NUR 254 EXAM 3 -MATERNAL AND PEDIATRICS
NURSING |ACTUAL QUESTIONS AND VERIFIED
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
After spontaneous rupture of membranes, the nurse notices a prolapsed cord. The nurse
immediately places the woman in which position?
A) Supine
B) Side-lying
C) Sitting
D) Knee-chest
CORRECT ANSWER
D
Question 2
A primigravida whose labor was initially progressing normally is now experiencing a
decrease in the frequency and intensity of her contractions. The nurse would assess the
woman for which condition?
A) A low-lying placenta
B) Fetopelvic disproportion
C) Contraction ring
D) Uterine bleeding
CORRECT ANSWER
B
1
,Question 3
The nurse would be alert for possible placental abruption during labor when assessment
reveals which of the following?
A) Macrosomia
B) Gestational hypertension
C) Gestational diabetes
D) Low parity
CORRECT ANSWER
B
Question 4
Assessment of a woman in labor who is experiencing hypertonic uterine dysfunction
would reveal contractions that are:
A) Well coordinated
B) Poor in quality
C) Rapidly occurring
D) Erratic
CORRECT ANSWER
D
Question 5
A woman in labor is experiencing hypotonic uterine dysfunction. Assessment reveals no
fetopelvic disproportion. Which group of medications would the nurse expect to
administer?
A) Sedatives
2
,B) Tocolytics
C) Oxytocins
D) Corticosteroids
CORRECT ANSWER
C
Question 6
The fetus of a woman in labor is determined to be in persistent occiput posterior position.
Which of the following would the nurse identify as the priority intervention?
A) Position changes
B) Pain relief measures
C) Immediate cesarean birth
D) Oxytocin administration
CORRECT ANSWER
B
Question 7
A woman gave birth to a newborn via vaginal delivery with the use of a vacuum extractor.
The nurse would be alert for which of the following in the newborn?
A) Asphyxia
B) Clavicular fracture
C) Caput succedaneum
D) Central nervous system injury
CORRECT ANSWER
C
3
, Question 8
A pregnant client undergoing labor induction is receiving an oxytocin infusion. Which of
the following findings would require immediate intervention?
A) Fetal heart rate of 150 beats/minute
B) Contractions every 2 minutes, lasting 45 seconds
C) Uterine resting tone of 14 mm Hg
D) Urine output of 20 mL/hour
CORRECT ANSWER
D
Question 9
A woman with a history of crack cocaine abuse is admitted to the labor and birth area.
While caring for the client, the nurse notes a sudden onset of fetal bradycardia. Inspection
of the abdomen reveals an irregular wall contour. The client also complains of acute
abdominal pain that is continuous. Which of the following would the nurse suspect?
A) Amniotic fluid embolism
B) Shoulder dystocia
C) Uterine rupture
D) Umbilical cord prolapse
CORRECT ANSWER
C
Question 10
When assessing several women for possible VBAC, which woman would the nurse identify
as being the best candidate?
A) One who has undergone a previous myomectomy
4
NURSING |ACTUAL QUESTIONS AND VERIFIED
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
After spontaneous rupture of membranes, the nurse notices a prolapsed cord. The nurse
immediately places the woman in which position?
A) Supine
B) Side-lying
C) Sitting
D) Knee-chest
CORRECT ANSWER
D
Question 2
A primigravida whose labor was initially progressing normally is now experiencing a
decrease in the frequency and intensity of her contractions. The nurse would assess the
woman for which condition?
A) A low-lying placenta
B) Fetopelvic disproportion
C) Contraction ring
D) Uterine bleeding
CORRECT ANSWER
B
1
,Question 3
The nurse would be alert for possible placental abruption during labor when assessment
reveals which of the following?
A) Macrosomia
B) Gestational hypertension
C) Gestational diabetes
D) Low parity
CORRECT ANSWER
B
Question 4
Assessment of a woman in labor who is experiencing hypertonic uterine dysfunction
would reveal contractions that are:
A) Well coordinated
B) Poor in quality
C) Rapidly occurring
D) Erratic
CORRECT ANSWER
D
Question 5
A woman in labor is experiencing hypotonic uterine dysfunction. Assessment reveals no
fetopelvic disproportion. Which group of medications would the nurse expect to
administer?
A) Sedatives
2
,B) Tocolytics
C) Oxytocins
D) Corticosteroids
CORRECT ANSWER
C
Question 6
The fetus of a woman in labor is determined to be in persistent occiput posterior position.
Which of the following would the nurse identify as the priority intervention?
A) Position changes
B) Pain relief measures
C) Immediate cesarean birth
D) Oxytocin administration
CORRECT ANSWER
B
Question 7
A woman gave birth to a newborn via vaginal delivery with the use of a vacuum extractor.
The nurse would be alert for which of the following in the newborn?
A) Asphyxia
B) Clavicular fracture
C) Caput succedaneum
D) Central nervous system injury
CORRECT ANSWER
C
3
, Question 8
A pregnant client undergoing labor induction is receiving an oxytocin infusion. Which of
the following findings would require immediate intervention?
A) Fetal heart rate of 150 beats/minute
B) Contractions every 2 minutes, lasting 45 seconds
C) Uterine resting tone of 14 mm Hg
D) Urine output of 20 mL/hour
CORRECT ANSWER
D
Question 9
A woman with a history of crack cocaine abuse is admitted to the labor and birth area.
While caring for the client, the nurse notes a sudden onset of fetal bradycardia. Inspection
of the abdomen reveals an irregular wall contour. The client also complains of acute
abdominal pain that is continuous. Which of the following would the nurse suspect?
A) Amniotic fluid embolism
B) Shoulder dystocia
C) Uterine rupture
D) Umbilical cord prolapse
CORRECT ANSWER
C
Question 10
When assessing several women for possible VBAC, which woman would the nurse identify
as being the best candidate?
A) One who has undergone a previous myomectomy
4
