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Exam (elaborations)

Maternal Child EXAM 3 (Actual Exam 2025) | Complete Questions and Correct Answers with Rationales | Graded A+ | Verified Answers

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Preview 4 out of 49 pages

Maternal Child EXAM 3 (Actual Exam 2025) | Complete Questions and Correct Answers with Rationales | Graded A+ | Verified Answers

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9/3/26, 6:15 PM Maternal Child EXAM 3 (Actual Exam 2025) | Complete Questions and Correct Answers with Rationales | Graded A+ | Verified Answ…




Maternal Child EXAM 3 (Actual Exam 2025) |
Complete Questions and Correct Answers with
Rationales | Graded A+ | Verified Answers




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,9/3/26, 6:15 PM Maternal Child EXAM 3 (Actual Exam 2025) | Complete Questions and Correct Answers with Rationales | Graded A+ | Verified Answ…




The perinatal nurse explains to a D
nursing student that the most Pregnancy outcome in patients experiencing variable
appropriate patient for an fetal heart rate decelerations caused by cord
amnioinfusion is a woman who has a compression is improved through the use of
fetal heart rate tracing that exhibits amnioinfusion, which is the instillation of normal saline
which pattern? or lactated Ringer's solution into the uterine cavity.
A.
Absent variability
B.
Early decelerations
C.
Late decelerations
D.
Variable decelerations


The perinatal nurse notes a rapid C
decrease in the fetal heart rate (FHR) The nurse needs to assess the fetal heart rate
that does not recover immediately immediately before and after the artificial rupture of
following an amniotomy. What action the membranes. Changes such as transient fetal
should the nurse perform first? tachycardia may occur and are common. However,
A. other fetal heart rate patterns, such as bradycardia
Administer oxygen at 100%. and variable decelerations, may be indicative of cord
B. compression or prolapse. The nurse should perform a
Assess the maternal temperature. vaginal examination to assess for cord prolapse.
C. Administering oxygen may or may not be needed.
Perform a vaginal examination. Maternal temperature is assessed every 2 hours after
D. artificial rupture of membranes but is not related to
Recheck the FHR in 30 minutes. this situation. The nurse should not wait 30 minutes
prior to doing anything




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,9/3/26, 6:15 PM Maternal Child EXAM 3 (Actual Exam 2025) | Complete Questions and Correct Answers with Rationales | Graded A+ | Verified Answ…



The perinatal nurse has administered a A
dose of dinoprostone (Cervidil) to a Dinoprostone is a prostaglandin E2 preparation for
woman prior to a labor induction with cervical ripening. It should be used cautiously in
oxytocin (Pitocin). The nurse then women with a history of asthma, glaucoma, and renal,
notices that the admission database is hepatic, or cardiovascular disorders. Once the missing
incomplete. What conditions should information is noticed, the nurse should assess for
the nurse quickly question the patient contraindications to using the medication, then for
about? conditions that make it riskier. The other conditions are
A. not related.
Asthma
B.
Gallbladder disease
C.
IV drug use
D.
Penicillin allergy




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, 9/3/26, 6:15 PM Maternal Child EXAM 3 (Actual Exam 2025) | Complete Questions and Correct Answers with Rationales | Graded A+ | Verified Answ…



During the postpartum assessment, the D
perinatal nurse notes that a patient A forceps-assisted birth is one in which a steel
who has just experienced a forceps- instrument with two curved blades is used to facilitate
assisted birth now has a large amount the birth of the infant's head. Perineal trauma is one of
of bright red vaginal bleeding. Her the major complications associated with the use of
uterine fundus is firm. The most forceps. Because hemorrhage (bright red bleeding)
appropriate action by the nurse is to may result from cervical lacerations and vaginal
collaborate with the health-care tearing, the woman requires close observation during
provider in which activity? the postpartum period. If this occurs, the care
A. provider should be notified regarding a potential
Bladder assessment and vaginal repair. The other actions are not warranted.
catheterization
B.
Preparing the woman for a
hysterectomy
C.
Uterine massage and oxytocin infusion
D.
Vaginal assessment and repair


The perinatal nurse is caring for a A
patient with preeclampsia. What The nurse is the manager of care for the woman with
intervention does the nurse include on preeclampsia during the intrapartal period. Careful
this patient's care plan? assessments are critical. The nurse administers
A. medications as ordered and should adhere to hospital
Administer magnesium sulfate per protocol for a magnesium sulfate infusion. Vital signs
agency policy. should be assessed more often than every 6 hours.
B. The patient should be encouraged to maintain a left
Assess the patient's blood pressure side-lying position. A urine output of greater than 30
every 6 hours. mL/hour is normal.
C.
Encourage the patient to rest on her
back.
D.
Notify the physician of urine output
greater than 30 mL/hr.




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