verified answers 2025/2026
A woman tells the nurse that this is her third pregnancy. She has had twin girls at full term and one
miscarriage. The nurse records this information as: - Answer G3, T1, A1, L2.
Standard obstetrical terminology is: G = gravida, T = term birth, P = preterm birth, A = abortion, L = living
children.
The nurse is admitting a patient to the labor and delivery unit. While performing the initial assessment,
it is most important to assess: - Answer the timing of contractions.
A primigravida patient is admitted to the labor and delivery unit. During initial assessment, the baby is
found to be engaged. The nurse recognizes this means that the: - Answer widest diameter of the
presenting part has reached the pelvic outlet.
The physical condition of the infant is assessed at birth through the use of an Apgar score. If the infant
has a heart rate of 105, is crying, has some flexion in the arms, sneezes, and has a pink body and blue
limbs 5 minutes after delivery, the baby's Apgar score is: - Answer 8
The Apgar scoring is: fetal heart rate (FHR) over 100 = 2; crying = 2; - Answer flexed arms = 1; sneeze = 2;
pink body, blue limbs = 1
The nurse explains to the patient whose membranes ruptured an hour ago that delivery is usually
accomplished in ____ to _____ hours postrupture. - Answer 18 to 24
Twelve hours following the delivery of a baby, the mother is assessed by the nurse. As the nurse
palpates the level of the fundus of the uterus, it should be: - Answer firm and at the umbilicus.
The vaginal discharge following delivery is called lochia. It changes color over time and has different
names. The initial discharge is charted by the nurse as lochia: - Answer rubra.
Initially, the drainage is called lochia rubra.
, The nurse explains that following delivery, the return of the menstrual cycle, which is anovulatory,
depends on the return of estrogen to normal levels, which may take from: - Answer 6 weeks to 6
months.
The new mother is breastfeeding her baby and asks about the milk from her breasts. The nurse explains
that the first secretion produced by the breast is called: - Answer colostrum.
The nurse tells the new mother that the prepregnancy weight is usually achieved without dieting within:
- Answer 6 to 8 weeks.
Within the first hour following a vaginal delivery, the nurse assesses the mother and finds the fundus is
firm and there is a trickle of bright red blood. The nurse recognizes that: - Answer this is a normal
occurrence.
The nurse is assessing the fundus of a mother who has just given birth. The proper way to perform this
procedure is by using: - Answer one hand on the lower uterine segment while the other hand locates
the fundus of the uterus.
The new mother is 1 day postpartum and asks about bathing. The nurse provides her with information
and recognizes the responsibility to: - Answer let the patient shower and check on her frequently.
The nurse is performing an Apgar score on a newborn. Cyanosis, which is considered normal, is expected
to be found on the: - Answer feet.
A patient with hyperemesis gravidarum asks the nurse what would have happened if she had not come
to the hospital. The nurse explains that if untreated, this condition could result in: - Answer maternal or
fetal death.
When assessing the woman who is pregnant with multiple fetuses, the nurse recognizes that the
delivery will probably be: - Answer complicated by loss of uterine tone.
A patient is admitted to the hospital with signs of an ectopic pregnancy. The nurse modifies the care
plan to include: - Answer surgery to remove the embryo/fetus.