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Examen

Maternal and Newborn Success Questions Unit 2 Exam

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Maternal and Newborn Success Questions Unit 2 Exam

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Maternal And Newborn
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Escuela, estudio y materia

Institución
Maternal and Newborn
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Maternal and Newborn

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Subido en
3 de julio de 2025
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64
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2024/2025
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MATERNAL AND NEWBORN SUCCESS
QUESTIONS UNIT 2 EXAM WITH CORRECT
ANSWERS GRADED A+
A rclient renters rthe rlabor rand rdelivery rsuite rstating rthat rshe rthinks rshe ris rin rlabor.
rWhich rof rthe rfollowing rinformation rabout rthe rwoman rshould rthe rnurse rnote rfrom rthe
rwoman's rprenatal rrecord rbefore rproceeding rwith rthe rphysical rassessment? rSelect rall
rthat rapply.
1. rWeight rgain.
2. rEthnicity rand rreligion. r3. rAge.
4. rType rof rinsurance.
5. rGravidity rand rparity. r- rCORRECT✅✅1, r2, r3, rand r5 rare rcorrect.
1. rBefore rproceeding rwith ra rphysical ras-
sessment, rthe rnurse rshould rcheck rthe rclient's rweight rgain rreported rin rher rprenatal
rrecord.
2. rThe rclient's rethnicity rand rreligion rshould rbe rnoted rbefore rphysical rassess- rment.
rThis rallows rthe rnurse rto rpro- rceed rin ra rculturally rsensitive rmanner.
3. rThe rclient's rage rshould ralso rbe rnoted rbefore rthe rphysical rassessment ris rbegun.
5. rThe rclient's rgravidity rand rparity—how rmany rtimes rshe rhas rbeen rpregnant rand
rhow rmany rtimes rshe rhas rgiven rbirth—should ralso rbe rnoted rbefore ra rphysical
rassessment ris rbegun.


2. rA rwoman rwho rstates rthat rshe r"thinks" rshe ris rin rlabor renters rthe rlabor rsuite.
rWhich rof rthe rfollowing rassessments rwill rprovide rthe rnurse rwith rthe rmost rvaluable
rinforma- rtion rregarding rthe rclient's rlabor rstatus?


1. rLeopold's rmaneuvers.
r2. rFundal rcontractility.
3. rFetal rheart rassessment.
r4. rVaginal rexamination. r- rCORRECT✅✅4. rVaginal rExamination r-
A rvaginal rexamination rwill rprovide rthe rnurse rwith rthe rbest rinformation rabout rthe
rstatus rof rlabor.


A rclient rin rlabor, rG2 rP1001, rwas radmitted r1 rhour rago rat r2 rcm rdilated rand r50%
reffaced. rShe rwas rtalkative rand rexcited rat rthat rtime. rDuring rthe rpast r10 rminutes rshe
rhas rbecome rserious, rclosing rher reyes rand rbreathing rrapidly rwith reach rcontraction.
rWhich rof rthe rfollowing ris ran raccurate rnursing rassessment rof rthe rsituation?
1. rThe rclient rhad rpoor rchildbirth reducation rprior rto rlabor. r
2. rThe rclient ris rexhibiting ran rexpected rbehavior rfor rlabor. r3. rThe rclient ris rbecoming
rhypoxic rand rhypercapnic.
4. rThe rclient rneeds rher ralpha-fetoprotein rlevels rchecked. r- rCORRECT✅✅2. rThe
rclient ris rexhibiting ran rexpected rbehavior rfor rlabor. r-
The rwoman ris rshowing rexpected rsigns rof rthe ractive rphase rof rlabor.

,A rwoman rhas rjust rarrived rat rthe rlabor rand rdelivery rsuite. rIn rorder rto rreport rthe
rclient's rstatus rto rher rprimary rhealth rcare rpractitioner, rwhich rof rthe rfollowing rassess-
rments rshould rthe rnurse rperform? rSelect rall rthat rapply.
1. rFetal rheart rrate.
2. rContraction rpattern. r3. rContraction rstress rtest. r4. rVital rsigns.
5. rBiophysical rprofile. r- rCORRECT✅✅1, r2, rand r4 rare rcorrect.

1. rThe rnurse rshould rassess rthe rfetal
heart rbefore rreporting rthe rclient's
status rto rthe rhealth rcare rprovider.

2. rThe rnurse rshould rassess rthe rcontrac-
tion rpattern rbefore rreporting rthe
client's rstatus.

3. rA rcontraction rstress rtest ris ronly rperformed rif rordered rby ra rhealth rcare rpractitioner.

4. rThe rnurse rshould rassess rthe rwoman's rvital rsigns rbefore rreporting rher rstatus. r

5. rA rbiophysical rprofile ris ronly rperformed rif
ordered rby ra rhealth rcare rpractitioner.

While rperforming rLeopold's rmaneuvers ron ra rwoman rin rlabor, rthe rnurse rpalpates ra
rhard rround rmass rin rthe rfundal rarea, ra rflat rsurface ron rthe rleft rside, rsmall robjects ron
rthe rright rside, rand ra rsoft rround rmass rjust rabove rthe rsymphysis. rWhich rof rthe rfol-
rlowing ris ra rreasonable rconclusion rby rthe rnurse?


1. rThe rfetal rposition ris rtransverse. r
2. rThe rfetal rpresentation ris rvertex. r
3. rThe rfetal rlie ris rvertical.
4. rThe rfetal rattitude ris rflexed. r- rCORRECT✅✅3. r
With rthe rfindings rof ra rhard rround rmass rin rthe rfundal rarea rand rsoft rround rmass
rabove rthe rsymphysis, rthe rnurse rcan rconclude rthat rthe rfetal rlie ris rvertical.


When rduring rthe rlatent rphase rof rlabor rshould rthe rnurse rassess rthe rfetal rheart
rpattern rof ra rlow-risk rwoman, rG1 rP0000? rSelect rall rthat rapply.
1. rAfter rvaginal rexams.
2. rBefore radministration rof ranalgesics.
3. rPeriodically rat rthe rend rof ra rcontraction. r4. rEvery rten rminutes.
5. rBefore rambulating. r- rCORRECT✅✅1, r2, r3, rand r5 rare rcorrect.

1. rThe rnurse rshould rassess rthe rfetal
heart rafter rall rvaginal rexams.
2. rThe rnurse rshould rassess rthe rfetal
heart rbefore rgiving rthe rmother rany

,analgesics.
3. rThe rfetal rheart rshould rbe rassessed rpe-
riodically rat rthe rend rof ra rcontraction.
4. rThe rfetal rheart rpattern rshould rbe ras- rsessed revery r1 rhour rduring rthe rlatent rphase
rof ra rlow-risk rlabor. rIt ris rnot rstan- rdard rprotocol rto rassess revery r10 rminutes.
5. rThe rnurse rshould rassess rthe rfetal rheart rbefore rthe rwoman rambulates.

The rnurse ris rassessing rthe rfetal rstation rduring ra rvaginal rexamination. rWhich rof rthe
rfollowing rstructures rshould rthe rnurse rpalpate?
1. rSacral rpromontory. r2. rIschial rspines.
3. rCervix.
4. rSymphysis rpubis. r- rCORRECT✅✅2. rStation ris rassessed rby rpalpating rthe rischial
rspines.


The rlabor rand rdelivery rnurse rperforms rLeopold's rmaneuvers. rA rsoft rround rmass ris
rfelt rin rthe rfundal rregion. rA rflat robject ris rnoted ron rthe rleft rand rsmall robjects rare
rnoted ron rthe rright rof rthe ruterus. rA rhard rround rmass ris rnoted rabove rthe rsymphysis.
rWhich rof rthe rfollowing rpositions ris rconsistent rwith rthese rfindings?
1. rLeft roccipital ranterior r(LOA) r2. rLeft rsacral rposterior r(LSP)
3. rRight rmentum ranterior r(RMA) r4. rRight rsacral rposterior r(RSP) r- rCORRECT✅✅1.
rThe rnurse's rfindings rupon rperforming rLeopold's rmaneuvers rindicate rthat rthe rfetus ris
rin rthe rleft rocciput ranterior rpo- rsition r(LOA)—that ris, rthe rfetal rback ris rfelt ron rthe
rmother's rleft rside, rthe rsmall rparts rare rfelt ron rher rright rside, rthe rbuttocks rare rfelt rin
rthe rfundal rre- rgion, rand rthe rhead ris rfelt rabove rher rsymphysis.


A rnurse ris rcaring rfor ra rlaboring rwoman rwho ris rin rtransition. rWhich rof rthe rfollowing
rsigns/symptoms rwould rindicate rthat rthe rwoman ris rprogressing rinto rthe rsecond rstage
rof rlabor? rSelect rall rthat rapply.
1. rBulging rperineum.
2. rIncreased rbloody rshow.
3. rSpontaneous rrupture rof rthe rmembranes. r
4. rUncontrollable rurge rto rpush.
5. rInability rto rbreathe rthrough rcontractions. r- rCORRECT✅✅1, r2, rand r4 rare rcorrect.
r


As rthe rfetal rhead rdescends rthrough ra rfully rdilated rcervix, rthe rperineum rbegins rto
rbulge, rthe rbloody rshow rincreases, rand rthe rlaboring rwoman rusually rfeels ra rstrong
rurge rto rpush.
1. rA rbulging rperineum rindicates rpro- rgression rto rthe rsecond rstage rof rlabor.
2. rThe rbloody rshow rincreases ras ra rwoman renters rthe rsecond rstage rof rlabor.
3. rThe ramniotic rsac rcan rrupture rat rany rtime.
4. rWith ra rfully rdilated rcervix rand rbulging rperineum, rlaboring rwomen rusually rfeel ra
rstrong rurge rto rpush.
5. rThe rgravida's rability rto rwork rwith rher rlabor ris rmore rdependent ron rher rlevel rof
rpain rand rher rpreparation rfor rlabor rthan ron rthe rphases rand/or rstages rof rlabor.

, During ra rvaginal rexamination, rthe rnurse rpalpates rfetal rbuttocks rthat rare rfacing rthe
rleft rposterior rand rare r1 rcm rabove rthe rischial rspines. rWhich rof rthe rfollowing ris
rconsistent rwith rthis rassessment?
1. rLOA r1 rstation. r
2. rLSP r1 rstation. r
3. rLMP r1 rstation. r
4. rLSA r1 rstation. r- rCORRECT✅✅2. rThe rLSP rposition ris rthe rcorrect ranswer. rThe
rfetal rbuttocks r(S ror rsacrum) rare rfacing rtoward rthe rmother's rleft rposterior r(LP) rand
rbut- rtocks rat r1 rstation rare r1 rcm rabove rthe rischial rspines.


The rnurse renters ra rlaboring rclient's rroom. rThe rclient ris rcomplaining rof rintense rback
rpain rwith reach rcontraction. rThe rnurse rconcludes rthat rthe rfetus ris rlikely rin rwhich rof
rthe rfollowing rpositions?
1. rMentum ranterior.
r2. rSacrum rposterior. r
3. rOcciput rposterior. r
4. rScapula ranterior. r- rCORRECT✅✅3. rWhen ra rfetus ris rin rthe rocciput rposterior
rposition, rmothers rfrequently rcomplain rof rsevere rback rpain.


When rperforming rLeopold's rmaneuvers, rthe rnurse rnotes rthat rthe rfetus ris rin rthe rleft
rocciput ranterior rposition. rWhere rshould rthe rnurse rplace ra rfetoscope rbest rto rhear
rthe rfetal rheart rbeat?
1. rLeft rupper rquadrant. r2. rRight rupper rquadrant. r3. rLeft rlower rquadrant. r4. rRight
rlower rquadrant. r- rCORRECT✅✅3. rThe rfetoscope rshould rbe rplaced rin rthe rleft
rlower rquadrant rfor ra rfetus rpositioned rin rthe rLOA rposition ras rdescribed rin rthe
rquestion.


On rexamination, rit ris rnoted rthat ra rfull-term rprimipara rin ractive rlabor ris rright roccipi-
rtoanterior r(ROA), r7 rcm rdilated, rand r3 rstation. rWhich rof rthe rfollowing rshould rthe
rnurse rreport rto rthe rphysician?
1. rDescent ris rprogressing rwell. r2. rFetal rhead ris rnot ryet rengaged. r
3. rVaginal rdelivery ris rimminent. r
4. rExternal rrotation ris rcomplete. r- rCORRECT✅✅1. rDescent ris rprogressing rwell.
rThe rpresenting rpart ris r3 rcentimeters rbelow rthe rischial rspines.


One rhour rago, ra rmultipara rwas rexamined rwith rthe rfollowing rresults: r8 rcm, r50%
reffaced, rand r1 rstation. rShe ris rnow rpushing rwith rcontractions rand rthe rfetal rhead ris
rseen rat rthe rvaginal rintroitus. rThe rnurse rconcludes rthat rthe rclient ris rnow


1.) r9 rcm rdilated, r70% reffaced, rand r2 rstation.

2.) r9 rcm rdilated, r80% reffaced, rand r3 rstation. r

3.) r10 rcm rdilated, r90% reffaced, rand r4 rstation. r
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