MATERNAL CHILD NURSING EXAM 3
ACTUAL EXAM SCRIPT 2026 COMPLETE
QUESTIONS AND ACCURATE ANSWERS
REVIEW SHEET
◉ A primigravida whose labor was initially progressing normally is
now experiencing a decrease in the frequency and intensity of her
contractions. The nurse would assess the woman for which
condition?
A) A low-lying placenta
B) Fetopelvic disproportion
C) Contraction ring
D) Uterine bleeding.
Answer: B
◉ The nurse would be alert for possible placental abruption during
labor when assessment reveals which of the following?
A) Macrosomia
B) Gestational hypertension
C) Gestational diabetes
D) Low parity.
,Answer: B
◉ Assessment of a woman in labor who is experiencing hypertonic
uterine dysfunction would reveal contractions that are:
A) Well coordinated
B) Poor in quality
C) Rapidly occurring
D) Erratic.
Answer: D
◉ A woman in labor is experiencing hypotonic uterine dysfunction.
Assessment reveals no fetopelvic disproportion. Which group of
medications would the nurse expect to administer?
A) Sedatives
B) Tocolytics
C) Oxytocins
D) Corticosteroids.
Answer: C
◉ The fetus of a woman in labor is determined to be in persistent
occiput posterior position. Which of the following would the nurse
identify as the priority intervention?
A) Position changes
,B) Pain relief measures
C) Immediate cesarean birth
D) Oxytocin administration.
Answer: B
◉ A woman gave birth to a newborn via vaginal delivery with the
use of a vacuum extractor. The nurse would be alert for which of the
following in the newborn?
A) Asphyxia
B) Clavicular fracture
C) Caput succedaneum
D) Central nervous system injury.
Answer: C
◉ A pregnant client undergoing labor induction is receiving an
oxytocin infusion. Which of the following findings would require
immediate intervention?
A) Fetal heart rate of 150 beats/minute
B) Contractions every 2 minutes, lasting 45 seconds
C) Uterine resting tone of 14 mm Hg
D) Urine output of 20 mL/hour.
Answer: D
, ◉ A woman with a history of crack cocaine abuse is admitted to the
labor and birth area. While caring for the client, the nurse notes a
sudden onset of fetal bradycardia. Inspection of the abdomen reveals
an irregular wall contour. The client also complains of acute
abdominal pain that is continuous. Which of the following would the
nurse suspect?
A) Amniotic fluid embolism
B) Shoulder dystocia
C) Uterine rupture
D) Umbilical cord prolapse.
Answer: C
◉ When assessing several women for possible VBAC, which woman
would the nurse identify as being the best candidate?
A) One who has undergone a previous myomectomy
B) One who had a previous cesarean birth via a low transverse
incision
C) One who has a history of a contracted pelvis
D) One who has a vertical incision from a previous cesarean birth.
Answer: B
◉ A woman is to undergo an amnioinfusion. Which statement would
be most appropriate to include when teaching the woman about this
procedure?
ACTUAL EXAM SCRIPT 2026 COMPLETE
QUESTIONS AND ACCURATE ANSWERS
REVIEW SHEET
◉ A primigravida whose labor was initially progressing normally is
now experiencing a decrease in the frequency and intensity of her
contractions. The nurse would assess the woman for which
condition?
A) A low-lying placenta
B) Fetopelvic disproportion
C) Contraction ring
D) Uterine bleeding.
Answer: B
◉ The nurse would be alert for possible placental abruption during
labor when assessment reveals which of the following?
A) Macrosomia
B) Gestational hypertension
C) Gestational diabetes
D) Low parity.
,Answer: B
◉ Assessment of a woman in labor who is experiencing hypertonic
uterine dysfunction would reveal contractions that are:
A) Well coordinated
B) Poor in quality
C) Rapidly occurring
D) Erratic.
Answer: D
◉ A woman in labor is experiencing hypotonic uterine dysfunction.
Assessment reveals no fetopelvic disproportion. Which group of
medications would the nurse expect to administer?
A) Sedatives
B) Tocolytics
C) Oxytocins
D) Corticosteroids.
Answer: C
◉ The fetus of a woman in labor is determined to be in persistent
occiput posterior position. Which of the following would the nurse
identify as the priority intervention?
A) Position changes
,B) Pain relief measures
C) Immediate cesarean birth
D) Oxytocin administration.
Answer: B
◉ A woman gave birth to a newborn via vaginal delivery with the
use of a vacuum extractor. The nurse would be alert for which of the
following in the newborn?
A) Asphyxia
B) Clavicular fracture
C) Caput succedaneum
D) Central nervous system injury.
Answer: C
◉ A pregnant client undergoing labor induction is receiving an
oxytocin infusion. Which of the following findings would require
immediate intervention?
A) Fetal heart rate of 150 beats/minute
B) Contractions every 2 minutes, lasting 45 seconds
C) Uterine resting tone of 14 mm Hg
D) Urine output of 20 mL/hour.
Answer: D
, ◉ A woman with a history of crack cocaine abuse is admitted to the
labor and birth area. While caring for the client, the nurse notes a
sudden onset of fetal bradycardia. Inspection of the abdomen reveals
an irregular wall contour. The client also complains of acute
abdominal pain that is continuous. Which of the following would the
nurse suspect?
A) Amniotic fluid embolism
B) Shoulder dystocia
C) Uterine rupture
D) Umbilical cord prolapse.
Answer: C
◉ When assessing several women for possible VBAC, which woman
would the nurse identify as being the best candidate?
A) One who has undergone a previous myomectomy
B) One who had a previous cesarean birth via a low transverse
incision
C) One who has a history of a contracted pelvis
D) One who has a vertical incision from a previous cesarean birth.
Answer: B
◉ A woman is to undergo an amnioinfusion. Which statement would
be most appropriate to include when teaching the woman about this
procedure?
