NUR 2513 MATERNAL CHILD NURSING
EXAM 3 EXAM SCRIPT 2026
COMPREHENSIVE QUESTIONS WITH
VERIFIED SOLUTIONS
◉ After a delivery that involves shoulder dystocia, the nurse should
assess the newborn for which complication?
Answer: Brachial plexus injury
◉ What is the usual cause of shoulder dystocia at delivery?
Answer: The anterior shoulder becomes lodged behind the maternal
symphysis pubis after delivery of the head.
◉ After delivery of an infant with shoulder dystocia, the patient has
a postpartum hemorrhage. The nurse notes that the bleeding spurts
and clots. What could be the cause of this patient's bleeding?
Answer: Uterine atony
◉ The nurse is preparing for a vaginal delivery by a multipara who
has a history of shoulder dystocia. The nurse explains to the student
nurse that one of the maneuvers used for shoulder dystocia involves
having the patient flex her hips while pulling her thighs straight up
to her abdomen to help rotate the symphysis pubis anteriorly and
,dislodge the fetus's anterior shoulder. What is the name of this
maneuver?
Answer: McRoberts maneuver
◉ During the delivery by a multipara at 41 weeks' gestation,
shoulder dystocia occurs, and the practitioner instructs the nurse to
apply pressure above the pubic bone over the fetal anterior shoulder
using a downward and lateral motion on the posterior aspect of the
fetal shoulder. Which maneuver is the practitioner describing?
Answer: Suprapubic pressure
◉ A nurse is assigned to document the time of each procedure
during a delivery in which a shoulder dystocia has occurred. After
the delivery of the fetal head, how often should this nurse call out
the time elapsed?
Answer: Every 30 secs
◉ The nurse is assisting with a normal vaginal delivery. The placenta
has been delivered, and the patient is receiving oxytocin via IV
access. What should the nurse do?
Answer: Assess the status of the fundus with gentle massage.
◉ The postpartum nurse has just received report on a new patient
who had a cesarean delivery 2 hours earlier. The nurse performs an
initial postpartum assessment and then a fundal assessment, which
, reveal that the uterus is boggy and 3 cm above the umbilicus and
midline. Bleeding is scant rubra. Which nursing response is
appropriate?
Answer: Perform fundal massage until the fundus is firm
◉ The nurse is assessing a patient during the immediate postpartum
period following a vaginal delivery and finds that the uterus is boggy
and displaced to the right. Which action should the nurse perform?
Answer: Encourage the patient to void or confirm orders for bladder
catheterization if needed.
◉ A patient who is gravida 3, para 2 delivers precipitously while in
bed. The placenta is expelled spontaneously a few minutes after the
delivery. The practitioner has been notified and is en route. The
nurse notices that the patient is still bleeding vaginally and performs
a fundal assessment. The fundus is firm at the umbilicus and
midline. Which action should the nurse take?
Answer: Suspect a vaginal laceration and prepare for the
practitioner's inspection.
◉ The nurse has completed a fundal assessment after a vaginal
delivery. Although the patient has just voided, her uterus remains
boggy at the umbilicus and midline. What should the nurse do?
Answer: Perform fundal massage, cupping one hand over the fundus
and supporting the uterus at the symphysis pubis with the other
hand.
EXAM 3 EXAM SCRIPT 2026
COMPREHENSIVE QUESTIONS WITH
VERIFIED SOLUTIONS
◉ After a delivery that involves shoulder dystocia, the nurse should
assess the newborn for which complication?
Answer: Brachial plexus injury
◉ What is the usual cause of shoulder dystocia at delivery?
Answer: The anterior shoulder becomes lodged behind the maternal
symphysis pubis after delivery of the head.
◉ After delivery of an infant with shoulder dystocia, the patient has
a postpartum hemorrhage. The nurse notes that the bleeding spurts
and clots. What could be the cause of this patient's bleeding?
Answer: Uterine atony
◉ The nurse is preparing for a vaginal delivery by a multipara who
has a history of shoulder dystocia. The nurse explains to the student
nurse that one of the maneuvers used for shoulder dystocia involves
having the patient flex her hips while pulling her thighs straight up
to her abdomen to help rotate the symphysis pubis anteriorly and
,dislodge the fetus's anterior shoulder. What is the name of this
maneuver?
Answer: McRoberts maneuver
◉ During the delivery by a multipara at 41 weeks' gestation,
shoulder dystocia occurs, and the practitioner instructs the nurse to
apply pressure above the pubic bone over the fetal anterior shoulder
using a downward and lateral motion on the posterior aspect of the
fetal shoulder. Which maneuver is the practitioner describing?
Answer: Suprapubic pressure
◉ A nurse is assigned to document the time of each procedure
during a delivery in which a shoulder dystocia has occurred. After
the delivery of the fetal head, how often should this nurse call out
the time elapsed?
Answer: Every 30 secs
◉ The nurse is assisting with a normal vaginal delivery. The placenta
has been delivered, and the patient is receiving oxytocin via IV
access. What should the nurse do?
Answer: Assess the status of the fundus with gentle massage.
◉ The postpartum nurse has just received report on a new patient
who had a cesarean delivery 2 hours earlier. The nurse performs an
initial postpartum assessment and then a fundal assessment, which
, reveal that the uterus is boggy and 3 cm above the umbilicus and
midline. Bleeding is scant rubra. Which nursing response is
appropriate?
Answer: Perform fundal massage until the fundus is firm
◉ The nurse is assessing a patient during the immediate postpartum
period following a vaginal delivery and finds that the uterus is boggy
and displaced to the right. Which action should the nurse perform?
Answer: Encourage the patient to void or confirm orders for bladder
catheterization if needed.
◉ A patient who is gravida 3, para 2 delivers precipitously while in
bed. The placenta is expelled spontaneously a few minutes after the
delivery. The practitioner has been notified and is en route. The
nurse notices that the patient is still bleeding vaginally and performs
a fundal assessment. The fundus is firm at the umbilicus and
midline. Which action should the nurse take?
Answer: Suspect a vaginal laceration and prepare for the
practitioner's inspection.
◉ The nurse has completed a fundal assessment after a vaginal
delivery. Although the patient has just voided, her uterus remains
boggy at the umbilicus and midline. What should the nurse do?
Answer: Perform fundal massage, cupping one hand over the fundus
and supporting the uterus at the symphysis pubis with the other
hand.
