Final Exam 2: NUR202 / NUR 202 |
Maternal-Newborn Nursing | Questions
and Verified Answers 100% Correct |
Grade A – Fortis | 2025/2026 Guide
What immediate patient-centered nursing care will you provide to a
patient with a uterine rupture?
-Correct Answer- Administer IV fluids
- Administer O2
- Administer blood product transfusion if prescribed
- Prepare the client for an immediate caesarean birth, which can involve
a laparotomy and/or hysterectomy
- Inform the client and partner about the treatment
If the mother is Rh-negative, when is she administered Rho(D) immune
globulin?
-Correct Answer-28 weeks
How is the cervical status assessed?
-Correct Answer- Bishop score
- A score greater than 8 generally confers the same likelihood of vaginal
delivery
,- A score of greater than 6 is considered favorable
for successful induction of labor
- A score of 6 or less: unfavorable cervix; high risk for c/s when labor is
induced; in this case a mechanical or pharmacological ripening agents
may be used
Induction of labor (IOL)
-Correct Answer-is the deliberate initiation of uterine contractions to
stimulate labor before spontaneous onset to bring about the birth by
chemical or mechanical means
Methods used for IOL
-Correct Answer- Mechanical or chemical approaches
- Administration of IV oxytocin
- Nipple stimulation to trigger the release endogenous oxytocin
Factors that would drive an IOL
-Correct Answer- Post-term pregnancy (>42 weeks)
- Dystocia (prolonged, difficult labor) due to inadequate uterine
contractions
- Prolonged rupture of membranes, which predisposes the client and
fetus to risk of infection
- IUGR (intrauterine Growth Restriction)
- Maternal medical complications
* Rh-isoimmunization
* Diabetes mellitus
,* Pulmonary disease
* Gestational hypertension
- Fetal Demise
- Chorioamnionitis
tachysystole labor pattern
strip
Misoprostol
prostaglandin
How often should you monitor the FHR and contraction pattern in a client
undergoing an IOL?
-Correct Answer-every 15 min in the first stage of labor, every 5 min in
the second stage of labor, and with every change of dose
What should be done prior to beginning an IOL?
-Correct Answer- Make sure informed consent is signed
- Collect maternal and fetal baseline and check for well being
- Notify HCP of tachystole or fetal distress
- Prepare the client for misoprostol administration
- Encourage client to void prior to the procedure
- Prepare the client for oxytocin
- Confirm that fetus is engaged in birth canal at a minimum of station 0
* Follow oxytocin protocol, ATI p. 102) *
What is the protocol for starting oxytocin in a client preparing for IOL?
-Correct Answer- Confirm that fetus is engaged in birth canal at a
minimum of station 0
, - Double-check for drug allergies
- Initiate oxytocin no sooner than 4 hr after the administration of
misoprostol, and 6 - 12 hr after dinoprostone gel instillation or removal of
a dinoprostone insert
- Oxytocin should be connected to the main IV line and administered as
an intermittent IV bolus via an infusion pump
- An intrauterine pressure catheter (IUPC) can be used to monitor the
frequency, duration, and intensity of contractions
- When oxytocin is administered, assessments include maternal blood
pressure, pulse, and respirations every 30 to 60 min and with every
change in dose
- Monitor the FHR and contraction pattern every 15 min in the first stage
of labor, every 5 min in the second stage of labor, and with every change
of dose
- Assess fluid intake and urinary output
- A Bishop score rating should be obtained prior to starting any labor
induction protocol
Increase oxytocin as prescribed until desired contraction pattern is
obtained and then maintain the dose if there is
Maternal-Newborn Nursing | Questions
and Verified Answers 100% Correct |
Grade A – Fortis | 2025/2026 Guide
What immediate patient-centered nursing care will you provide to a
patient with a uterine rupture?
-Correct Answer- Administer IV fluids
- Administer O2
- Administer blood product transfusion if prescribed
- Prepare the client for an immediate caesarean birth, which can involve
a laparotomy and/or hysterectomy
- Inform the client and partner about the treatment
If the mother is Rh-negative, when is she administered Rho(D) immune
globulin?
-Correct Answer-28 weeks
How is the cervical status assessed?
-Correct Answer- Bishop score
- A score greater than 8 generally confers the same likelihood of vaginal
delivery
,- A score of greater than 6 is considered favorable
for successful induction of labor
- A score of 6 or less: unfavorable cervix; high risk for c/s when labor is
induced; in this case a mechanical or pharmacological ripening agents
may be used
Induction of labor (IOL)
-Correct Answer-is the deliberate initiation of uterine contractions to
stimulate labor before spontaneous onset to bring about the birth by
chemical or mechanical means
Methods used for IOL
-Correct Answer- Mechanical or chemical approaches
- Administration of IV oxytocin
- Nipple stimulation to trigger the release endogenous oxytocin
Factors that would drive an IOL
-Correct Answer- Post-term pregnancy (>42 weeks)
- Dystocia (prolonged, difficult labor) due to inadequate uterine
contractions
- Prolonged rupture of membranes, which predisposes the client and
fetus to risk of infection
- IUGR (intrauterine Growth Restriction)
- Maternal medical complications
* Rh-isoimmunization
* Diabetes mellitus
,* Pulmonary disease
* Gestational hypertension
- Fetal Demise
- Chorioamnionitis
tachysystole labor pattern
strip
Misoprostol
prostaglandin
How often should you monitor the FHR and contraction pattern in a client
undergoing an IOL?
-Correct Answer-every 15 min in the first stage of labor, every 5 min in
the second stage of labor, and with every change of dose
What should be done prior to beginning an IOL?
-Correct Answer- Make sure informed consent is signed
- Collect maternal and fetal baseline and check for well being
- Notify HCP of tachystole or fetal distress
- Prepare the client for misoprostol administration
- Encourage client to void prior to the procedure
- Prepare the client for oxytocin
- Confirm that fetus is engaged in birth canal at a minimum of station 0
* Follow oxytocin protocol, ATI p. 102) *
What is the protocol for starting oxytocin in a client preparing for IOL?
-Correct Answer- Confirm that fetus is engaged in birth canal at a
minimum of station 0
, - Double-check for drug allergies
- Initiate oxytocin no sooner than 4 hr after the administration of
misoprostol, and 6 - 12 hr after dinoprostone gel instillation or removal of
a dinoprostone insert
- Oxytocin should be connected to the main IV line and administered as
an intermittent IV bolus via an infusion pump
- An intrauterine pressure catheter (IUPC) can be used to monitor the
frequency, duration, and intensity of contractions
- When oxytocin is administered, assessments include maternal blood
pressure, pulse, and respirations every 30 to 60 min and with every
change in dose
- Monitor the FHR and contraction pattern every 15 min in the first stage
of labor, every 5 min in the second stage of labor, and with every change
of dose
- Assess fluid intake and urinary output
- A Bishop score rating should be obtained prior to starting any labor
induction protocol
Increase oxytocin as prescribed until desired contraction pattern is
obtained and then maintain the dose if there is
