NSG 3332: Maternal- Infant nursing
Care Exam 2 Questions with Actual
Answers 2026 Updated.
What is Terbutaline used for in labor - Answer Preterm labor: relaxes smooth muscles and
suppress contractions & tachysystole
What can magnesium sulfate be used for in pregnancy/labor (2) - Answer 1. Preterm labor:
suppress contractions or space them out
2. Preeclampsia to try and prevent hypertension and seizures
Contraindication for Methergine? - Answer hypertension
Contraindication for HemAbAte? - Answer Asthma
Q: Mrs smith has baby you and you are the baby catcher and cut cord what are you looking to
see in the placenta? - Answer AVA 2 arteries and 1 vein
Q: Pt comes in 40 weeks gest and is bleeding do you do a sterile vag exam? - Answer no bc it
could be abruption or previa
Q: If you have a pt who is delivering a baby and is having lots of bleeding what is happening?
What do you do (physical and drugs)? - Answer 1. Possible hemorrhage
2. Massage fundus
drugs: Pitocin and Cytotec, TXA, methergine, hemabate to stop hemorrhaging
Q: A pt is bleeding out, what is your (nurse) first priority? - Answer 1st priority is start a line
of iv...there needs to be 2 and it needs to be a large bore IV an 18 gauge
Q: How do you know the pt is in true labor? - Answer There are contractions with Cervix
change (can be effacement or dilation)
Q: What do you do about a cord prolapse within the vagina and outside of the vagina? (2) -
Answer 1. Cord prolapse in the vagina 1st relieve pressure by lifting the present part off of
the cord, 2nd call for help!
2. Cord prolapse outside the vagina 1st wet sterile gauze on prolapse and lift present part off of
the cord 2nd call for help!
,Q: What can cause a placental abruption? (3) - Answer cocaine use, trauma, hypertension
and requires c-section immediately
Definition of episiotomy: (cut from?) - Answer Cut on the perineum cut from tooter to your
rooter
When Induction medications are used the baby is on...? - Answer continuous monitoring
What are 2 contraindications to get baby out via IUPC and FSE? - Answer the pt must have: 1.
ROM (amniotic sac ruptured)
2. No HIV
Define 1. oligohydramnios and 2. polyhydramnios - Answer 1. Olio: little amnio fluid - look a
baby kidneys for function
2. poly: too much amnio fluid - also look at baby kidneys
Mrs smith getting report on her from other nurse and states she is 5-90- -1... what do these
numbers stand for? - Answer 5 = 5 cm dilated
90= 90% effaced
-1= -1 station
Stations: a negative station (-1, -2) means? - Answer The baby is unengaged in birth canal and
still floating
Stations: 0 means? - Answer The baby is now engaged in birth canal and baby head is even
with the mother's ischial spines
Station: positive (+1, +2) means? - Answer baby is engages and past the ischial spines, this
indicates baby is coming and delivery room is being prepped for babys debut
Shoulder dystocia happens often in ____________ _________ ; what needs to happen to get
baby out (1) ? - Answer Gestational diabetes; macrosomia because baby is too big
the babies clavicle need to be broken to help the baby come out;
What maneuvers with shoulder dystocia and who can do them (3)? - Answer 1. McRoberts
maneuver (head of bed flat, push legs as far back to mothers ears as possible, the nurse can do
this)
2. Super pubic pressure (nurse gets on top and applies extreme force to mother's pubis to push
baby out, this can also break clavical)
, 3. Zavanelli maneuver (only provider; babies head is rotated and flexed w. constant pressure
and head is pushed back into the canal)
Turtle sign is a clinical sign of fetal shoulder dystocia in which the fetal head retracts. Head out
but shoulders stuck
Cervical insufficiency
What does this mean? - Answer known as premature cervical dilation, it is the inability of the
cervix to retain the fetus. "It is a variable condition whereby expulsion of the products of
conception occurs."
Cervical Insufficiency risk factors (6) - Answer 1. History of cervical trauma
2. Short labors
3. pregnancy loss in early gestation
4. advanced cervical dilation at earlier weeks of gestation
5. in utero exposure to diethylstilbestrol ingested by client during pregnancy
6. Congenital structural defects of the uterus or cervix
Cervical insufficiency
s/s and findings (4) - Answer 1. Increase in pelvic pressure or urge to push
2. pink stained vaginal discharge or bleeding
3. Possible gush of fluid (ROM)
4. Uterine contractions with the expulsion of the fetus
_______________ _______________ ____________ is a surgical reinforcement of the cervix
that strengthens and prevents premature cervical dilation, the best results occur when this is
done at 12 to 14 weeks and removed at 37-38 weeks of gestation (used in cervical insufficiency -
Answer Prophylactic cervical cerclage
An ____________ showing a short cervix (less than 25 mm in length) With presence of cervical
funneling (breaking) or if effacement of the cervical os indicates reduced cervical competence..
aka Cervical insufficiency - Answer Ultrasound
Nursing interventions for cervical insufficiency (4) - Answer 1. Evaluate the client support
systems and availability of assistance if activity restrictions or bed rest are prescribed
2. Assess vaginal discharge
3. Monitor clients reports of pressure and contractions
4. Check vital signs
Care Exam 2 Questions with Actual
Answers 2026 Updated.
What is Terbutaline used for in labor - Answer Preterm labor: relaxes smooth muscles and
suppress contractions & tachysystole
What can magnesium sulfate be used for in pregnancy/labor (2) - Answer 1. Preterm labor:
suppress contractions or space them out
2. Preeclampsia to try and prevent hypertension and seizures
Contraindication for Methergine? - Answer hypertension
Contraindication for HemAbAte? - Answer Asthma
Q: Mrs smith has baby you and you are the baby catcher and cut cord what are you looking to
see in the placenta? - Answer AVA 2 arteries and 1 vein
Q: Pt comes in 40 weeks gest and is bleeding do you do a sterile vag exam? - Answer no bc it
could be abruption or previa
Q: If you have a pt who is delivering a baby and is having lots of bleeding what is happening?
What do you do (physical and drugs)? - Answer 1. Possible hemorrhage
2. Massage fundus
drugs: Pitocin and Cytotec, TXA, methergine, hemabate to stop hemorrhaging
Q: A pt is bleeding out, what is your (nurse) first priority? - Answer 1st priority is start a line
of iv...there needs to be 2 and it needs to be a large bore IV an 18 gauge
Q: How do you know the pt is in true labor? - Answer There are contractions with Cervix
change (can be effacement or dilation)
Q: What do you do about a cord prolapse within the vagina and outside of the vagina? (2) -
Answer 1. Cord prolapse in the vagina 1st relieve pressure by lifting the present part off of
the cord, 2nd call for help!
2. Cord prolapse outside the vagina 1st wet sterile gauze on prolapse and lift present part off of
the cord 2nd call for help!
,Q: What can cause a placental abruption? (3) - Answer cocaine use, trauma, hypertension
and requires c-section immediately
Definition of episiotomy: (cut from?) - Answer Cut on the perineum cut from tooter to your
rooter
When Induction medications are used the baby is on...? - Answer continuous monitoring
What are 2 contraindications to get baby out via IUPC and FSE? - Answer the pt must have: 1.
ROM (amniotic sac ruptured)
2. No HIV
Define 1. oligohydramnios and 2. polyhydramnios - Answer 1. Olio: little amnio fluid - look a
baby kidneys for function
2. poly: too much amnio fluid - also look at baby kidneys
Mrs smith getting report on her from other nurse and states she is 5-90- -1... what do these
numbers stand for? - Answer 5 = 5 cm dilated
90= 90% effaced
-1= -1 station
Stations: a negative station (-1, -2) means? - Answer The baby is unengaged in birth canal and
still floating
Stations: 0 means? - Answer The baby is now engaged in birth canal and baby head is even
with the mother's ischial spines
Station: positive (+1, +2) means? - Answer baby is engages and past the ischial spines, this
indicates baby is coming and delivery room is being prepped for babys debut
Shoulder dystocia happens often in ____________ _________ ; what needs to happen to get
baby out (1) ? - Answer Gestational diabetes; macrosomia because baby is too big
the babies clavicle need to be broken to help the baby come out;
What maneuvers with shoulder dystocia and who can do them (3)? - Answer 1. McRoberts
maneuver (head of bed flat, push legs as far back to mothers ears as possible, the nurse can do
this)
2. Super pubic pressure (nurse gets on top and applies extreme force to mother's pubis to push
baby out, this can also break clavical)
, 3. Zavanelli maneuver (only provider; babies head is rotated and flexed w. constant pressure
and head is pushed back into the canal)
Turtle sign is a clinical sign of fetal shoulder dystocia in which the fetal head retracts. Head out
but shoulders stuck
Cervical insufficiency
What does this mean? - Answer known as premature cervical dilation, it is the inability of the
cervix to retain the fetus. "It is a variable condition whereby expulsion of the products of
conception occurs."
Cervical Insufficiency risk factors (6) - Answer 1. History of cervical trauma
2. Short labors
3. pregnancy loss in early gestation
4. advanced cervical dilation at earlier weeks of gestation
5. in utero exposure to diethylstilbestrol ingested by client during pregnancy
6. Congenital structural defects of the uterus or cervix
Cervical insufficiency
s/s and findings (4) - Answer 1. Increase in pelvic pressure or urge to push
2. pink stained vaginal discharge or bleeding
3. Possible gush of fluid (ROM)
4. Uterine contractions with the expulsion of the fetus
_______________ _______________ ____________ is a surgical reinforcement of the cervix
that strengthens and prevents premature cervical dilation, the best results occur when this is
done at 12 to 14 weeks and removed at 37-38 weeks of gestation (used in cervical insufficiency -
Answer Prophylactic cervical cerclage
An ____________ showing a short cervix (less than 25 mm in length) With presence of cervical
funneling (breaking) or if effacement of the cervical os indicates reduced cervical competence..
aka Cervical insufficiency - Answer Ultrasound
Nursing interventions for cervical insufficiency (4) - Answer 1. Evaluate the client support
systems and availability of assistance if activity restrictions or bed rest are prescribed
2. Assess vaginal discharge
3. Monitor clients reports of pressure and contractions
4. Check vital signs
