Nur 200 - Maternity (Part 1) UPDATED ACTUAL Questions and CORRECT
Answers
A 35-year-old multiparous patient is admitted in active
labor at 6 cm dilation. The patient reports a sudden gush
of fluid. What is the nurse's immediate action?
A
A. Check the fetal heart rate.
B. Perform a vaginal examination.
C. Notify the healthcare provider.
D. Assist the patient to the bathroom.
A nurse is caring for a patient who is in the second stage
of labor. The fetal heart rate monitor shows early decel-
erations. What does this indicate, and what action should
the nurse take?
A. It indicates uteroplacental insuflciency; administer oxy-
gen to the patient.
B
B. It indicates fetal head compression; continue to monitor
the patient.
C. It indicates cord compression; reposition the patient to
her left side.
D. It indicates fetal hypoxia; notify the healthcare provider
immediately.
A nurse is assessing a newborn following a vacuum-assist-
ed vaginal delivery. Which of the following findings is most
commonly associated with this procedure and requires
D monitoring?
A. Cranial nerve injuries.
B. Bruising behind the ears.
, C. Excessive tearing of the scalp.
D. A circular bruise over the newborn's occiput.
A nurse is caring for a patient who has undergone a ce-
sarean section. Which postoperative assessment finding
should the nurse report immediately?
A. The patient rates her pain as 6 on a scale of 0 to 10.
C
B. The surgical incision is clean, dry, and intact.
C. The patient has a temperature of 38.5°C (101.3°F).
D. The patient is able to ambulate with assistance.
A 32-year-old primigravida at 38 weeks gestation arrives
at the labor and delivery unit reporting regular contrac-
tions. Which of the following assessment findings would
indicate that the patient is experiencing false labor?
C A. Contractions that intensify with walking
B. Cervical dilation that increases by 1cm each hour.
C. Contractions that are irregular and subside with rest.
D. Contractions that occur every 5 minutes and are painful.
A nurse is monitoring a patient in labor who is receiving
an oxytocin infusion. The fetal heart rate tracing shows
a pattern of recurrent late decelerations. Which of the
D following actions should the nurse take?
A. Increase the rate of oxytocin to strengthen contrac-
tions.
, B. Continue to monitor the patient closely.
C. Decrease the rate of oxytocin infusion.
D. Stop the oxytocin infusion immediately and notify the
provider.
A nurse is caring for a patient in labor with a diagnosis of
labor dystocia. The patient's cervix has been dilated to 8
cm for the past 3 hours despite strong, regular contrac-
tions. The fetal head is at +1 station, and the patient is
showing signs of exhaustion. What is the most likely next
step in management?
C A. Administer IV fluids and encourage the patient to rest.
B. Increase the oxytocin infusion to stimulate stronger
contractions.
C. Perform a cesarean section due to failure to progress.
D. Attempt manual rotation of the fetal head to facilitate
descent.
A nurse is assessing a postpartum patient 24 hours after a
vaginal delivery. The patient reports heavy bleeding and
passage of clots. On examination, the nurse finds the
fundus firm and at the level of the umbilicus. What is the
B most appropriate nursing action?
A. Document the findings and continue monitoring the
patient.
B. Perform a fundal massage to ensure uterine contraction
Answers
A 35-year-old multiparous patient is admitted in active
labor at 6 cm dilation. The patient reports a sudden gush
of fluid. What is the nurse's immediate action?
A
A. Check the fetal heart rate.
B. Perform a vaginal examination.
C. Notify the healthcare provider.
D. Assist the patient to the bathroom.
A nurse is caring for a patient who is in the second stage
of labor. The fetal heart rate monitor shows early decel-
erations. What does this indicate, and what action should
the nurse take?
A. It indicates uteroplacental insuflciency; administer oxy-
gen to the patient.
B
B. It indicates fetal head compression; continue to monitor
the patient.
C. It indicates cord compression; reposition the patient to
her left side.
D. It indicates fetal hypoxia; notify the healthcare provider
immediately.
A nurse is assessing a newborn following a vacuum-assist-
ed vaginal delivery. Which of the following findings is most
commonly associated with this procedure and requires
D monitoring?
A. Cranial nerve injuries.
B. Bruising behind the ears.
, C. Excessive tearing of the scalp.
D. A circular bruise over the newborn's occiput.
A nurse is caring for a patient who has undergone a ce-
sarean section. Which postoperative assessment finding
should the nurse report immediately?
A. The patient rates her pain as 6 on a scale of 0 to 10.
C
B. The surgical incision is clean, dry, and intact.
C. The patient has a temperature of 38.5°C (101.3°F).
D. The patient is able to ambulate with assistance.
A 32-year-old primigravida at 38 weeks gestation arrives
at the labor and delivery unit reporting regular contrac-
tions. Which of the following assessment findings would
indicate that the patient is experiencing false labor?
C A. Contractions that intensify with walking
B. Cervical dilation that increases by 1cm each hour.
C. Contractions that are irregular and subside with rest.
D. Contractions that occur every 5 minutes and are painful.
A nurse is monitoring a patient in labor who is receiving
an oxytocin infusion. The fetal heart rate tracing shows
a pattern of recurrent late decelerations. Which of the
D following actions should the nurse take?
A. Increase the rate of oxytocin to strengthen contrac-
tions.
, B. Continue to monitor the patient closely.
C. Decrease the rate of oxytocin infusion.
D. Stop the oxytocin infusion immediately and notify the
provider.
A nurse is caring for a patient in labor with a diagnosis of
labor dystocia. The patient's cervix has been dilated to 8
cm for the past 3 hours despite strong, regular contrac-
tions. The fetal head is at +1 station, and the patient is
showing signs of exhaustion. What is the most likely next
step in management?
C A. Administer IV fluids and encourage the patient to rest.
B. Increase the oxytocin infusion to stimulate stronger
contractions.
C. Perform a cesarean section due to failure to progress.
D. Attempt manual rotation of the fetal head to facilitate
descent.
A nurse is assessing a postpartum patient 24 hours after a
vaginal delivery. The patient reports heavy bleeding and
passage of clots. On examination, the nurse finds the
fundus firm and at the level of the umbilicus. What is the
B most appropriate nursing action?
A. Document the findings and continue monitoring the
patient.
B. Perform a fundal massage to ensure uterine contraction
