335 Maternity Study Guide Exam 3
Questions with Guaranteed Pass
Solutions 2025-2026 Edition.
1) What would be a normal cervical dilatation rate in a first-time mother (primip)?
1. 1.5 cm per hour
2. Less than 1 cm cervical dilatation per hour
3. 1 cm per hour
4. Less than 0.5 cm per hour - Answer 1
2) Dystocia encompasses many problems in labor. What is the most common?
1. Meconium-stained amniotic fluid
2. Dysfunctional uterine contractions
3. Cessation of contractions
4. Changes in the fetal heart rate - Answer 2
The most common problem is dysfunctional (or uncoordinated) uterine contractions that result
in a prolongation of labor.
3) Risk factors for tachysystole include which of the following?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.
1. Cocaine use
2. Placental abruption
3. Low-dose oxytocin titration regimens
4. Uterine rupture
5. Smoking - Answer 1, 2, 4
4) A woman has been having contractions since 4 a.m. At 8 a.m., her cervix is dilated to 5 cm.
Contractions are frequent, and mild to moderate in intensity. Cephalopelvic disproportion (CPD)
has been ruled out. After giving the mother some sedation so she can rest, what would the
nurse anticipate preparing for?
1. Oxytocin induction of labor
,5) Nonreassuring fetal status often occurs with a tachysystole contraction pattern. Intrauterine
resuscitation measures may become warranted and can include which of the following
measures?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.
1. Position the woman on her right side.
2. Apply oxygen via face mask.
3. Call for anesthesia provider for support.
4. Increase intravenous fluids by at least 700 mL bolus.
5. Call the physician/CNM to the bedside. - Answer 2, 3, 4, 5
p. 585
Another measure would be to position the woman on her left side
6) The nurse is making client assignments for the next shift. Which client is most likely to
experience a complicated labor pattern?
1. 34-year-old woman at 39 weeks gestation with a large-for-gestational-age (LGA) fetus
2. 22-year-old woman at 23 weeks gestation with ruptured membranes
3. 30-year-old woman at 41 weeks gestation and estimated fetal weight 7 pounds 8 ounces
4. 43-year-old woman at 37 weeks gestation with hypertension - Answer 1
7) Two hours ago, a client at 39 weeks gestation was 3 cm dilated, 40% effaced, and +1 station.
Frequency of contractions was every 5 minutes with duration 40 seconds and intensity 50
mmHg. The current assessment is 4 cm dilated, 40% effaced, and +1 station. Frequency of
contractions is now every 3 minutes with 40-50 seconds duration and intensity of 40 mmHg.
What would the priority intervention be?
1. Begin oxytocin after assessing for CPD.
2. Give terbutaline to stop the preterm labor.
3. Start oxygen at 8 L/min.
4. Have the anesthesiologist give the client an epidural. - Answer 1
8) What are the primary complications of placenta accrete?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
,4. Autonomic dysreflexia
5. Shoulder dystocia - Answer 1, 3
9) Risk factors for labor dystocia include which of the following?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.
1. Tall maternal height
2. Labor induction
3. Small-for-gestational-age (SGA) fetus
4. Malpresentation
5. Prolonged latent phase - Answer 2, 4, 5
10) In succenturiate placenta, one or more accessory lobes of fetal villi have developed on the
placenta, with vascular connections of fetal origin. What is the gravest maternal danger?
1. Cord prolapse
2. Postpartum hemorrhage
3. Paroxysmal hypertension
4. Brachial plexus injury - Answer 2
11) The nurse knows that the maternal risks associated with postterm pregnancy include which
of the following?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.
1. Polyhydramnios
2. Maternal hemorrhage
3. Maternal anxiety
4. Forceps-assisted delivery
5. Perineal damage - Answer 2, 3, 4, 5
12) The client is at 42 weeks gestation. Which order should the nurse question?
1. Obtain biophysical profile today.
2. Begin nonstress test now.
, 13) During labor, the fetus was in a brow presentation, but after a prolonged labor, the fetus
converted to face presentation and was delivered vaginally with forceps assist. What should the
nurse explain to the parents?
1. The infant will need to be observed for meconium aspiration.
2. Facial edema and head molding will subside in a few days.
3. The infant will be given prophylactic antibiotics.
4. Breastfeeding will need to be delayed for a day or two. - Answer 2
14) The multiparous client at term has arrived to the labor and delivery unit in active labor with
intact membranes. Leopold maneuvers indicate the fetus is in a transverse lie with a shoulder
presentation. Which physician order is most important?
1. Artificially rupture membranes.
2. Apply internal fetal scalp electrode.
3. Monitor maternal blood pressure every 15 minutes.
4. Alert surgical team of urgent cesarean. - Answer 4
15) The nurse should anticipate the labor pattern for a fetal occiput posterior position to be
which of the following?
1. Shorter than average during the latent phase
2. Prolonged as regards the overall length of labor
3. Rapid during transition
4. Precipitous - Answer 2
16) Maternal risks of occiput posterior (OP) malposition include which of the following?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.
1. Blood loss greater than 1000 mL
2. Postpartum infection
3. Anal sphincter injury
4. Higher rates of vaginal birth
5. Instrument delivery - Answer 2, 3, 5
Questions with Guaranteed Pass
Solutions 2025-2026 Edition.
1) What would be a normal cervical dilatation rate in a first-time mother (primip)?
1. 1.5 cm per hour
2. Less than 1 cm cervical dilatation per hour
3. 1 cm per hour
4. Less than 0.5 cm per hour - Answer 1
2) Dystocia encompasses many problems in labor. What is the most common?
1. Meconium-stained amniotic fluid
2. Dysfunctional uterine contractions
3. Cessation of contractions
4. Changes in the fetal heart rate - Answer 2
The most common problem is dysfunctional (or uncoordinated) uterine contractions that result
in a prolongation of labor.
3) Risk factors for tachysystole include which of the following?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.
1. Cocaine use
2. Placental abruption
3. Low-dose oxytocin titration regimens
4. Uterine rupture
5. Smoking - Answer 1, 2, 4
4) A woman has been having contractions since 4 a.m. At 8 a.m., her cervix is dilated to 5 cm.
Contractions are frequent, and mild to moderate in intensity. Cephalopelvic disproportion (CPD)
has been ruled out. After giving the mother some sedation so she can rest, what would the
nurse anticipate preparing for?
1. Oxytocin induction of labor
,5) Nonreassuring fetal status often occurs with a tachysystole contraction pattern. Intrauterine
resuscitation measures may become warranted and can include which of the following
measures?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.
1. Position the woman on her right side.
2. Apply oxygen via face mask.
3. Call for anesthesia provider for support.
4. Increase intravenous fluids by at least 700 mL bolus.
5. Call the physician/CNM to the bedside. - Answer 2, 3, 4, 5
p. 585
Another measure would be to position the woman on her left side
6) The nurse is making client assignments for the next shift. Which client is most likely to
experience a complicated labor pattern?
1. 34-year-old woman at 39 weeks gestation with a large-for-gestational-age (LGA) fetus
2. 22-year-old woman at 23 weeks gestation with ruptured membranes
3. 30-year-old woman at 41 weeks gestation and estimated fetal weight 7 pounds 8 ounces
4. 43-year-old woman at 37 weeks gestation with hypertension - Answer 1
7) Two hours ago, a client at 39 weeks gestation was 3 cm dilated, 40% effaced, and +1 station.
Frequency of contractions was every 5 minutes with duration 40 seconds and intensity 50
mmHg. The current assessment is 4 cm dilated, 40% effaced, and +1 station. Frequency of
contractions is now every 3 minutes with 40-50 seconds duration and intensity of 40 mmHg.
What would the priority intervention be?
1. Begin oxytocin after assessing for CPD.
2. Give terbutaline to stop the preterm labor.
3. Start oxygen at 8 L/min.
4. Have the anesthesiologist give the client an epidural. - Answer 1
8) What are the primary complications of placenta accrete?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
,4. Autonomic dysreflexia
5. Shoulder dystocia - Answer 1, 3
9) Risk factors for labor dystocia include which of the following?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.
1. Tall maternal height
2. Labor induction
3. Small-for-gestational-age (SGA) fetus
4. Malpresentation
5. Prolonged latent phase - Answer 2, 4, 5
10) In succenturiate placenta, one or more accessory lobes of fetal villi have developed on the
placenta, with vascular connections of fetal origin. What is the gravest maternal danger?
1. Cord prolapse
2. Postpartum hemorrhage
3. Paroxysmal hypertension
4. Brachial plexus injury - Answer 2
11) The nurse knows that the maternal risks associated with postterm pregnancy include which
of the following?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.
1. Polyhydramnios
2. Maternal hemorrhage
3. Maternal anxiety
4. Forceps-assisted delivery
5. Perineal damage - Answer 2, 3, 4, 5
12) The client is at 42 weeks gestation. Which order should the nurse question?
1. Obtain biophysical profile today.
2. Begin nonstress test now.
, 13) During labor, the fetus was in a brow presentation, but after a prolonged labor, the fetus
converted to face presentation and was delivered vaginally with forceps assist. What should the
nurse explain to the parents?
1. The infant will need to be observed for meconium aspiration.
2. Facial edema and head molding will subside in a few days.
3. The infant will be given prophylactic antibiotics.
4. Breastfeeding will need to be delayed for a day or two. - Answer 2
14) The multiparous client at term has arrived to the labor and delivery unit in active labor with
intact membranes. Leopold maneuvers indicate the fetus is in a transverse lie with a shoulder
presentation. Which physician order is most important?
1. Artificially rupture membranes.
2. Apply internal fetal scalp electrode.
3. Monitor maternal blood pressure every 15 minutes.
4. Alert surgical team of urgent cesarean. - Answer 4
15) The nurse should anticipate the labor pattern for a fetal occiput posterior position to be
which of the following?
1. Shorter than average during the latent phase
2. Prolonged as regards the overall length of labor
3. Rapid during transition
4. Precipitous - Answer 2
16) Maternal risks of occiput posterior (OP) malposition include which of the following?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.
1. Blood loss greater than 1000 mL
2. Postpartum infection
3. Anal sphincter injury
4. Higher rates of vaginal birth
5. Instrument delivery - Answer 2, 3, 5
