MCN 538 Exam 2 2026 (Actual Exam 2026) | Intro
to Women's Health NP | Complete Questions and
Correct Answers | Verified Answers | University of
South Alabama
What sign would alert the nurse of the need for pain relief in a patient
not reporting pain? ---------CORRECT ANSWER-----------------A tense body
posture or facial grimacing may indicate that she needs additional pain
relief measures. (Page 164)
What nursing assessment should be reported immediately after an
amniotomy? ---------CORRECT ANSWER-----------------Color, Amount,
Odor. Color should be clear and amount 500mL or larger. Cloudy or
yellow amniotic fluid with offensive odor may indicate infection. (Page
137)
What is the nurse's initial action if the patient is receiving an oxytocin
infusion to induce labor and begins to have contractions every 90
seconds? ---------CORRECT ANSWER-----------------Oxytocin infusion will
be stopped. The nurse will monitor the fetal heart rate every 5 minutes,
provide firm coaching on breathing, praise and reassure, assess color of
vaginal discharge, and maintain a positive approach.
,What nursing care should be provided to a woman with a third-degree
laceration immediately after delivery? ---------CORRECT ANSWER----------
-------Lacerations of the perineum and episiotomy incisions are treated
similarly. Cold packs should be applied to the perineum for at least 12
hr to reduce pain, bruising, and edema. After 12 to 24 hr of cold
applications, warmth in the form of heat packs or sitz baths increase
the blood circulation, enhancing comfort and healing. (Page 180)
After several hours of labor, a nursing assessment reveals that a
woman's cervix is 5 cm dilated but contractions are becoming shorter
and less frequent. What is this labor pattern considered? ---------
CORRECT ANSWER-----------------Hypotonic, the woman with hypotonic
labor dysfunction begins labor normally, but contractions diminish after
the active phase. (Quizlet)
A labor dysfunction due to decreased uterine muscle tone occurs in a
patient who is dilated to 5 cm with membranes intact. What action by
the physician will the nurse anticipate first? ---------CORRECT ANSWER---
--------------The physician will perform an amniotomy.
What is the lowest Bishop score the patient should have prior to
induction? ---------CORRECT ANSWER-----------------The lowest scale
obtainable for induction is 6.
, The nurse would assess for which adverse effect while administering
terbutaline (Brethine) ---------CORRECT ANSWER-----------------Cardiac
symptoms which include:
Increased heart rate
Increased blood pressure
How would the nurse position the woman to prevent compression of a
prolapsed cord? ---------CORRECT ANSWER-----------------Knee Chest or
Trendelenburg; as well as placing the mother in side lying position with
her hips elevated on pillows
What side effect should the nurse inform the patient that she might
experience with magnesium sulfate? ---------CORRECT ANSWER------------
-----She may experience a warm flush during the initiation of therapy
What does the nurse note when measuring the frequency of a laboring
woman's contractions? ---------CORRECT ANSWER-----------------Elapsed
time (in minutes or half minutes measured by fractions EX: 4 ½
minutes) from the beginning of one contraction until the beginning of
the next contraction.
to Women's Health NP | Complete Questions and
Correct Answers | Verified Answers | University of
South Alabama
What sign would alert the nurse of the need for pain relief in a patient
not reporting pain? ---------CORRECT ANSWER-----------------A tense body
posture or facial grimacing may indicate that she needs additional pain
relief measures. (Page 164)
What nursing assessment should be reported immediately after an
amniotomy? ---------CORRECT ANSWER-----------------Color, Amount,
Odor. Color should be clear and amount 500mL or larger. Cloudy or
yellow amniotic fluid with offensive odor may indicate infection. (Page
137)
What is the nurse's initial action if the patient is receiving an oxytocin
infusion to induce labor and begins to have contractions every 90
seconds? ---------CORRECT ANSWER-----------------Oxytocin infusion will
be stopped. The nurse will monitor the fetal heart rate every 5 minutes,
provide firm coaching on breathing, praise and reassure, assess color of
vaginal discharge, and maintain a positive approach.
,What nursing care should be provided to a woman with a third-degree
laceration immediately after delivery? ---------CORRECT ANSWER----------
-------Lacerations of the perineum and episiotomy incisions are treated
similarly. Cold packs should be applied to the perineum for at least 12
hr to reduce pain, bruising, and edema. After 12 to 24 hr of cold
applications, warmth in the form of heat packs or sitz baths increase
the blood circulation, enhancing comfort and healing. (Page 180)
After several hours of labor, a nursing assessment reveals that a
woman's cervix is 5 cm dilated but contractions are becoming shorter
and less frequent. What is this labor pattern considered? ---------
CORRECT ANSWER-----------------Hypotonic, the woman with hypotonic
labor dysfunction begins labor normally, but contractions diminish after
the active phase. (Quizlet)
A labor dysfunction due to decreased uterine muscle tone occurs in a
patient who is dilated to 5 cm with membranes intact. What action by
the physician will the nurse anticipate first? ---------CORRECT ANSWER---
--------------The physician will perform an amniotomy.
What is the lowest Bishop score the patient should have prior to
induction? ---------CORRECT ANSWER-----------------The lowest scale
obtainable for induction is 6.
, The nurse would assess for which adverse effect while administering
terbutaline (Brethine) ---------CORRECT ANSWER-----------------Cardiac
symptoms which include:
Increased heart rate
Increased blood pressure
How would the nurse position the woman to prevent compression of a
prolapsed cord? ---------CORRECT ANSWER-----------------Knee Chest or
Trendelenburg; as well as placing the mother in side lying position with
her hips elevated on pillows
What side effect should the nurse inform the patient that she might
experience with magnesium sulfate? ---------CORRECT ANSWER------------
-----She may experience a warm flush during the initiation of therapy
What does the nurse note when measuring the frequency of a laboring
woman's contractions? ---------CORRECT ANSWER-----------------Elapsed
time (in minutes or half minutes measured by fractions EX: 4 ½
minutes) from the beginning of one contraction until the beginning of
the next contraction.
