NR 327 POSTPARTUM ISBAR EXAM SCRIPT
2026 FULL SOLUTIONS AND CORRECT
ANSWERS GRADED A+
⩥ What can uterine tachysytole put the fetus at risk for ? Answer:
decreased fetal oxygenation
*requires immediate action*
⩥ If amniotic membranes have ruptured, assess for... Answer: time
amount
color
odor
⩥ Why is it important for a client in labor to maintain an empty bladder?
Answer: To ensure that fetal descent is not impaired
To prevent damage to the bladder from uterine compression
⩥ Misprostol Answer: causes cervical ripening and contractions
⩥ Misprostol adverse effects Answer: uterine tachysystole
*should not be given to clients who have had a previous cesarean birth
or major uterine surgery*
,⩥ Dinoprostone Answer: one time dose administered vaginally used to
ripen the cervix
⩥ Oxytocin Answer: cause uterine contractions once the cervix is
favorable or when contractions need to be stronger or more regular to
dilate the cervix. It is also used after birth to control postpartum
hemorrhage.
⩥ Oxytocin adverse effects Answer: blood pressure elevation
water intoxication
decreased urine output
uterine tachysystole
fetal hypoxia
cardiac arrhythmias
nausea and vomiting
⩥ What is the highest priority after birth of the fetus? Answer:
Establishing the newborn's airway
⩥ fetal occiput Answer: most rounded and smooth surface of the fetal
head, is best at fitting through the pelvis and dilating the cervix when it
is turned in a right anterio
, ⩥ Passageway Answer: pelvis
⩥ Passanger Answer: fetus, umbillical cord, and placenta
⩥ Powers Answer: contractions
⩥ Position Answer: change frequently and remain physically active
during labor when safe to do so
⩥ Psyche Answer: mothers psychological response
⩥ True labor contractions Answer: occur at regular intervals, gradually
increase in duration and intensity, and shorten in frequency
⩥ False labor contractions Answer: irregular with no change in duration,
intensity, or frequency
⩥ Latent phase of dilation Answer: Dilation of 0-3 cm
Contractions every 5-8 minutes lasting 30-40 seconds
The client is still alert, talkative, and teachable.
⩥ Active phase of dilation Answer: Dilation of 4-7 cm
Contractions every 2-3 minutes lasting 40-60 seconds
2026 FULL SOLUTIONS AND CORRECT
ANSWERS GRADED A+
⩥ What can uterine tachysytole put the fetus at risk for ? Answer:
decreased fetal oxygenation
*requires immediate action*
⩥ If amniotic membranes have ruptured, assess for... Answer: time
amount
color
odor
⩥ Why is it important for a client in labor to maintain an empty bladder?
Answer: To ensure that fetal descent is not impaired
To prevent damage to the bladder from uterine compression
⩥ Misprostol Answer: causes cervical ripening and contractions
⩥ Misprostol adverse effects Answer: uterine tachysystole
*should not be given to clients who have had a previous cesarean birth
or major uterine surgery*
,⩥ Dinoprostone Answer: one time dose administered vaginally used to
ripen the cervix
⩥ Oxytocin Answer: cause uterine contractions once the cervix is
favorable or when contractions need to be stronger or more regular to
dilate the cervix. It is also used after birth to control postpartum
hemorrhage.
⩥ Oxytocin adverse effects Answer: blood pressure elevation
water intoxication
decreased urine output
uterine tachysystole
fetal hypoxia
cardiac arrhythmias
nausea and vomiting
⩥ What is the highest priority after birth of the fetus? Answer:
Establishing the newborn's airway
⩥ fetal occiput Answer: most rounded and smooth surface of the fetal
head, is best at fitting through the pelvis and dilating the cervix when it
is turned in a right anterio
, ⩥ Passageway Answer: pelvis
⩥ Passanger Answer: fetus, umbillical cord, and placenta
⩥ Powers Answer: contractions
⩥ Position Answer: change frequently and remain physically active
during labor when safe to do so
⩥ Psyche Answer: mothers psychological response
⩥ True labor contractions Answer: occur at regular intervals, gradually
increase in duration and intensity, and shorten in frequency
⩥ False labor contractions Answer: irregular with no change in duration,
intensity, or frequency
⩥ Latent phase of dilation Answer: Dilation of 0-3 cm
Contractions every 5-8 minutes lasting 30-40 seconds
The client is still alert, talkative, and teachable.
⩥ Active phase of dilation Answer: Dilation of 4-7 cm
Contractions every 2-3 minutes lasting 40-60 seconds
