NRSG 3302 Maternity Final Questions With Complete
Solutions
A 2-hour-old newborn is experiencing grunting, nasal flaring,
and cyanosis. What is the priority nursing intervention?A.
Provide blow-by oxygenB. Perform chest compressionsC.
Suction the airwayD. Notify the neonatal intensive care unit
(NICU) team Correct Answers D. Notify the neonatal intensive
care unit (NICU) team
A 32-year-old G2P1 woman is admitted at 37 weeks gestation
with a history of preeclampsia in her previous pregnancy. She
requests an elective induction of labor due to convenience.
During the induction, the fetal heart rate tracing shows late
decelerations. What is the appropriate nursing intervention? a.
Increase oxytocin infusion. b. Turn the patient to her left side
and provide oxygen. c. Notify the physician and prepare for
immediate cesarean delivery. d. Continue to monitor closely
without intervention. Correct Answers b
A 32-year-old G2P1 woman is admitted at 37 weeks gestation
with a history of preeclampsia in her previous pregnancy. She
requests an elective induction of labor due to convenience.
The patient delivers a healthy infant, but the fundal assessment
reveals a boggy uterus. What should the nurse do first? a.
Increase IV fluids. b. Administer oxytocin as prescribed. c.
Perform fundal massage. d. Call the provider immediately.
Correct Answers c
,A 32-year-old G2P1 woman is admitted at 37 weeks gestation
with a history of preeclampsia in her previous pregnancy. She
requests an elective induction of labor due to convenience.
What is the nurse's best response regarding the timing of
elective induction? a. "We can proceed with the induction
immediately since you're full term." b. "Elective inductions are
only recommended at 39 weeks or later without medical
indications." c. "You will need to consult with your physician to
determine the risks of induction at 37 weeks." d. "Inductions are
not permitted for any reason at this gestational age." Correct
Answers b
A 32-year-old G2P1 woman is admitted at 37 weeks gestation
with a history of preeclampsia in her previous pregnancy. She
requests an elective induction of labor due to convenience.
What measure could the nurse implement to promote
breastfeeding success in the first hour after delivery? a. Place the
infant skin-to-skin on the mother's chest. b. Offer formula to
ensure adequate nutrition. c. Delay feeding until the baby shows
hunger cues. d. Swaddle the baby and return them to the nursery
for rest. Correct Answers a
A client at 30 weeks gestation is admitted with a suspected
placental abruption. Which assessment finding is most
concerning?
A. Decreased fetal movement
B. Bright red vaginal bleeding
C. Board-like abdominal rigidity
D. Blood pressure of 120/80 mmHg Correct Answers C.
Board-like abdominal rigidity
,A client at 36 weeks gestation is diagnosed with
oligohydramnios. Which complication is most likely?
A. Fetal macrosomia
B. Umbilical cord compression
C. Polycythemia in the newborn
D. Increased amniotic fluid levels Correct Answers B.
Umbilical cord compression
A client in labor requests to include specific cultural rituals
during delivery. What is the nurse's best response?
A. "Hospital policy does not allow rituals in the delivery room."
B. "Can you explain the rituals so we can accommodate them?"
C. "We'll see if there is time after the baby is born."
D. "You should discuss this with your healthcare provider."
Correct Answers B. "Can you explain the rituals so we can
accommodate them?"
A client is upset because her birth plan cannot be followed due
to medical complications. Which ethical principle supports the
nurse's need to adjust the plan?
A. Autonomy
B. Fidelity
C. Nonmaleficence
D. Justice Correct Answers C. Nonmaleficence
A client presents with severe abdominal pain and heavy vaginal
bleeding at 20 weeks gestation. What condition should the nurse
suspect?
A. Ectopic pregnancy
B. Missed abortion
C. Placental abruption
, D. Preterm labor Correct Answers C. Placental abruption
A client presents with uterine atony 6 hours postpartum. Which
medication would the nurse anticipate administering first?
A. Methylergonovine (Methergine)
B. Oxytocin (Pitocin)
C. Misoprostol (Cytotec)
D. Carboprost tromethamine (Hemabate) Correct Answers B
A client with gestational hypertension asks how this condition
differs from preeclampsia. The nurse's best response is:
A. "Gestational hypertension includes proteinuria, while
preeclampsia does not."
B. "Gestational hypertension occurs after delivery, while
preeclampsia occurs before delivery."
C. "Preeclampsia includes proteinuria and organ dysfunction,
while gestational hypertension does not."
D. "There is no difference; they are the same condition."
Correct Answers C. "Preeclampsia includes proteinuria and
organ dysfunction, while gestational hypertension does not."
A client with preeclampsia is being monitored for magnesium
sulfate toxicity. Which symptom is most concerning?
A. Deep tendon reflexes +3
B. Respiratory rate of 10 breaths per minute
C. Urine output of 50 mL/hour
D. Blood pressure of 150/90 mmHg Correct Answers B.
Respiratory rate of 10 breaths per minute
A common emotional/psychological adaptation during the first
trimester of pregnancy is:
Solutions
A 2-hour-old newborn is experiencing grunting, nasal flaring,
and cyanosis. What is the priority nursing intervention?A.
Provide blow-by oxygenB. Perform chest compressionsC.
Suction the airwayD. Notify the neonatal intensive care unit
(NICU) team Correct Answers D. Notify the neonatal intensive
care unit (NICU) team
A 32-year-old G2P1 woman is admitted at 37 weeks gestation
with a history of preeclampsia in her previous pregnancy. She
requests an elective induction of labor due to convenience.
During the induction, the fetal heart rate tracing shows late
decelerations. What is the appropriate nursing intervention? a.
Increase oxytocin infusion. b. Turn the patient to her left side
and provide oxygen. c. Notify the physician and prepare for
immediate cesarean delivery. d. Continue to monitor closely
without intervention. Correct Answers b
A 32-year-old G2P1 woman is admitted at 37 weeks gestation
with a history of preeclampsia in her previous pregnancy. She
requests an elective induction of labor due to convenience.
The patient delivers a healthy infant, but the fundal assessment
reveals a boggy uterus. What should the nurse do first? a.
Increase IV fluids. b. Administer oxytocin as prescribed. c.
Perform fundal massage. d. Call the provider immediately.
Correct Answers c
,A 32-year-old G2P1 woman is admitted at 37 weeks gestation
with a history of preeclampsia in her previous pregnancy. She
requests an elective induction of labor due to convenience.
What is the nurse's best response regarding the timing of
elective induction? a. "We can proceed with the induction
immediately since you're full term." b. "Elective inductions are
only recommended at 39 weeks or later without medical
indications." c. "You will need to consult with your physician to
determine the risks of induction at 37 weeks." d. "Inductions are
not permitted for any reason at this gestational age." Correct
Answers b
A 32-year-old G2P1 woman is admitted at 37 weeks gestation
with a history of preeclampsia in her previous pregnancy. She
requests an elective induction of labor due to convenience.
What measure could the nurse implement to promote
breastfeeding success in the first hour after delivery? a. Place the
infant skin-to-skin on the mother's chest. b. Offer formula to
ensure adequate nutrition. c. Delay feeding until the baby shows
hunger cues. d. Swaddle the baby and return them to the nursery
for rest. Correct Answers a
A client at 30 weeks gestation is admitted with a suspected
placental abruption. Which assessment finding is most
concerning?
A. Decreased fetal movement
B. Bright red vaginal bleeding
C. Board-like abdominal rigidity
D. Blood pressure of 120/80 mmHg Correct Answers C.
Board-like abdominal rigidity
,A client at 36 weeks gestation is diagnosed with
oligohydramnios. Which complication is most likely?
A. Fetal macrosomia
B. Umbilical cord compression
C. Polycythemia in the newborn
D. Increased amniotic fluid levels Correct Answers B.
Umbilical cord compression
A client in labor requests to include specific cultural rituals
during delivery. What is the nurse's best response?
A. "Hospital policy does not allow rituals in the delivery room."
B. "Can you explain the rituals so we can accommodate them?"
C. "We'll see if there is time after the baby is born."
D. "You should discuss this with your healthcare provider."
Correct Answers B. "Can you explain the rituals so we can
accommodate them?"
A client is upset because her birth plan cannot be followed due
to medical complications. Which ethical principle supports the
nurse's need to adjust the plan?
A. Autonomy
B. Fidelity
C. Nonmaleficence
D. Justice Correct Answers C. Nonmaleficence
A client presents with severe abdominal pain and heavy vaginal
bleeding at 20 weeks gestation. What condition should the nurse
suspect?
A. Ectopic pregnancy
B. Missed abortion
C. Placental abruption
, D. Preterm labor Correct Answers C. Placental abruption
A client presents with uterine atony 6 hours postpartum. Which
medication would the nurse anticipate administering first?
A. Methylergonovine (Methergine)
B. Oxytocin (Pitocin)
C. Misoprostol (Cytotec)
D. Carboprost tromethamine (Hemabate) Correct Answers B
A client with gestational hypertension asks how this condition
differs from preeclampsia. The nurse's best response is:
A. "Gestational hypertension includes proteinuria, while
preeclampsia does not."
B. "Gestational hypertension occurs after delivery, while
preeclampsia occurs before delivery."
C. "Preeclampsia includes proteinuria and organ dysfunction,
while gestational hypertension does not."
D. "There is no difference; they are the same condition."
Correct Answers C. "Preeclampsia includes proteinuria and
organ dysfunction, while gestational hypertension does not."
A client with preeclampsia is being monitored for magnesium
sulfate toxicity. Which symptom is most concerning?
A. Deep tendon reflexes +3
B. Respiratory rate of 10 breaths per minute
C. Urine output of 50 mL/hour
D. Blood pressure of 150/90 mmHg Correct Answers B.
Respiratory rate of 10 breaths per minute
A common emotional/psychological adaptation during the first
trimester of pregnancy is:
