NUR 335 MATERNITY EXAM 3
QUESTIONS AND ANSWRRS WITH
COMPLETE SOLUTIONS 100%
CORRECT RATED A+
1) What would be a normal cervical dilatation rate in a first-time mother (primip)?
1. 1.5 cm per hour
2. Less than 1 cm cervical dilatation per hour
3. 1 cm per hour
4. Less than 0.5 cm per hour - ANSWERT....1
2) Dystocia encompasses many problems in labor. What is the most common?
1. Meconium-stained amniotic fluid
2. Dysfunctional uterine contractions
3. Cessation of contractions
4. Changes in the fetal heart rate - ANSWERT....2
The most common problem is dysfunctional (or uncoordinated) uterine
contractions that result in a prolongation of labor.
3) Risk factors for tachysystole include which of the following?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
Select all that apply.
1. Cocaine use
2. Placental abruption
3. Low-dose oxytocin titration regimens
4. Uterine rupture
,5. Smoking - ANSWERT....1, 2, 4
4) A woman has been having contractions since 4 a.m. At 8 a.m., her cervix is
dilated to 5 cm. Contractions are frequent, and mild to moderate in intensity.
Cephalopelvic disproportion (CPD) has been ruled out. After giving the mother
some sedation so she can rest, what would the nurse anticipate preparing for?
1. Oxytocin induction of labor
2. Amnioinfusion
3. Increased intravenous infusion
4. Cesarean section - ANSWERT....1
5) Nonreassuring fetal status often occurs with a tachysystole contraction pattern.
Intrauterine resuscitation measures may become warranted and can include which
of the following measures?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
Select all that apply.
1. Position the woman on her right side.
2. Apply oxygen via face mask.
3. Call for anesthesia provider for support.
4. Increase intravenous fluids by at least 700 mL bolus.
5. Call the physician/CNM to the bedside. - ANSWERT....2, 3, 4, 5
p. 585
Another measure would be to position the woman on her left side
6) The nurse is making client assignments for the next shift. Which client is most
likely to experience a complicated labor pattern?
,1. 34-year-old woman at 39 weeks gestation with a large-for-gestational-age
(LGA) fetus
2. 22-year-old woman at 23 weeks gestation with ruptured membranes
3. 30-year-old woman at 41 weeks gestation and estimated fetal weight 7 pounds 8
ounces
4. 43-year-old woman at 37 weeks gestation with hypertension - ANSWERT....1
7) Two hours ago, a client at 39 weeks gestation was 3 cm dilated, 40% effaced,
and +1 station. Frequency of contractions was every 5 minutes with duration 40
seconds and intensity 50 mmHg. The current assessment is 4 cm dilated, 40%
effaced, and +1 station. Frequency of contractions is now every 3 minutes with 40-
50 seconds duration and intensity of 40 mmHg. What would the priority
intervention be?
1. Begin oxytocin after assessing for CPD.
2. Give terbutaline to stop the preterm labor.
3. Start oxygen at 8 L/min.
4. Have the anesthesiologist give the client an epidural. - ANSWERT....1
8) What are the primary complications of placenta accrete?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
Select all that apply.
1. Maternal hemorrhage
2. Insomnia
3. Failure of the placenta to separate following birth of the infant
4. Autonomic dysreflexia
5. Shoulder dystocia - ANSWERT....1, 3
, 9) Risk factors for labor dystocia include which of the following?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
Select all that apply.
1. Tall maternal height
2. Labor induction
3. Small-for-gestational-age (SGA) fetus
4. Malpresentation
5. Prolonged latent phase - ANSWERT....2, 4, 5
10) In succenturiate placenta, one or more accessory lobes of fetal villi have
developed on the placenta, with vascular connections of fetal origin. What is the
gravest maternal danger?
1. Cord prolapse
2. Postpartum hemorrhage
3. Paroxysmal hypertension
4. Brachial plexus injury - ANSWERT....2
11) The nurse knows that the maternal risks associated with postterm pregnancy
include which of the following?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
Select all that apply.
1. Polyhydramnios
2. Maternal hemorrhage
3. Maternal anxiety
4. Forceps-assisted delivery
QUESTIONS AND ANSWRRS WITH
COMPLETE SOLUTIONS 100%
CORRECT RATED A+
1) What would be a normal cervical dilatation rate in a first-time mother (primip)?
1. 1.5 cm per hour
2. Less than 1 cm cervical dilatation per hour
3. 1 cm per hour
4. Less than 0.5 cm per hour - ANSWERT....1
2) Dystocia encompasses many problems in labor. What is the most common?
1. Meconium-stained amniotic fluid
2. Dysfunctional uterine contractions
3. Cessation of contractions
4. Changes in the fetal heart rate - ANSWERT....2
The most common problem is dysfunctional (or uncoordinated) uterine
contractions that result in a prolongation of labor.
3) Risk factors for tachysystole include which of the following?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
Select all that apply.
1. Cocaine use
2. Placental abruption
3. Low-dose oxytocin titration regimens
4. Uterine rupture
,5. Smoking - ANSWERT....1, 2, 4
4) A woman has been having contractions since 4 a.m. At 8 a.m., her cervix is
dilated to 5 cm. Contractions are frequent, and mild to moderate in intensity.
Cephalopelvic disproportion (CPD) has been ruled out. After giving the mother
some sedation so she can rest, what would the nurse anticipate preparing for?
1. Oxytocin induction of labor
2. Amnioinfusion
3. Increased intravenous infusion
4. Cesarean section - ANSWERT....1
5) Nonreassuring fetal status often occurs with a tachysystole contraction pattern.
Intrauterine resuscitation measures may become warranted and can include which
of the following measures?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
Select all that apply.
1. Position the woman on her right side.
2. Apply oxygen via face mask.
3. Call for anesthesia provider for support.
4. Increase intravenous fluids by at least 700 mL bolus.
5. Call the physician/CNM to the bedside. - ANSWERT....2, 3, 4, 5
p. 585
Another measure would be to position the woman on her left side
6) The nurse is making client assignments for the next shift. Which client is most
likely to experience a complicated labor pattern?
,1. 34-year-old woman at 39 weeks gestation with a large-for-gestational-age
(LGA) fetus
2. 22-year-old woman at 23 weeks gestation with ruptured membranes
3. 30-year-old woman at 41 weeks gestation and estimated fetal weight 7 pounds 8
ounces
4. 43-year-old woman at 37 weeks gestation with hypertension - ANSWERT....1
7) Two hours ago, a client at 39 weeks gestation was 3 cm dilated, 40% effaced,
and +1 station. Frequency of contractions was every 5 minutes with duration 40
seconds and intensity 50 mmHg. The current assessment is 4 cm dilated, 40%
effaced, and +1 station. Frequency of contractions is now every 3 minutes with 40-
50 seconds duration and intensity of 40 mmHg. What would the priority
intervention be?
1. Begin oxytocin after assessing for CPD.
2. Give terbutaline to stop the preterm labor.
3. Start oxygen at 8 L/min.
4. Have the anesthesiologist give the client an epidural. - ANSWERT....1
8) What are the primary complications of placenta accrete?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
Select all that apply.
1. Maternal hemorrhage
2. Insomnia
3. Failure of the placenta to separate following birth of the infant
4. Autonomic dysreflexia
5. Shoulder dystocia - ANSWERT....1, 3
, 9) Risk factors for labor dystocia include which of the following?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
Select all that apply.
1. Tall maternal height
2. Labor induction
3. Small-for-gestational-age (SGA) fetus
4. Malpresentation
5. Prolonged latent phase - ANSWERT....2, 4, 5
10) In succenturiate placenta, one or more accessory lobes of fetal villi have
developed on the placenta, with vascular connections of fetal origin. What is the
gravest maternal danger?
1. Cord prolapse
2. Postpartum hemorrhage
3. Paroxysmal hypertension
4. Brachial plexus injury - ANSWERT....2
11) The nurse knows that the maternal risks associated with postterm pregnancy
include which of the following?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
Select all that apply.
1. Polyhydramnios
2. Maternal hemorrhage
3. Maternal anxiety
4. Forceps-assisted delivery
