N354 Final Exam Practice Questions &
Answers 100% Correct!!
The nurse is scheduling a client for an external cephalic version (ECV). Which finding in
the clients chart requires immediate intervention?
1. Previous birth by cesarean
2. Frank breech ballotable
3. 37 weeks, complete breech
4. Failed ECV last week - ANSWERS1
A woman is scheduled to have an external version for a breech presentation. The nurse
carefully reviews the clients chart for contraindications to this procedure, including which
of the following?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
Select all that apply.
1. Station -2
2. 38 weeks gestation
3. Abnormal fetal heart rate and tracing
4. Previous cesarean section
5. Rupture of membranes - ANSWERS3, 4, 5
A laboring clients obstetrician has suggested amniotomy as a method for inducing labor.
Which assessment(s) must be made just before the amniotomy is performed?
1. Maternal temperature, BP, and pulse
2. Estimation of fetal birth weight
3. Fetal presentation, position, and station
,4. Biparietal diameter - ANSWERS3
Amniotomy as a method of labor induction has which of the following advantages?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
Select all that apply.
1. The danger of a prolapsed cord is decreased.
2. There is usually no risk of hypertonus or rupture of the uterus.
3. The intervention can cause a decrease in pain.
4. The color and composition of amniotic fluid can be evaluated.
5. The contractions elicited are similar to those of spontaneous labor. - ANSWERS2, 4,
5
During a visit to the obstetrician, a pregnant client questions the nurse about the
potential need for an amniotomy. The nurse explains that an amniotomy is performed to
do which of the following?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
Select all that apply.
1. Stimulate the beginning of labor
2. Augment labor progression
3. Allow application of an internal fetal electrode
4. Allow application of an external fetal monitor
5. Allow insertion of an intrauterine pressure catheter - ANSWERS1, 2, 3, 5
Under which circumstances would the nurse remove prostaglandin from the clients
cervix?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
Select all that apply.
,1. Contractions every 5 minutes
2. Nausea and vomiting
3. Uterine tachysystole
4. Cardiac tachysystole
5. Baseline fetal heart rate of 140-148 - ANSWERS2, 3, 4
The nurse knows that the Bishop scoring system for cervical readiness includes which
of the following?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
Select all that apply.
1. Fetal station
2. Fetal lie
3. Fetal presenting part
4. Cervical effacement
5. Cervical softness - ANSWERS1, 4, 5
In which clinical situations would it be appropriate for an obstetrician to order a labor
nurse to perform amnioinfusion?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
Select all that apply.
1. Placental abruption
2. Meconium-stained fluid
3. Polyhydramnios
4. Variable decelerations
5. Early decelerations - ANSWERS2, 4
, The nurse is monitoring a client who is receiving an amnioinfusion. Which assessments
must the nurse perform to prevent a serious complication?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
Select all that apply.
1. Color of amniotic fluid
2. Maternal blood pressure
3. Cervical effacement
4. Uterine resting tone
5. Fluid leaking from the vagina - ANSWERS2, 4, 5
A client attending a prenatal class asks why episiotomies are performed. The nurse
explains that risk factors that predispose women to episiotomies include which of the
following?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
Select all that apply.
1. Large or macrosomic fetus
2. Use of forceps
3. Shoulder dystocia
4. Maternal health
5. Shorter second stage - ANSWERS1, 2, 3
The physician has determined the need for forceps. The nurse should explain to the
client that the use of forceps is indicated because of which of the following?
1. Her support person is exhausted
2. Premature placental separation
3. To shorten the first stage of labor
Answers 100% Correct!!
The nurse is scheduling a client for an external cephalic version (ECV). Which finding in
the clients chart requires immediate intervention?
1. Previous birth by cesarean
2. Frank breech ballotable
3. 37 weeks, complete breech
4. Failed ECV last week - ANSWERS1
A woman is scheduled to have an external version for a breech presentation. The nurse
carefully reviews the clients chart for contraindications to this procedure, including which
of the following?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
Select all that apply.
1. Station -2
2. 38 weeks gestation
3. Abnormal fetal heart rate and tracing
4. Previous cesarean section
5. Rupture of membranes - ANSWERS3, 4, 5
A laboring clients obstetrician has suggested amniotomy as a method for inducing labor.
Which assessment(s) must be made just before the amniotomy is performed?
1. Maternal temperature, BP, and pulse
2. Estimation of fetal birth weight
3. Fetal presentation, position, and station
,4. Biparietal diameter - ANSWERS3
Amniotomy as a method of labor induction has which of the following advantages?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
Select all that apply.
1. The danger of a prolapsed cord is decreased.
2. There is usually no risk of hypertonus or rupture of the uterus.
3. The intervention can cause a decrease in pain.
4. The color and composition of amniotic fluid can be evaluated.
5. The contractions elicited are similar to those of spontaneous labor. - ANSWERS2, 4,
5
During a visit to the obstetrician, a pregnant client questions the nurse about the
potential need for an amniotomy. The nurse explains that an amniotomy is performed to
do which of the following?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
Select all that apply.
1. Stimulate the beginning of labor
2. Augment labor progression
3. Allow application of an internal fetal electrode
4. Allow application of an external fetal monitor
5. Allow insertion of an intrauterine pressure catheter - ANSWERS1, 2, 3, 5
Under which circumstances would the nurse remove prostaglandin from the clients
cervix?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
Select all that apply.
,1. Contractions every 5 minutes
2. Nausea and vomiting
3. Uterine tachysystole
4. Cardiac tachysystole
5. Baseline fetal heart rate of 140-148 - ANSWERS2, 3, 4
The nurse knows that the Bishop scoring system for cervical readiness includes which
of the following?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
Select all that apply.
1. Fetal station
2. Fetal lie
3. Fetal presenting part
4. Cervical effacement
5. Cervical softness - ANSWERS1, 4, 5
In which clinical situations would it be appropriate for an obstetrician to order a labor
nurse to perform amnioinfusion?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
Select all that apply.
1. Placental abruption
2. Meconium-stained fluid
3. Polyhydramnios
4. Variable decelerations
5. Early decelerations - ANSWERS2, 4
, The nurse is monitoring a client who is receiving an amnioinfusion. Which assessments
must the nurse perform to prevent a serious complication?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
Select all that apply.
1. Color of amniotic fluid
2. Maternal blood pressure
3. Cervical effacement
4. Uterine resting tone
5. Fluid leaking from the vagina - ANSWERS2, 4, 5
A client attending a prenatal class asks why episiotomies are performed. The nurse
explains that risk factors that predispose women to episiotomies include which of the
following?
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
Select all that apply.
1. Large or macrosomic fetus
2. Use of forceps
3. Shoulder dystocia
4. Maternal health
5. Shorter second stage - ANSWERS1, 2, 3
The physician has determined the need for forceps. The nurse should explain to the
client that the use of forceps is indicated because of which of the following?
1. Her support person is exhausted
2. Premature placental separation
3. To shorten the first stage of labor
