NSG 3500 Maternal Exam 2 Review | Questions and Answers | 2026/27 Updated Complete

NSG 3500 Maternal Exam 2 Review |
Questions and Answers | 2026/27
Updated Complete
NSG 3500 Maternal Exam 2 Review



Table of Contents

Section Topic Questions


I Labor Induction & Cervical Ripening 1–15


II Intrapartum Complications & Emergencies 16–30


III Fetal Monitoring & Assessment 31–40


IV Obstetric Procedures & Medications 41–50


— Complete Answer Key —


— High-Yield Review —



Section I: Labor Induction & Cervical Ripening

Questions 1–15

Question 1
A nurse is reviewing indications for labor induction. Which condition is an appropriate indication
for induction?

A) Post-term pregnancy
B) Active herpes simplex lesion

,C) Complete placenta previa
D) Transverse fetal lie

Correct Answer: A) Post-term pregnancy

Rationale: Post-term pregnancy (beyond 41–42 weeks) is a common indication for labor
induction due to increased risk of fetal distress, meconium aspiration, and macrosomia . Active
herpes lesions (B), complete placenta previa (C), and transverse fetal lie (D) are
contraindications to vaginal delivery and would require cesarean delivery.



Question 2
A nurse is preparing to administer oxytocin for labor induction. Which statement about oxytocin
is correct?

A) Oxytocin is a cervical ripening agent
B) Oxytocin may be used after cervical ripening has occurred to induce labor
C) Oxytocin is contraindicated in all patients with a previous cesarean section
D) The maximum dose of oxytocin is 40 mU/min

Correct Answer: B) Oxytocin may be used after cervical ripening has occurred to induce
labor

Rationale: Oxytocin is not a cervical ripening agent; it stimulates uterine contractions.
Cervical ripening agents (prostaglandins, mechanical methods) are used first when the cervix is
unfavorable. Oxytocin may then be used to induce labor . Previous cesarean section (C) is a
relative contraindication but not absolute. The maximum dose is typically 20 mU/min (D) .



Question 3
What are the two most common cervical ripening agents used for labor induction?

A) Oxytocin and terbutaline
B) Prostaglandin E1 (Misoprostol) and Prostaglandin E2 (Dinoprostone)
C) Magnesium sulfate and nifedipine
D) Methylergonovine and carboprost

Correct Answer: B) Prostaglandin E1 (Misoprostol) and Prostaglandin E2
(Dinoprostone)

Rationale: The two most common cervical ripening agents are Prostaglandin E1
(Misoprostol/Cytotec) and Prostaglandin E2 (Dinoprostone/Cervidil/Prepidil) . Oxytocin (A) is

, not a ripening agent. Magnesium sulfate (C) is used for preeclampsia. Methylergonovine (D) is
used for postpartum hemorrhage.



Question 4
A patient is receiving Cervidil (dinoprostone) for cervical ripening. How long does the insert
remain in the vagina?

A) 4 hours
B) 6 hours
C) 12 hours
D) 24 hours

Correct Answer: C) 12 hours

Rationale: Cervidil remains in the vagina for 12 hours . It is a small plastic insert
containing prostaglandin placed into the posterior fornix of the vagina with a long string for easy
removal.



Question 5
What precautions must a patient receiving Cervidil follow?

A) Remain on bed rest for 24 hours
B) Stay in bed for first 2 hours (supine or side lying), may get up only for bathroom, stay on
monitor
C) Ambulate frequently to promote cervical change
D) Remove the insert after 2 hours

Correct Answer: B) Stay in bed for first 2 hours (supine or side lying), may get up only
for bathroom, stay on monitor

Rationale: After Cervidil placement, the patient should remain in bed for the first 2
hours (supine or side lying), may get up only for bathroom, and must stay on the monitor . The
insert remains for 12 hours (D is incorrect). Ambulation (C) is not recommended during the
initial monitoring period.



Question 6
A patient receiving Cervidil develops tachysystole. What is the priority nursing action?