Maternal Newborn Nursing Exam Flashcard Study System Exam
Questions And Verified Solutions With Rationales.
Maternal–Newborn Nursing Exam Flashcard Study System
Flashcards Q1–25
1. Which hormone is primarily responsible for uterine contractions during labor?
A. Progesterone
B. Estrogen
C. Prolactin
D. Oxytocin
Rationale:
Oxytocin stimulates uterine smooth muscle contraction and plays a key role in labor progression and
postpartum uterine involution.
2. Which assessment finding confirms true labor?
A. Irregular contractions
B. No cervical change
C. Contractions relieved by rest
D. Progressive cervical dilation
Rationale:
True labor causes progressive cervical dilation and effacement, unlike false labor.
3. Which finding indicates the latent phase of labor?
A. Cervical dilation 8–10 cm
B. Strong contractions every 2 minutes
C. Fetal descent
D. Cervical dilation 0–3 cm
Rationale:
The latent phase occurs early in labor with mild contractions and slow cervical dilation (0–3 cm).
4. Which priority assessment is performed on admission to labor and delivery?
, A. Maternal weight
B. Fundal height
C. Pain tolerance
D. Fetal heart rate
Rationale:
Fetal heart rate assessment determines fetal well-being and guides immediate care.
5. Which position improves uteroplacental blood flow during labor?
A. Supine
B. Lithotomy
C. Trendelenburg
D. Side-lying
Rationale:
Side-lying reduces vena cava compression and improves placental perfusion.
6. Which finding suggests fetal distress?
A. Baseline FHR 140 bpm
B. Moderate variability
C. Accelerations present
D. Late decelerations
Rationale:
Late decelerations indicate uteroplacental insufficiency and require prompt intervention.
7. Which medication is commonly used to induce labor?
A. Magnesium sulfate
B. Terbutaline
C. Misoprostol
D. Oxytocin
Rationale:
Oxytocin is used to induce or augment labor by stimulating uterine contractions.
8. Which intervention is appropriate for late decelerations?
A. Increase oxytocin
B. Place client supine
C. Encourage pushing
D. Turn client to left side
Rationale:
Left lateral positioning improves uteroplacental blood flow and oxygen delivery.
Questions And Verified Solutions With Rationales.
Maternal–Newborn Nursing Exam Flashcard Study System
Flashcards Q1–25
1. Which hormone is primarily responsible for uterine contractions during labor?
A. Progesterone
B. Estrogen
C. Prolactin
D. Oxytocin
Rationale:
Oxytocin stimulates uterine smooth muscle contraction and plays a key role in labor progression and
postpartum uterine involution.
2. Which assessment finding confirms true labor?
A. Irregular contractions
B. No cervical change
C. Contractions relieved by rest
D. Progressive cervical dilation
Rationale:
True labor causes progressive cervical dilation and effacement, unlike false labor.
3. Which finding indicates the latent phase of labor?
A. Cervical dilation 8–10 cm
B. Strong contractions every 2 minutes
C. Fetal descent
D. Cervical dilation 0–3 cm
Rationale:
The latent phase occurs early in labor with mild contractions and slow cervical dilation (0–3 cm).
4. Which priority assessment is performed on admission to labor and delivery?
, A. Maternal weight
B. Fundal height
C. Pain tolerance
D. Fetal heart rate
Rationale:
Fetal heart rate assessment determines fetal well-being and guides immediate care.
5. Which position improves uteroplacental blood flow during labor?
A. Supine
B. Lithotomy
C. Trendelenburg
D. Side-lying
Rationale:
Side-lying reduces vena cava compression and improves placental perfusion.
6. Which finding suggests fetal distress?
A. Baseline FHR 140 bpm
B. Moderate variability
C. Accelerations present
D. Late decelerations
Rationale:
Late decelerations indicate uteroplacental insufficiency and require prompt intervention.
7. Which medication is commonly used to induce labor?
A. Magnesium sulfate
B. Terbutaline
C. Misoprostol
D. Oxytocin
Rationale:
Oxytocin is used to induce or augment labor by stimulating uterine contractions.
8. Which intervention is appropriate for late decelerations?
A. Increase oxytocin
B. Place client supine
C. Encourage pushing
D. Turn client to left side
Rationale:
Left lateral positioning improves uteroplacental blood flow and oxygen delivery.
