PRACTICE TEST 1 EXAM WITH
CORRECT ANSWERS 2025
GRADED A+
A nurse is caring for a client who is in labor and has an external fetal
monitor. The nurse observes late decelerations on the monitor strip and
interprets them as indicating which of the following?
a) uteroplacental insufficiency
b) maternal bradycardia
c) umbilical cord compression
d) fetal head compression ( correct answers ) a) uteroplacental
insufficiency
A nurse is caring for a group of clients on an intrapartum unit. Which of the
following findings should be reported to the provider immediately?
a) A tearful client who is at 32 weeks of gestation and is experiencing
irregular, frequent contractions
b) A client who is at 28 weeks of gestation and receiving terbutaline reports
fine tremors
c) A client who has a diagnosis of preeclampsia has 2+ proteinuria and 2+
patellar reflexes
d) A client who has a diagnosis of preeclampsia reports epigastric pain and
unresolved headache ( correct answers ) d) A client who has a diagnosis
of preeclampsia reports epigastric pain and unresolved headache
GRADED A+
,A nurse on an antepartum unit is caring for a client who is at 24 weeks of
gestation.
Complete the diagram by dragging from the choices below to specify what
condition the client is most likely experiencing, 2 actions the nurse should
take to address that condition, and 2 parameters the nurse should monitor to
assess the client's progress. ( correct answers ) The nurse should
administer ceftriaxone as prescribed and assess for signs of sepsis because
the client is most likely experiencing pyelonephritis as evidenced by bilateral
flank pain, dysuria, and chills. Because pyelonephritis is an extension of a
UTI or might have spread from some other area, the client is at risk for
sepsis.
The nurse should monitor the client's urine output and for uterine
contractions because pyelonephritis can increase the risk of preterm labor.
A nurse in the labor and delivery unit is caring for a pregnant client. The
nurse is contacting the provider regarding the client's status. Which of the
following interventions should the nurse anticipate?
Select the 3 interventions the nurse should anticipate. ( correct answers )
Administer terbutaline 0.25 mg subcutaneous stat is correct.
Give betamethasone 12 mg IM now and repeat in 24 hr is correct.
Position the client in a lateral position is correct.
A nurse is planning care for a client who is 2 hours postpartum following a
cesarean birth. The client has a history of thromboembolic disease. which of
the following nursing interventions should be included in the plan of care?
a) Apply warm, moist heat to the client's lower extremities.
b) Massage the client's posterior lower legs.
c) Place pillows under the client's knees when resting in bed.
d) Have the client ambulate. ( correct answers ) d) Have the client
ambulate.
A nurse on the labor and delivery unit is caring for a client who is having a
difficult, prolonged labor with severe backache. which of the following
contributing causes should the nurse identify?
GRADED A+
, a) Fetal attitude is in general flexion.
b) Fetal lie is longitudinal.
c) Maternal pelvis is gynecoid.
d) Fetal position is persistent occiput posterior. ( correct answers ) d)
Fetal position is persistent occiput posterior.
A nurse is providing teaching to a client who is at 30 weeks of gestation and
is to have a nonstress test (NST). which of the following statements by the
client indicates a need for further teaching?
a) "I will have to lie on my back during the test."
b) "My baby's heart rate will be monitored during the test."
c) "I should schedule the test when the baby is usually active."
d) "It will take 20 to 30 minutes to complete the test." ( correct answers )
a) "I will have to lie on my back during the test."
A nurse is caring for a client who is in the second stage of labor. The nurse
observes retraction of the fetal head against the maternal perineum as the
head is birthed.
Complete the diagram by dragging from the choices below to specify what
condition the client is most likely experiencing, 2 actions the nurse should
take to address that condition, and 2 parameters the nurse should monitor to
assess the client's progress. ( correct answers ) The nurse should flex the
client's legs against the abdomen and apply suprapubic pressure because
the client is most likely experiencing shoulder dystocia. Flexing the clients
legs against the abdomen straightens the maternal pelvis, helping to free the
trapped anterior shoulder of the fetus. Applying suprapubic pressure also
helps free the anterior shoulder, allowing for birth of the newborn's body.
The nurse should monitor the movement of the newborn's upper extremities
because newborns who experience a shoulder dystocia are at a greater risk
for brachial plexus injuries. The nurse should also monitor the maternal
perineum because mothers who experience shoulder dystocia are at a
greater risk for trauma to the vagina, perineum, and rectum.
GRADED A+