NUR2513 MATERNAL CHILD EXAM 3 NEWEST
2025/2026 COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW!!
/. The perinatal nurse explains to a nursing student that the most appropriate patient for
an amnioinfusion is a woman who has a fetal heart rate tracing that exhibits which
pattern?
A.
Absent variability
B.
Early decelerations
C.
Late decelerations
D.
Variable decelerations - Answer-D
Pregnancy outcome in patients experiencing variable fetal heart rate decelerations
caused by cord compression is improved through the use of amnioinfusion, which is the
instillation of normal saline or lactated Ringer's solution into the uterine cavity.
/.The perinatal nurse notes a rapid decrease in the fetal heart rate (FHR) that does not
recover immediately following an amniotomy. What action should the nurse perform
first?
A.
Administer oxygen at 100%.
B.
Assess the maternal temperature.
C.
Perform a vaginal examination.
D.
Recheck the FHR in 30 minutes. - Answer-C
The nurse needs to assess the fetal heart rate immediately before and after the artificial
rupture of the membranes. Changes such as transient fetal tachycardia may occur and
are common. However, other fetal heart rate patterns, such as bradycardia and variable
decelerations, may be indicative of cord compression or prolapse. The nurse should
perform a vaginal examination to assess for cord prolapse. Administering oxygen may
or may not be needed. Maternal temperature is assessed every 2 hours after artificial
rupture of membranes but is not related to this situation. The nurse should not wait 30
minutes prior to doing anything
,/.The perinatal nurse has administered a dose of dinoprostone (Cervidil) to a woman
prior to a labor induction with oxytocin (Pitocin). The nurse then notices that the
admission database is incomplete. What conditions should the nurse quickly question
the patient about?
A.
Asthma
B.
Gallbladder disease
C.
IV drug use
D.
Penicillin allergy - Answer-A
Dinoprostone is a prostaglandin E2 preparation for cervical ripening. It should be used
cautiously in women with a history of asthma, glaucoma, and renal, hepatic, or
cardiovascular disorders. Once the missing information is noticed, the nurse should
assess for contraindications to using the medication, then for conditions that make it
riskier. The other conditions are not related.
/.During the postpartum assessment, the perinatal nurse notes that a patient who has
just experienced a forceps-assisted birth now has a large amount of bright red vaginal
bleeding. Her uterine fundus is firm. The most appropriate action by the nurse is to
collaborate with the health-care provider in which activity?
A.
Bladder assessment and catheterization
B.
Preparing the woman for a hysterectomy
C.
Uterine massage and oxytocin infusion
D.
Vaginal assessment and repair - Answer-D
A forceps-assisted birth is one in which a steel instrument with two curved blades is
used to facilitate the birth of the infant's head. Perineal trauma is one of the major
complications associated with the use of forceps. Because hemorrhage (bright red
bleeding) may result from cervical lacerations and vaginal tearing, the woman requires
close observation during the postpartum period. If this occurs, the care provider should
be notified regarding a potential vaginal repair. The other actions are not warranted.
/.The perinatal nurse is caring for a patient with preeclampsia. What intervention does
the nurse include on this patient's care plan?
A.
Administer magnesium sulfate per agency policy.
B.
Assess the patient's blood pressure every 6 hours.
C.
Encourage the patient to rest on her back.
D.
,Notify the physician of urine output greater than 30 mL/hr. - Answer-A
The nurse is the manager of care for the woman with preeclampsia during the
intrapartal period. Careful assessments are critical. The nurse administers medications
as ordered and should adhere to hospital protocol for a magnesium sulfate infusion.
Vital signs should be assessed more often than every 6 hours. The patient should be
encouraged to maintain a left side-lying position. A urine output of greater than 30
mL/hour is normal.
/.The perinatal nurse is providing care to a 25-year-old G1 TPAL 0000 woman
hospitalized with severe hypertension at 33 weeks' gestation. The nurse is preparing to
administer the second dose of betamethasone (Celestone), prescribed by the physician.
The patient asks, "What is this injection for again?" Which of the following is the best
response by the nurse?
A.
Helps your baby grow and develop
B.
Helps your baby's lungs to mature
C.
Prepares your body to begin labor
D.
Stabilizes your blood pressure - Answer-B
Glucocorticoids such as betamethasone are given prior to 34 weeks' gestation to
promote fetal lung maturity if delivery can be delayed for 48 hours.
/.The perinatal nurse provides information to a laboring woman with twins that the
second twin will normally be born within what time frame?
A.
Within 5 minutes of the first twin
B.
Within 15 minutes of the first twin
C.
Within 30 minutes of the first twin
D.
Within 60 minutes of the first twin - Answer-B
The birth of the second twin normally occurs within 15 minutes of the first twin. Although
there has been concern over complications associated with a longer time period
between births, studies have shown that with proper fetal monitoring and maternal
surveillance, a safe vaginal birth can take place in an indefinite amount of time.
/.The perinatal nurse providing care to a laboring woman recognizes a non-reassuring
fetal heart rate tracing. Which of the following is the most appropriate initial action by the
nurse?
A.
Assist the woman to a left lateral position.
B.
Decrease the rate of the intravenous solution.
, C.
Document the fetal heart rate and variability.
D.
Request that the provider apply a fetal scalp electrode. - Answer-A
Because nonreassuring fetal heart rate patterns constitute a risk indicator for cesarean
birth, the nurse and all members of the health-care team must be ready for this outcome
at all times. The nurse should change the woman's position to her side to increase
oxygen flow to the fetus. The rate of the IV solution can be increased. Documentation
should always be thorough. Fetal scalp electrodes may or may not need to be placed.
/.The perinatal nurse is providing care to a multiparous woman in labor. Upon arrival to
the birthing suite, the cervix is 5 cm dilated and the patient is experiencing contractions
every 1 to 2 minutes that she describes as "strong." The patient states that she labored
for 1 hour at home and is feeling some rectal pressure. The patient is most likely
experiencing what condition?
A.
Hypertonic contractions
B.
Hypotonic contractions
C.
Precipitous labor
D.
Uterine hyperstimulation - Answer-C
Precipitous labor contractions produce very rapid, intense contractions. A precipitous
labor lasts less than 3 hours from the beginning of contractions to birth. Patients often
progress through the first stage of labor with little or no pain and may present to the
birth setting already advanced into the second stage.
/.The perinatal nurse determines by vaginal examination that a patient's cervix is fully
dilated and the fetal presenting part is descending rapidly with the patient's pushing
efforts. The most appropriate nursing intervention at this time would be to do which of
the following?
A.
Assist the patient with breathing patterns to slow down her pushing.
B.
Document the patient's progress and coping abilities in labor.
C.
Notify the health-care provider to come now for the birth.
D.
Provide information to the patient's partner about her stage of labor. - Answer-A
This woman's labor is progressing precipitously. The nurse should instruct her to
breathe through contractions to avoid pushing. Documentation should always be
thorough, but further action is needed. The provider should be notified about a possible
precipitous birth, but the woman needs assistance to control the bearing-down efforts.
The nurse can delegate the notification task to someone else. Patients and their support
2025/2026 COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW!!
/. The perinatal nurse explains to a nursing student that the most appropriate patient for
an amnioinfusion is a woman who has a fetal heart rate tracing that exhibits which
pattern?
A.
Absent variability
B.
Early decelerations
C.
Late decelerations
D.
Variable decelerations - Answer-D
Pregnancy outcome in patients experiencing variable fetal heart rate decelerations
caused by cord compression is improved through the use of amnioinfusion, which is the
instillation of normal saline or lactated Ringer's solution into the uterine cavity.
/.The perinatal nurse notes a rapid decrease in the fetal heart rate (FHR) that does not
recover immediately following an amniotomy. What action should the nurse perform
first?
A.
Administer oxygen at 100%.
B.
Assess the maternal temperature.
C.
Perform a vaginal examination.
D.
Recheck the FHR in 30 minutes. - Answer-C
The nurse needs to assess the fetal heart rate immediately before and after the artificial
rupture of the membranes. Changes such as transient fetal tachycardia may occur and
are common. However, other fetal heart rate patterns, such as bradycardia and variable
decelerations, may be indicative of cord compression or prolapse. The nurse should
perform a vaginal examination to assess for cord prolapse. Administering oxygen may
or may not be needed. Maternal temperature is assessed every 2 hours after artificial
rupture of membranes but is not related to this situation. The nurse should not wait 30
minutes prior to doing anything
,/.The perinatal nurse has administered a dose of dinoprostone (Cervidil) to a woman
prior to a labor induction with oxytocin (Pitocin). The nurse then notices that the
admission database is incomplete. What conditions should the nurse quickly question
the patient about?
A.
Asthma
B.
Gallbladder disease
C.
IV drug use
D.
Penicillin allergy - Answer-A
Dinoprostone is a prostaglandin E2 preparation for cervical ripening. It should be used
cautiously in women with a history of asthma, glaucoma, and renal, hepatic, or
cardiovascular disorders. Once the missing information is noticed, the nurse should
assess for contraindications to using the medication, then for conditions that make it
riskier. The other conditions are not related.
/.During the postpartum assessment, the perinatal nurse notes that a patient who has
just experienced a forceps-assisted birth now has a large amount of bright red vaginal
bleeding. Her uterine fundus is firm. The most appropriate action by the nurse is to
collaborate with the health-care provider in which activity?
A.
Bladder assessment and catheterization
B.
Preparing the woman for a hysterectomy
C.
Uterine massage and oxytocin infusion
D.
Vaginal assessment and repair - Answer-D
A forceps-assisted birth is one in which a steel instrument with two curved blades is
used to facilitate the birth of the infant's head. Perineal trauma is one of the major
complications associated with the use of forceps. Because hemorrhage (bright red
bleeding) may result from cervical lacerations and vaginal tearing, the woman requires
close observation during the postpartum period. If this occurs, the care provider should
be notified regarding a potential vaginal repair. The other actions are not warranted.
/.The perinatal nurse is caring for a patient with preeclampsia. What intervention does
the nurse include on this patient's care plan?
A.
Administer magnesium sulfate per agency policy.
B.
Assess the patient's blood pressure every 6 hours.
C.
Encourage the patient to rest on her back.
D.
,Notify the physician of urine output greater than 30 mL/hr. - Answer-A
The nurse is the manager of care for the woman with preeclampsia during the
intrapartal period. Careful assessments are critical. The nurse administers medications
as ordered and should adhere to hospital protocol for a magnesium sulfate infusion.
Vital signs should be assessed more often than every 6 hours. The patient should be
encouraged to maintain a left side-lying position. A urine output of greater than 30
mL/hour is normal.
/.The perinatal nurse is providing care to a 25-year-old G1 TPAL 0000 woman
hospitalized with severe hypertension at 33 weeks' gestation. The nurse is preparing to
administer the second dose of betamethasone (Celestone), prescribed by the physician.
The patient asks, "What is this injection for again?" Which of the following is the best
response by the nurse?
A.
Helps your baby grow and develop
B.
Helps your baby's lungs to mature
C.
Prepares your body to begin labor
D.
Stabilizes your blood pressure - Answer-B
Glucocorticoids such as betamethasone are given prior to 34 weeks' gestation to
promote fetal lung maturity if delivery can be delayed for 48 hours.
/.The perinatal nurse provides information to a laboring woman with twins that the
second twin will normally be born within what time frame?
A.
Within 5 minutes of the first twin
B.
Within 15 minutes of the first twin
C.
Within 30 minutes of the first twin
D.
Within 60 minutes of the first twin - Answer-B
The birth of the second twin normally occurs within 15 minutes of the first twin. Although
there has been concern over complications associated with a longer time period
between births, studies have shown that with proper fetal monitoring and maternal
surveillance, a safe vaginal birth can take place in an indefinite amount of time.
/.The perinatal nurse providing care to a laboring woman recognizes a non-reassuring
fetal heart rate tracing. Which of the following is the most appropriate initial action by the
nurse?
A.
Assist the woman to a left lateral position.
B.
Decrease the rate of the intravenous solution.
, C.
Document the fetal heart rate and variability.
D.
Request that the provider apply a fetal scalp electrode. - Answer-A
Because nonreassuring fetal heart rate patterns constitute a risk indicator for cesarean
birth, the nurse and all members of the health-care team must be ready for this outcome
at all times. The nurse should change the woman's position to her side to increase
oxygen flow to the fetus. The rate of the IV solution can be increased. Documentation
should always be thorough. Fetal scalp electrodes may or may not need to be placed.
/.The perinatal nurse is providing care to a multiparous woman in labor. Upon arrival to
the birthing suite, the cervix is 5 cm dilated and the patient is experiencing contractions
every 1 to 2 minutes that she describes as "strong." The patient states that she labored
for 1 hour at home and is feeling some rectal pressure. The patient is most likely
experiencing what condition?
A.
Hypertonic contractions
B.
Hypotonic contractions
C.
Precipitous labor
D.
Uterine hyperstimulation - Answer-C
Precipitous labor contractions produce very rapid, intense contractions. A precipitous
labor lasts less than 3 hours from the beginning of contractions to birth. Patients often
progress through the first stage of labor with little or no pain and may present to the
birth setting already advanced into the second stage.
/.The perinatal nurse determines by vaginal examination that a patient's cervix is fully
dilated and the fetal presenting part is descending rapidly with the patient's pushing
efforts. The most appropriate nursing intervention at this time would be to do which of
the following?
A.
Assist the patient with breathing patterns to slow down her pushing.
B.
Document the patient's progress and coping abilities in labor.
C.
Notify the health-care provider to come now for the birth.
D.
Provide information to the patient's partner about her stage of labor. - Answer-A
This woman's labor is progressing precipitously. The nurse should instruct her to
breathe through contractions to avoid pushing. Documentation should always be
thorough, but further action is needed. The provider should be notified about a possible
precipitous birth, but the woman needs assistance to control the bearing-down efforts.
The nurse can delegate the notification task to someone else. Patients and their support
