Exam 2026|2027 Actual Complete Real Exam Questions And Correct
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Version -ANSWER-manual turning of a fetus in the uterus (usually to aid
delivery)
Nurses job when version is imminent -ANSWER-Have and IV in, monitor
V/S and fetal monitoring
Complications of version -ANSWER-placental abruption, uterine
rupture, fetal distress
When does the placenta start getting "old"? -ANSWER-at 36 weeks
gestation
shoulder dystocia -ANSWER-Head is delivered but shoulders become
impacted above mother's symphysis pubis.
What should be done for shoulder dystocia? -ANSWER-act fast, only
have 1-2 minutes before the baby dies, apply suprapubic pressure (NOT
fundal) and put Mom in McRobert's Maneuver
,McRobert's Maneuver -ANSWER-thighs flexed into the abdomen which
changes the angle of the pelvis, increases pelvic diameters & facilitates
delivery of the shoulders.
If a Mom is having contractions ONLY before the due date what is she
experiencing? -ANSWER-Braxton Hicks contractions
If a Mom is having only a cervical change before the due date what
does she have? -ANSWER-An incompetent cervix
If a Mom is having both contractions and cervical change before the
due date she is in? -ANSWER-Preterm labor
If a baby is delivered before 20 weeks it is called ____________. -
ANSWER-spontaneous abortion/miscarraige
If a baby is delivered between weeks 20 and 37 it is called
____________. -ANSWER-preterm
If a baby is delivered between 38 and 42 weeks it is called __________.
-ANSWER-Term
If a baby is delivered after 42 weeks it is called ___________. -ANSWER-
post term
,What is common after rupture of membranes? -ANSWER-A prolapsed
cord
What is the best position for Mom to be placed in with a prolapsed
cord? -ANSWER-Reverse Trendelenburg
A nurse should do what if a prolapsed cord has occurred? -ANSWER-
hold the presenting part up and off the cord and change the mom's
position
What is a uterine rupture usually due to? -ANSWER-A previous c/s
What are the signs and symptoms of a uterine rupture? -ANSWER-pain,
bleeding, fetal distress, maternal nausea, hypotension, shock
What needs to happen with a uterine rupture? -ANSWER-An
emergency c/s and advise against subsequent pregnancies
amniotic fluid embolism -ANSWER-some fluid enters woman's
circulation and obstructs small blood vessels in lungs. Characterized by
abrupt onset of hypotension, resp distress, and coagulation
abnormalities
What must be in place for a cesarean section? -ANSWER-a foley and the
uterus needs to be displaced to the side with a wedge under the hip
, Risk factors for preterm labor -ANSWER-african american, maternal
extremes of age (less than 16 or greater than 40), lose SES, no GED or
HS diploma, alcohol or other drug use, poor nutrition, maternal
periodontal disease, smoking, uterine abnormalities, low pregnancy
weight, diabetes or HTN, multiple gestation, PROM, late or no prenatal
care, short cervical length, STDs, bacterial vaginosis, polyhydramnios,
rapid pregancies, placental problems, maternal anemia, UTI, domestic
violence, maternal stress
Signs and symptoms of preterm labor -ANSWER-increased vaginal
dischange, pelvic pressure, backache, menstrual like cramping, obvious
uterine contractions, fluid leaking from vagina, vaginal bleeding,
diarrhea, intestinal cramping
What should a woman do if she suspects she is in preterm labor? -
ANSWER-Stop and rest for an hour, empty bladder, side-lying, drink 2-3
glasses of water, then call provider if these don't work
What medications can be given for preterm labor? -ANSWER-Celestone
to tone the fetal lungs (take 28 hours to work) given to mom 24 to 24
weeks who is at risk for preterm labor. Or tocolytics such as procardia,
brethine, mag sulfate, indocin
PROM -ANSWER-Premature Rupture of Membranes (after 37 weeks)