MATERNITY FINAL EXAM QUESTIONS EXAM QUESTIONS AND ANSWERS LATEST ALREADY GRADED A+ 2025

MATERNITY FINAL EXAM QUESTIONS EXAM QUESTIONS AND ANSWERS LATEST ALREADY GRADED A+ 2025 A pregnant woman who is in her late 3rd trimester called her primary care provider complaining of contractions. Which of the following indicates that the patient is experiencing true labor? Select all that apply. A. My pain duration changes when I move around B. My contractions are occurring every 6 minutes and last 1 minute long C. I have pain located back to front D. My cervix is changing E. My contractions are coming 10, 7, and then 15 minutes apart - ANSWER-B, C, D Rationale: True labor is regular, location is back to front, and the duration remains constant. Cervical change is a true indicator of labor. A pregnant women presents to her doctors office with nausea, vomiting, and sharp abdominal pain. The doctor suspects an ectopic pregnancy. What would her HCG levels look like? A. HCG level slowly declining over 48 hours B. HCG level rising but not doubling appropriately in 48 hours C. HCG level drastically drops within 24 hours D. No HCG hormone detected - ANSWER-B Rationale: HCG levels would still rise because the fertilized ovum is still secreting HCG even though it is in the wrong place. The HCG level would decline over 48 hours if their was a spontaneous abortion/loss. Janine is a 34-year-old female who is 36 weeks pregnant with fraternal twins, has two living children that are also fraternal twins and now 4 years old, that she delivered at 36 weeks via c-section. She had a therapeutic abortion at 23 years old and spontaneously aborted during her second pregnancy at 27 years old. What is her GTPAL? A.) G=2, T=1, P=1, A=2, L=2 B.) G=4, T=1, P=0, A=2, L=2 C.) G=4, T=0, P=1, A=2, L=2 D.) G=4, T=0, P=1, A=1, L=2 E.) G=2, T=1, P=0, A=1, L=2 - ANSWER-C Your patient's last menstrual cycle was February 6, 2020. Using Naegele's Rule, what is her expected date of delivery? A. November 13, 2021 Maternity Maternity B. November 9, 2020 C. October 13, 2020 D. November 13, 2020 - ANSWER-D subtract 3 months, add 7 seven days & adjust year A 26 year old woman presents to her OB because she missed her last menstrual period. She reports fatigue, nausea, and urinary frequency. The provider interprets these findings as which indication of pregnancy? Probable Presumptive Positive Negative - ANSWER-A A patient comes into the GYN clinic in her second trimester. She is 37 years old. She has had two vaginal births in the past, both at 40 weeks gestation. She miscarried one fetus at 24 weeks. She currently has two living children. What is her GTPAL? G=2, T=3, P=1, A=1, L=3 G=4, T=2, P=0, A=1, L=2 G=3, T=2, P=1, A=0, L=2 G=4, T=3, P=0, A=1, L=1 - ANSWER-B 1. Which of the following maternal factors may decrease fetal oxygenation? Select all that apply A. Asthma B. Gestational diabetes C. Hypertension D. Epidural - ANSWER-A, B, C, D RationaleA- Asthma may affect fetal oxygenation levels due to inadequate gas exchange in the mom B- Gestational diabetes may lead to placental insufficiency which affects fetal oxygenationC- Hypertension may reduce blood flow to placenta due to vasospasmD- Epidural side effects include hypotension, which will reduce blood flow to placenta and therefore affect fetal oxygenation 2. Which of the following are maternal changes during pregnancy? (select all that apply) A. Decreased cardiac output B. Increased clotting factors C. Decreased lung volume D. Skin color changes that should return to normal after pregnancy E. Supine hypertensive syndrome - ANSWER-B, C, D RationaleA is incorrect because cardiac output increases with the 30% increased blood volume to compensate for blood loss during birth and to provide fetus with nutrient. E is incorrect because pregnant women develop supine hypotension syndrome (vena caval syndrome), from baby putting pressure on the inferior vena cava. A 25 year old female is 25 weeks pregnant. she has had one previous pregnancy at 35 weeks and the baby is now 2 years old. she has no history of abortion Maternity Maternity What is her GTPAL - ANSWER-G2 T0 P1 A0 L1 A woman is 37 weeks pregnant and experiencing contractions lasting an average of 35 seconds with varying frequency, her last ones being 12 minutes apart, 8 minutes apart and then 25 minutes. She is 2 cm dilated, her physician would explain that she is in the _______ stage of labor - ANSWER-stage 1 latent phase The nurse is performing a skin assessment on a 1 day old newborn during a sponge bath. The nurse records several abnormalities. All of the following do not require intervention/follow-up EXCEPT: a.)Acrocyanosis b.) Ruddy coloring c.) Vernix caseosa d.) Erythema toxicum - ANSWER-b. ruddy coloring A nurse is concerned about blood clots in a new mother, which of the following interventions should be done to manage her risk associated with clotting (Select all): a) Immediately report elevated coagulation factors to the attending physician b) Conduct frequent Homan's sign tests c) Help the patient to the bathroom once she feels stable d) Assess legs for redness and edema e) Frequently refill the patient's water jug and ask if she needs anything - ANSWER-c, d A nurse is performing a fundal assessment on PP woman who is in the fourth stage of labor. The nurse notes that the fundus elevated and shifted to the right. What nursing action is most appropriate? Notify the Physician Ask the mother to void and empty her bladder then recheck the fundus Massage the fundus gently Straight catheterize the mother immediately - ANSWER-B Which of the following are risk factors for hyperbilirubinemia in a newborn? Select all that apply. Delayed feeding Birth to a diabetic mother Lack of albumin binding sites Axillary temperature of 97.8 Short RBC life - ANSWER-A, B, C, E The fetal monitor of a woman currently in active labor on Pitocin shows decelerations appearing to the right of every contraction. What is the priority nursing intervention? A) Notify the provider B) Administer oxygen via non-rebreather at 8-10 L/min and elevate the clients legs Maternity Maternity C) Continue with labor support because these are normal during labor, as long as the fetus HR goes back to baseline after each deceleration D) Immediately turn off Pitocin and place client in side-lying position - ANSWER-D A 30-year old woman with history of type I DM goes into labor during her 38th week of gestation. She had regular prenatal care, but her blood glucose levels were poorly controlled. Infant was delivered by CS due to failure of fetus to descend during second stage of labor. APGAR scores were 8 and 9 at 1 and 5 minutes, respectively. PE shows an infant large for gestational age but otherwise normal. Which of the following metabolic disturbances is most likely to develop: A) Diabetic Ketoacidosis B) Hyperthyroidism C) Persistent Hypoglycemia D) Transient Hyperglycemia E) Transient Hypoglycemia - ANSWER-E Adverse effects of Oxytocin (Pitocin) include ____. A. Hypertension B. Hypotension C. Bradycardia D. Diarrhea - ANSWER-B You as the nurse are about to perform a newborn assessment. Which of the following tools do you need to have at your side? (Select all that apply). A. Stethoscope B. Mask C. Bulb Syringe D. Scale E. BP Cuff - ANSWER-A, C, D After birth, the number of wet diapers is counted to measure the baby's hydration status. How many wet diapers a day ensures adequate hydration? A. 2-3 B. 4-5 C. 6-8 D. 9 - ANSWER-C A primiparous, 33-year-old female is admitted to the hospital after laboring at home for several hours. She is assessed and determined to be in Stage 1, Phase 2 of labor (7/95/-1). The patient declines an epidural despite reporting pain at 10/10 and appearing extremely uncomfortable. Examples of physical factors that influence pain perception include: (select all) A) Intensity of labor B) Anxiety and fear C) Childbirth preparation D) Interventions of caregivers Maternity Maternity E) Fatigue and hunger - ANSWER-A, D, E A multiparous woman has just delivered her baby. The nurse comes in to assess the patient for signs of postpartum hemorrhage after she had rung the call bell stating that she is bleeding through several pads very quickly. The most important nursing intervention when observing for postpartum bleeding is: Call the Provider immediately Administer Lovenox Palpate the uterus and massage if it is boggy Assess vital signs and signs of hypovolemic shock - ANSWER-C The nurse is assessing the lochia on a 1 day postpartum patient. The nurse notes that the lochia is red and has a foul smelling odor. The nurse determines that this assessment finding is... a. normal b. indicated the need for increased fluids c. indicates the presence of infection d. indicated the need for increased ambulation - ANSWER-C An L&D nurse is assessing a newborn at 5 minutes after birth. The baby is pink, with a pulse of 9 bpm, cries vigorously when the nurse checks for a babinski reflex, and is actively moving all extremities. How should the nurse record the baby's APGAR score? A. 8 B. 9 C. 10 D. 11 - ANSWER-B 1. On day 13 of a 28-day cycle, a woman's basal body temperature is 98.4 °F. If she ovulates on day 14, her temperature measurement on day 14 would most likely be: a. 98.0 °F b. 97.3 °F c. 98.8 °F d. 99.4 °F - ANSWER-C At the time of ovulation, body temperature will increase slightly, about 0.4-0.8° F Suzie and Rick are trying to have a child and Suzie is ready for pregnancy but they are fearful because she hasn't menstruated in over three months and have been trying to conceive for almost at year. In attempts to get pregnant they have gone to an infertility specialist who gave them advice. Place the following options from Suzie an