QUESTIONS & VERIFIED ANSWERS | COMPLETE MATERNITY NURSING
STUDY GUIDE | COMPREHENSIVE EXAM REVIEW
1. Mrs. Cruz, a 28-year-old G2P1, was admitted to the hospital with a diagnosis
of gestational hypertension. Which of the following clinical findings would
indicate that the woman's condition had progressed to severe preeclampsia?
Mild facial edema
Blood pressure 150/96 mm Hg
Hyperreflexia
Urine protein 300 mg/24 hours
2. In a scenario where a patient is in labor, how would the POOF framework
guide the nursing staff in their approach to care?
By ensuring that the patient, obstetrician, obstetric nurse, and family
are all involved in the decision-making process.
By limiting communication to only the medical staff involved.
By focusing solely on the obstetrician's decisions without family input.
By prioritizing the obstetric nurse's role over the patient's preferences.
3. If a patient with preeclampsia exhibits hyperreflexia, what should the nursing
intervention focus on?
Monitoring for signs of eclampsia and preparing for potential
seizure management.
Encouraging the patient to increase physical activity.
Administering pain relief medication immediately.
Discharging the patient from care as soon as possible.
,4. What is the definition of an amniotic fluid embolism?
A condition characterized by high blood pressure during pregnancy.
A rare but serious condition where amniotic fluid enters the
maternal bloodstream.
A common condition during labor where the uterus contracts
excessively.
A complication that arises from the use of epidural anesthesia.
5. What does the term 'version' refer to in the context of labor?
A type of cervical ripening method.
A procedure to change the position of the fetus in the uterus.
A complication during childbirth.
A medical intervention for pain relief.
6. Describe the potential complications that can arise from an amniotic fluid
embolism.
Complications are limited to minor bleeding and discomfort.
Complications include increased risk of cesarean delivery and
infection.
Complications can include respiratory distress, cardiovascular
collapse, and disseminated intravascular coagulation.
Complications primarily involve prolonged labor and fetal distress.
7. When using Cervidil (dinoprostone) as a cervical ripening agent, it should be
placed in the vagina and left in place for about how long?
6 hours
, 12 hours
2 hours
8. What is the definition of uterine inversion?
Uterine inversion is a condition where the uterus turns inside out
during or after childbirth.
Uterine inversion refers to the excessive bleeding after delivery.
Uterine inversion is a type of cervical ripening.
Uterine inversion is the abnormal position of the fetus in the uterus.
9. The hallmark of uterine inversion is:
Brisk vaginal bleeding
More than one of the above
Vaginal bleeding with abrupt, profound shock, out of proportion to
the bleeding
Abrupt profound shock without vaginal bleeding
Sudden agonising pain
10. Cervidil Vaginal Insert is used in one of the following cases:
contraceptive action
none of the above
induction of labor
treatment of urogenital symptoms
, 11. Describe the characteristics of the android pelvis and how it affects the
process of vaginal delivery.
The android pelvis is oval-shaped and does not affect delivery.
The android pelvis is heart-shaped and has a narrower pelvic inlet,
which can impede the passage of the fetus during vaginal delivery.
The android pelvis is wide and circular, facilitating easier delivery.
The android pelvis has a flat shape that allows for a smooth delivery
process.
12. Which of the following is a cause for abruptio placenta?
Trauma
Thick placenta
Myomectomy history
Multiparity
13. A woman receiving misoprostol develops tachysystole and the next dose is
withheld, but tachysystole continues. The next step in management is to
administer
terbutaline
oxygen
pain medication
14. Fetal lie is defined as?
It's the relationship of the engagement to the uterus
The relationship of the long axis (spine) of the fetus to the long
axis(spine) of the mother