to immediate induction?
A. Cervix dilated 2 cm and 50% effaced
B. Rupture of membranes with clear fluid 2 hours ago
C. Fetal heart rate baseline 150 with accelerations
D. Maternal blood type O negative
Correct Answer: B
Rationale: Rupture of membranes in a GBS-positive patient requires immediate
antibiotic prophylaxis (penicillin) to prevent vertical transmission; delaying antibiotics
beyond 4 hours increases neonatal sepsis risk. Cervical status, reassuring fetal heart
rate, and Rh status do not contraindicate induction but require different management.
Q4: While performing Leopold's maneuvers on Brenda Patton, the student palpates a
hard, round mass in the fundus and a soft, irregular mass in the lower uterine segment.
Which fetal presentation should the student document?
A. Cephalic presentation
B. Breech presentation
C. Transverse lie
D. Face presentation
Correct Answer: B
Rationale: Leopold's maneuvers revealing a hard, round mass (fetal head) in the fundus
and a soft, irregular mass (breech) in the lower segment indicate breech presentation.
Cephalic would show the head in the lower uterus; transverse lie would show
longitudinal axis perpendicular to the maternal spine; face presentation is a variation of
cephalic.
Q5: The student assesses Brenda Patton's contractions and notes they occur every 2-3
minutes, lasting 60-90 seconds, with moderate intensity by palpation. Which additional
assessment is essential to complete the contraction evaluation?
A. Maternal pain score on a scale of 0-10
B. Uterine resting tone between contractions
C. Cervical dilation and effacement
D. Fetal heart rate during and between contractions
Correct Answer: D
Simulation Assessment Actual Exam 2026/2027 – Complete
Exam-Style Questions with Detailed Rationales | 100%
Verified | Pass Guaranteed – A+ Graded
Section A: Recognizing Cues – Antepartum & Intrapartum Assessment
Q1: A nursing student begins the Brenda Patton vSim scenario and enters the room to
perform an initial assessment on a patient admitted for induction of labor at 39 weeks
gestation. Which action represents the first priority in recognizing cues?
A. Reviewing the patient's prenatal record for group B streptococcus (GBS) status
before entering the room
B. Assessing maternal vital signs and fetal heart rate immediately upon arrival
C. Asking the patient about her birth plan preferences for pain management
D. Checking the medication administration record for scheduled medications
Correct Answer: B
Rationale: Upon admission for induction, immediate assessment of maternal vital signs
and fetal heart rate establishes baseline status and identifies urgent complications such
as preeclampsia or fetal distress. Options A, C, and D are important but secondary to
immediate physiological assessment of maternal-fetal safety.
Q2: During the initial assessment of Brenda Patton, the student notes the following:
blood pressure 138/88 mmHg, temperature 98.6°F, pulse 92, respirations 18, fetal heart
rate 140s with moderate variability. Which finding requires immediate follow-up?
A. Blood pressure of 138/88 mmHg
B. Temperature of 98.6°F
C. Fetal heart rate in the 140s
D. Respiratory rate of 18 breaths per minute
Correct Answer: A
Rationale: A blood pressure of 138/88 mmHg indicates elevated blood pressure (normal
is <120/80) and may signal developing preeclampsia or gestational hypertension,
requiring further evaluation. Options B, C, and D are within normal ranges for pregnancy.
, Q3: The student reviews Brenda Patton's prenatal record and notes she is GBS positive.
Which assessment finding in the current scenario is most important to recognize as a
contraindication to immediate induction?
A. Cervix dilated 2 cm and 50% effaced
B. Rupture of membranes with clear fluid 2 hours ago
C. Fetal heart rate baseline 150 with accelerations
D. Maternal blood type O negative
Correct Answer: B
Rationale: Rupture of membranes in a GBS-positive patient requires immediate
antibiotic prophylaxis (penicillin) to prevent vertical transmission; delaying antibiotics
beyond 4 hours increases neonatal sepsis risk. Cervical status, reassuring fetal heart
rate, and Rh status do not contraindicate induction but require different management.
Q4: While performing Leopold's maneuvers on Brenda Patton, the student palpates a
hard, round mass in the fundus and a soft, irregular mass in the lower uterine segment.
Which fetal presentation should the student document?
A. Cephalic presentation
B. Breech presentation
C. Transverse lie
D. Face presentation
Correct Answer: B
Rationale: Leopold's maneuvers revealing a hard, round mass (fetal head) in the fundus
and a soft, irregular mass (breech) in the lower segment indicate breech presentation.
Cephalic would show the head in the lower uterus; transverse lie would show
longitudinal axis perpendicular to the maternal spine; face presentation is a variation of
cephalic.
Q5: The student assesses Brenda Patton's contractions and notes they occur every 2-3
minutes, lasting 60-90 seconds, with moderate intensity by palpation. Which additional
assessment is essential to complete the contraction evaluation?
A. Maternal pain score on a scale of 0-10
B. Uterine resting tone between contractions
C. Cervical dilation and effacement
D. Fetal heart rate during and between contractions
Correct Answer: D
