Maternity & Pediatric Nursing Exam 3
Practice QuestionsWith 100% Rational
Answers Graded A+
After spontaneous rupture of membranes, the nurse notices a prolapsed cord. The
nurse immediately places the woman in which position?
A) Supine
B) Side-lying
C) Sitting
D) Knee-chest - CORRECT ANSWER-D
Assessment of a woman in labor who is experiencing hypertonic uterine dysfunction
would reveal contractions that are:
A) Well coordinated
B) Poor in quality
C) Rapidly occurring
D) Erratic - CORRECT ANSWER-D
A woman in labor is experiencing hypotonic uterine dysfunction. Assessment reveals no
fetopelvic disproportion. Which group of medications would the nurse expect to
administer?
A) Sedatives
B) Tocolytics
C) Oxytocins
D) Corticosteroids - CORRECT ANSWER-C
,The fetus of a woman in labor is determined to be in persistent occiput posterior
position. Which of the following would the nurse identify as the priority intervention?
A) Position changes
B) Pain relief measures
C) Immediate cesarean birth
D) Oxytocin administration - CORRECT ANSWER-B
A primigravida whose labor was initially progressing normally is now experiencing a
decrease in the frequency and intensity of her contractions. The nurse would assess the
woman for which condition?
A) A low-lying placenta
B) Fetopelvic disproportion
C) Contraction ring
D) Uterine bleeding - CORRECT ANSWER-B
The nurse would be alert for possible placental abruption during labor when assessment
reveals which of the following?
A) Macrosomia
B) Gestational hypertension
C) Gestational diabetes
D) Low parity - CORRECT ANSWER-B
A woman gave birth to a newborn via vaginal delivery with the use of a vacuum
extractor. The nurse would be alert for which of the following in the newborn?
A) Asphyxia
B) Clavicular fracture
C) Caput succedaneum
,D) Central nervous system injury - CORRECT ANSWER-C
A pregnant client undergoing labor induction is receiving an oxytocin infusion. Which of
the following findings would require immediate intervention?
A) Fetal heart rate of 150 beats/minute
B) Contractions every 2 minutes, lasting 45 seconds
C) Uterine resting tone of 14 mm Hg
D) Urine output of 20 mL/hour - CORRECT ANSWER-D
A woman with a history of crack cocaine abuse is admitted to the labor and birth area.
While caring for the client, the nurse notes a sudden onset of fetal bradycardia.
Inspection of the abdomen reveals an irregular wall contour. The client also complains
of acute abdominal pain that is continuous. Which of the following would the nurse
suspect?
A) Amniotic fluid embolism
B) Shoulder dystocia
C) Uterine rupture
D) Umbilical cord prolapse - CORRECT ANSWER-C
When assessing several women for possible VBAC, which woman would the nurse
identify as being the best candidate?
A) One who has undergone a previous myomectomy
B) One who had a previous cesarean birth via a low transverse incision
C) One who has a history of a contracted pelvis
D) One who has a vertical incision from a previous cesarean birth - CORRECT
ANSWER-B
, A woman is to undergo an amnioinfusion. Which statement would be most appropriate
to include when teaching the woman about this procedure?
A) "You'll need to stay in bed while you're having this procedure."
B) "We'll give you an analgesic to help reduce the pain."
C) "After the infusion, you'll be scheduled for a cesarean birth."
D) "A suction cup is placed on your baby's head to help bring it out." - CORRECT
ANSWER-A
Which finding would indicate to the nurse that a woman's cervix is ripe in preparation for
labor induction?
A) Posterior position
B) Firm
C) Closed
D) Shortened - CORRECT ANSWER-D
A woman with preterm labor is receiving magnesium sulfate. Which finding would
require the nurse to intervene immediately?
A) Respiratory rate of 16 breaths per minute
B) Diminished deep tendon reflexes
C) Urine output of 45 mL/hour
D) Alert level of consciousness - CORRECT ANSWER-B
A woman who is 42 weeks pregnant comes to the clinic. Which of the following would
be most important?
A) Determining an accurate gestational age
B) Asking her about the occurrence of contractions
C) Checking for spontaneous rupture of membranes
Practice QuestionsWith 100% Rational
Answers Graded A+
After spontaneous rupture of membranes, the nurse notices a prolapsed cord. The
nurse immediately places the woman in which position?
A) Supine
B) Side-lying
C) Sitting
D) Knee-chest - CORRECT ANSWER-D
Assessment of a woman in labor who is experiencing hypertonic uterine dysfunction
would reveal contractions that are:
A) Well coordinated
B) Poor in quality
C) Rapidly occurring
D) Erratic - CORRECT ANSWER-D
A woman in labor is experiencing hypotonic uterine dysfunction. Assessment reveals no
fetopelvic disproportion. Which group of medications would the nurse expect to
administer?
A) Sedatives
B) Tocolytics
C) Oxytocins
D) Corticosteroids - CORRECT ANSWER-C
,The fetus of a woman in labor is determined to be in persistent occiput posterior
position. Which of the following would the nurse identify as the priority intervention?
A) Position changes
B) Pain relief measures
C) Immediate cesarean birth
D) Oxytocin administration - CORRECT ANSWER-B
A primigravida whose labor was initially progressing normally is now experiencing a
decrease in the frequency and intensity of her contractions. The nurse would assess the
woman for which condition?
A) A low-lying placenta
B) Fetopelvic disproportion
C) Contraction ring
D) Uterine bleeding - CORRECT ANSWER-B
The nurse would be alert for possible placental abruption during labor when assessment
reveals which of the following?
A) Macrosomia
B) Gestational hypertension
C) Gestational diabetes
D) Low parity - CORRECT ANSWER-B
A woman gave birth to a newborn via vaginal delivery with the use of a vacuum
extractor. The nurse would be alert for which of the following in the newborn?
A) Asphyxia
B) Clavicular fracture
C) Caput succedaneum
,D) Central nervous system injury - CORRECT ANSWER-C
A pregnant client undergoing labor induction is receiving an oxytocin infusion. Which of
the following findings would require immediate intervention?
A) Fetal heart rate of 150 beats/minute
B) Contractions every 2 minutes, lasting 45 seconds
C) Uterine resting tone of 14 mm Hg
D) Urine output of 20 mL/hour - CORRECT ANSWER-D
A woman with a history of crack cocaine abuse is admitted to the labor and birth area.
While caring for the client, the nurse notes a sudden onset of fetal bradycardia.
Inspection of the abdomen reveals an irregular wall contour. The client also complains
of acute abdominal pain that is continuous. Which of the following would the nurse
suspect?
A) Amniotic fluid embolism
B) Shoulder dystocia
C) Uterine rupture
D) Umbilical cord prolapse - CORRECT ANSWER-C
When assessing several women for possible VBAC, which woman would the nurse
identify as being the best candidate?
A) One who has undergone a previous myomectomy
B) One who had a previous cesarean birth via a low transverse incision
C) One who has a history of a contracted pelvis
D) One who has a vertical incision from a previous cesarean birth - CORRECT
ANSWER-B
, A woman is to undergo an amnioinfusion. Which statement would be most appropriate
to include when teaching the woman about this procedure?
A) "You'll need to stay in bed while you're having this procedure."
B) "We'll give you an analgesic to help reduce the pain."
C) "After the infusion, you'll be scheduled for a cesarean birth."
D) "A suction cup is placed on your baby's head to help bring it out." - CORRECT
ANSWER-A
Which finding would indicate to the nurse that a woman's cervix is ripe in preparation for
labor induction?
A) Posterior position
B) Firm
C) Closed
D) Shortened - CORRECT ANSWER-D
A woman with preterm labor is receiving magnesium sulfate. Which finding would
require the nurse to intervene immediately?
A) Respiratory rate of 16 breaths per minute
B) Diminished deep tendon reflexes
C) Urine output of 45 mL/hour
D) Alert level of consciousness - CORRECT ANSWER-B
A woman who is 42 weeks pregnant comes to the clinic. Which of the following would
be most important?
A) Determining an accurate gestational age
B) Asking her about the occurrence of contractions
C) Checking for spontaneous rupture of membranes
