NCLEX FINAL - FROM POWERPOINTS| FROM QUESTION
TO PERFECTION| STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027
Duration: 2 Hours
Total Marks: 70%
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
, Uterine Tachysystole Answer: >5 contractions/10 min, minimal rest
Uterine Tachysystole Intervention Answer: Stop oxytocin, reposition, O₂, IV fluids, notify
provider
Uterine Tachysystole Education Answer: Teach to report frequent/strong contractions
Precipitous Labor Assessment Answer: Labor <3 hrs, risk of trauma
Precipitous Labor Intervention Answer: Stay with client, prep for emergency delivery &
neonatal resuscitation, control delivery, controlled breathing, monitor FHR & VS, assess for
lacerations, assess for signs of placental separation, monitor complications: uterine atony,
excessive bleeding
Precipitous Labor Education Answer: Risk of hemorrhage and neonatal distress, report urge to
push; may recur, educate on PPH warning signs -> heavy bleeding, dizzy, large clots
Hypertonic Uterine Dysfunction Definition Answer: A labor pattern characterized by frequent,
strong, and uncoordinated contractions with little rest between them. Often results in rapid labor
and delivery.
Hypertonic Uterine Dysfunction Causes Answer: Oxytocin stimulation (excessive or
inappropriate use)
Hypertonic Uterine Dysfunction Assessment Findings Answer: Frequent, strong contractions
with minimal relaxation; very rapid dilation and effacement; low backache; abdominal pressure
or cramping; diarrhea; increased or bloody vaginal discharge; palpable uterine contractions
Hypertonic Uterine Dysfunction Fetal Findings Answer: Possible fetal distress (bradycardia or
late decelerations); fetal presentation should be assessed
Hypertonic Uterine Dysfunction Membranes Answer: Amniotic membranes may be intact or
ruptured
Hypertonic Uterine Dysfunction During Labor Answer: Sudden, intense urge to push;
precipitous delivery (occurs very quickly—often unattended)
Postpartum Complications Answer: Postpartum hemorrhage due to uterine atony, lacerations;
perineal trauma: tears, bruising
Hypertonic Uterine Dysfunction Nursing Interventions Answer: Do not leave the client
unattended; provide emotional support and reassurance; encourage controlled breathing or
panting; prepare for emergency delivery; apply gentle pressure to the fetal head as it crowns;
check for nuchal cord; suction newborn's nose and mouth immediately if needed; assess for
placental separation after delivery
Postpartum Complications Monitoring Answer: Monitor for uterine atony, excessive bleeding,
lacerations
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
TO PERFECTION| STUDY WITH CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027
Duration: 2 Hours
Total Marks: 70%
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
, Uterine Tachysystole Answer: >5 contractions/10 min, minimal rest
Uterine Tachysystole Intervention Answer: Stop oxytocin, reposition, O₂, IV fluids, notify
provider
Uterine Tachysystole Education Answer: Teach to report frequent/strong contractions
Precipitous Labor Assessment Answer: Labor <3 hrs, risk of trauma
Precipitous Labor Intervention Answer: Stay with client, prep for emergency delivery &
neonatal resuscitation, control delivery, controlled breathing, monitor FHR & VS, assess for
lacerations, assess for signs of placental separation, monitor complications: uterine atony,
excessive bleeding
Precipitous Labor Education Answer: Risk of hemorrhage and neonatal distress, report urge to
push; may recur, educate on PPH warning signs -> heavy bleeding, dizzy, large clots
Hypertonic Uterine Dysfunction Definition Answer: A labor pattern characterized by frequent,
strong, and uncoordinated contractions with little rest between them. Often results in rapid labor
and delivery.
Hypertonic Uterine Dysfunction Causes Answer: Oxytocin stimulation (excessive or
inappropriate use)
Hypertonic Uterine Dysfunction Assessment Findings Answer: Frequent, strong contractions
with minimal relaxation; very rapid dilation and effacement; low backache; abdominal pressure
or cramping; diarrhea; increased or bloody vaginal discharge; palpable uterine contractions
Hypertonic Uterine Dysfunction Fetal Findings Answer: Possible fetal distress (bradycardia or
late decelerations); fetal presentation should be assessed
Hypertonic Uterine Dysfunction Membranes Answer: Amniotic membranes may be intact or
ruptured
Hypertonic Uterine Dysfunction During Labor Answer: Sudden, intense urge to push;
precipitous delivery (occurs very quickly—often unattended)
Postpartum Complications Answer: Postpartum hemorrhage due to uterine atony, lacerations;
perineal trauma: tears, bruising
Hypertonic Uterine Dysfunction Nursing Interventions Answer: Do not leave the client
unattended; provide emotional support and reassurance; encourage controlled breathing or
panting; prepare for emergency delivery; apply gentle pressure to the fetal head as it crowns;
check for nuchal cord; suction newborn's nose and mouth immediately if needed; assess for
placental separation after delivery
Postpartum Complications Monitoring Answer: Monitor for uterine atony, excessive bleeding,
lacerations
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
