https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
NCM 109/L – MATERNAL AND CHILD 13. Leopolds maneuver – the nurse is in the head
NURSING (FINAL EXAM REVIEWER) part and is assessing for fetal presentation.
D. Step 4
RLE - RATIONALIZATION (1ST EXAM)
14. 24 weeks gestation – Fundal height
1. 22 years old in active labor with prolonged measurement is smaller.
latent phase of labor (2 cm @ 12 hours). A. Fetal growth restriction
D. Allow more time for spontaneous
progression of labor. 15. 24 weeks gestation – pre-term labor with
contractions (initial nursing action).
2. 25 years old (primigravida) – 3 hours of regular B. Checking fetal heart rate
contractions with temperature elevated.
D. Assess for signs of infection. 16. 28 weeks gestation with sudden abdominal pain
and vaginal bleeding (assess for?).
3. 28 years old (40 weeks gestation) cervix is 3cm B. Fetal viability
dilated and FHT is normal.
B. continue monitoring without 17. 32 weeks gestation (In Leopold’s maneuver –
intervention. smaller irregular parts in the lower abdomen
can be felt).
4. 30 years old (fully dilated for 3 hours but poor B. Transverse lie
uterine contractions).
A. Prepare for immediate cesarian 18. Fundal height measurement is consistent with
section. gestational age.
A. Normal fetal growth
5. Active labor and 7 cm dilated with strong regular
contractions, but FHT indicated fetal distress. 19. 32 weeks of gestation with decreased fetal
C. Change the maternal position. movement.
A. Instruct the woman to count fetal
6. Leopolds maneuver (palpating symphysis pubis kicks in the next hour.
to determine fetal engagement).
C. Step 3 20. 36 weeks (leopold’s maneuver) What step
should be used first to assess fetal position.
7. Leopolds maneuver (palpating the maternal A. 3rd maneuver
abdomen to determine fetal head engagement).
D. Step 4 21. What step of leopold’s maneuver determines
the fetal back.
8. Uterine contractions lasting 30 seconds. A. 2nd maneuver
D. assess fetal heart rate.
22. Uterine contractions every 10 minutes (nursing
9. Uterine contractions – frequency decreases, intervention).
from 8-10 mins to 2-3 mins. D. assess the woman’s pain level
B. Notify the healthcare provider for
further evaluation. 23. LMP (April 10) - EDD
A. January 17
10. Uterine contractions every 2-3 mins with 50-60
seconds duration. 24. LMP (June 15) – EDD
A. Normal frequency and duration A. March 22
11. Uterine contractions – intensity exceeds 90 25. Uterine contractions lasting 90 seconds.
mmHg. B. Refer to the doctor about the
D. reduce the rate of oxytocin findings.
infusion.
26. Uterine contractions every 2 minutes lasting 90
12. Uterine contractions with 30 seconds duration seconds each.
B. Moderate contractions C. Prepare client for delivery.
This study source was downloaded by 884789 from cliffsnotes.com on 04-04-2025 16:28:19 GMT -05:00
– |
https://www.cliffsnotes.com//study-notes/15866944
https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
, https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
27. In 2nd stage of labor when fetal head is already 39. During vacuum extraction, there is already
crowning, what is the purpose of perineal maternal exhaustion and fetal head fails to
support. descend.
A. Prevent perineal lacerations. A. Perform cesarian section.
28. 36 weeks – sudden severe swelling of hands 40. During placental delivery, what to do in order to
and face. facilitate the process.
C. Preeclampsia B. Apply control cord traction.
29. 36 weeks – fundal height exceeds expectations. 41. Irregular menstrual cycle – LMP (Nov. 15) - EDD
B. Fetal macrosomia A. August 22
30. 38 weeks – How to estimate AOG when the 42. How to determine the intensity of uterine
woman is uncertain about expected date of contractions during assessment.
delivery. C. Palpating the fundus of the uterus
B. Measuring fundal height
43. Ultrasound at 18 weeks AOG – EDD
31. 39 weeks of gestation – During assessment BONUS (A. May 10)
meconium-stained amniotic fluid has been
detected. 44. What factor contributes to the length of interval
C. Administer oxygen to the mother. between uterine contractions.
D. Gestational age
32. Prolonged 2nd stage labor – What factor will lead
to assisted vaginal delivery such as using 45. Interval between uterine contractions.
forceps in this situation? A. Resting period
B. Maternal exhaustion
46. Normal duration of uterine contractions in
33. Woman is in active labor and progressing well, active labor.
as an assisting nurse, what is your priority? B. 45-60 seconds
B. Providing encouragement and
emotional support. 47. Normal frequency of uterine contractions in
active labor.
34. What other method to determine EDD if a C. Every 3-5 mins
woman has an irregular menstrual cycle and
can’t remember her LMP. 48. What is the primary mechanism that is
A. Ultrasound dating responsible for placental delivery.
B. Uterine contractions
35. What stage happens after birth when there is
sudden gush of blood and lengthening of the 49. Method to calculate for EDD.
cord. A. Naegele’s rule
B. Expulsion stage
50. During 1st day of postpartum, what must be
36. Leopold’s maneuver (which step involves reported as sign of PPH.
palpating upper abdomen to determine fetal A. Urine w/ 200 ML
back).
BONUS (Step 2)
RLE - RATIONALIZATION (2nd EXAM)
37. During prenatal exam which step of leopold’s
maneuver will determine the location of fetal 1. A mother is seeking advice about the bluish-
back. gray patch on her baby’s skin.
B. Step 2 C. That is likely a Mongolian spot ad
is harmless.
38. 38 weeks AOG – During leopold’s maneuver,
what presentation when during palpation, you 2. During postnatal assessment, the child has low
can feel soft, round, firm and movable mass at imperforated anus.
the fundal area. C. Monitoring signs of infection
D. Cephalic around the anal area.
This study source was downloaded by 884789 from cliffsnotes.com on 04-04-2025 16:28:19 GMT -05:00
– |
https://www.cliffsnotes.com//study-notes/15866944
https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
NCM 109/L – MATERNAL AND CHILD 13. Leopolds maneuver – the nurse is in the head
NURSING (FINAL EXAM REVIEWER) part and is assessing for fetal presentation.
D. Step 4
RLE - RATIONALIZATION (1ST EXAM)
14. 24 weeks gestation – Fundal height
1. 22 years old in active labor with prolonged measurement is smaller.
latent phase of labor (2 cm @ 12 hours). A. Fetal growth restriction
D. Allow more time for spontaneous
progression of labor. 15. 24 weeks gestation – pre-term labor with
contractions (initial nursing action).
2. 25 years old (primigravida) – 3 hours of regular B. Checking fetal heart rate
contractions with temperature elevated.
D. Assess for signs of infection. 16. 28 weeks gestation with sudden abdominal pain
and vaginal bleeding (assess for?).
3. 28 years old (40 weeks gestation) cervix is 3cm B. Fetal viability
dilated and FHT is normal.
B. continue monitoring without 17. 32 weeks gestation (In Leopold’s maneuver –
intervention. smaller irregular parts in the lower abdomen
can be felt).
4. 30 years old (fully dilated for 3 hours but poor B. Transverse lie
uterine contractions).
A. Prepare for immediate cesarian 18. Fundal height measurement is consistent with
section. gestational age.
A. Normal fetal growth
5. Active labor and 7 cm dilated with strong regular
contractions, but FHT indicated fetal distress. 19. 32 weeks of gestation with decreased fetal
C. Change the maternal position. movement.
A. Instruct the woman to count fetal
6. Leopolds maneuver (palpating symphysis pubis kicks in the next hour.
to determine fetal engagement).
C. Step 3 20. 36 weeks (leopold’s maneuver) What step
should be used first to assess fetal position.
7. Leopolds maneuver (palpating the maternal A. 3rd maneuver
abdomen to determine fetal head engagement).
D. Step 4 21. What step of leopold’s maneuver determines
the fetal back.
8. Uterine contractions lasting 30 seconds. A. 2nd maneuver
D. assess fetal heart rate.
22. Uterine contractions every 10 minutes (nursing
9. Uterine contractions – frequency decreases, intervention).
from 8-10 mins to 2-3 mins. D. assess the woman’s pain level
B. Notify the healthcare provider for
further evaluation. 23. LMP (April 10) - EDD
A. January 17
10. Uterine contractions every 2-3 mins with 50-60
seconds duration. 24. LMP (June 15) – EDD
A. Normal frequency and duration A. March 22
11. Uterine contractions – intensity exceeds 90 25. Uterine contractions lasting 90 seconds.
mmHg. B. Refer to the doctor about the
D. reduce the rate of oxytocin findings.
infusion.
26. Uterine contractions every 2 minutes lasting 90
12. Uterine contractions with 30 seconds duration seconds each.
B. Moderate contractions C. Prepare client for delivery.
This study source was downloaded by 884789 from cliffsnotes.com on 04-04-2025 16:28:19 GMT -05:00
– |
https://www.cliffsnotes.com//study-notes/15866944
https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
, https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
27. In 2nd stage of labor when fetal head is already 39. During vacuum extraction, there is already
crowning, what is the purpose of perineal maternal exhaustion and fetal head fails to
support. descend.
A. Prevent perineal lacerations. A. Perform cesarian section.
28. 36 weeks – sudden severe swelling of hands 40. During placental delivery, what to do in order to
and face. facilitate the process.
C. Preeclampsia B. Apply control cord traction.
29. 36 weeks – fundal height exceeds expectations. 41. Irregular menstrual cycle – LMP (Nov. 15) - EDD
B. Fetal macrosomia A. August 22
30. 38 weeks – How to estimate AOG when the 42. How to determine the intensity of uterine
woman is uncertain about expected date of contractions during assessment.
delivery. C. Palpating the fundus of the uterus
B. Measuring fundal height
43. Ultrasound at 18 weeks AOG – EDD
31. 39 weeks of gestation – During assessment BONUS (A. May 10)
meconium-stained amniotic fluid has been
detected. 44. What factor contributes to the length of interval
C. Administer oxygen to the mother. between uterine contractions.
D. Gestational age
32. Prolonged 2nd stage labor – What factor will lead
to assisted vaginal delivery such as using 45. Interval between uterine contractions.
forceps in this situation? A. Resting period
B. Maternal exhaustion
46. Normal duration of uterine contractions in
33. Woman is in active labor and progressing well, active labor.
as an assisting nurse, what is your priority? B. 45-60 seconds
B. Providing encouragement and
emotional support. 47. Normal frequency of uterine contractions in
active labor.
34. What other method to determine EDD if a C. Every 3-5 mins
woman has an irregular menstrual cycle and
can’t remember her LMP. 48. What is the primary mechanism that is
A. Ultrasound dating responsible for placental delivery.
B. Uterine contractions
35. What stage happens after birth when there is
sudden gush of blood and lengthening of the 49. Method to calculate for EDD.
cord. A. Naegele’s rule
B. Expulsion stage
50. During 1st day of postpartum, what must be
36. Leopold’s maneuver (which step involves reported as sign of PPH.
palpating upper abdomen to determine fetal A. Urine w/ 200 ML
back).
BONUS (Step 2)
RLE - RATIONALIZATION (2nd EXAM)
37. During prenatal exam which step of leopold’s
maneuver will determine the location of fetal 1. A mother is seeking advice about the bluish-
back. gray patch on her baby’s skin.
B. Step 2 C. That is likely a Mongolian spot ad
is harmless.
38. 38 weeks AOG – During leopold’s maneuver,
what presentation when during palpation, you 2. During postnatal assessment, the child has low
can feel soft, round, firm and movable mass at imperforated anus.
the fundal area. C. Monitoring signs of infection
D. Cephalic around the anal area.
This study source was downloaded by 884789 from cliffsnotes.com on 04-04-2025 16:28:19 GMT -05:00
– |
https://www.cliffsnotes.com//study-notes/15866944
https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch https://www.stuvia.com/user/allatopnotch
