N161 STUDY GUIDE- CLASS QUESTIONS WITH
ANSWERS
1.A hlaboring hwoman hwho hhas hnot htaken hpain hmedication habruptly
hstops hher hprevious hbreathing htechniques hduring ha hcontraction hand
hmakes hlow hpitched hgrunting hsounds. hThe hpriority hnursing haction his
hto?: hLook hat hher hperineum
2.A hmethod hto hprepare hthe hcervix hfor hinduction hof hlabor his?:
hProstaglandin hvaginal hinserts
3.Bloody hshow hdiffers hfrom hactive hvaginal hbleeding hin hthat hbloody hshow
hhas?-
: hIs hdark hred hand hmixed hwith hmucus
4.A hwomen's hmembranes hrupture hduring ha hcontraction. hThe hpriority
hnursing haction his hto?: hAssess hfetal hheart hrate
5.After hthe hphysician hperforms han hamniotomy, hthe hfluid his hdark hgreen
hwith ha hmild hodor hand hthe hFHR his h130 hto h140 hbeats hper hminutes
h(bpm). hThe hmost
appropriate hnursing hcare his hto: hMonitor hthe hfetus hmore hclosely hfor hnon-
reassuring hsigns
1 h/
h30
,6.A hwomen hhas hshoulder hdystocia hwhen hgiving hbirth. hThe hnurse
hshould hex- hpect?: hApplication hof hsuprapubic hpressure
7.A hfew hminutes hafter ha hwomen's hmembranes hrupture hduring hterm hlabor,
hthe hfetal hheart hrate hdrops hfrom han haverage hof h140 hto h150 hbpm hto h75 hto
h80 hbpm. hThe hpriority hnursing haction his hto?: hPerform ha hvaginal hexam
hand hpalpate hfor hprolapsed hcord
8.An hinfant hweighing h3912 hg h(8 hlbs, h10 hoz) his hborn hvaginally. hShoulder
hdystocia hoccurred hat hbirth. hBecause hof hthis hproblem, hthe hnurse hshould
hassess hthe hinfant hfor?: hCrackling hsensation hwhen hthe hclavicles hare
hpalpated
9.A hwoman his hfully hdilated, hand hthe hfetal hstation his h0. hThe hfetus his hin
ha hright hocciput hposterior hposition. hShe his husing hLamaze hbreathing
htechniques honly. hChoose hthe hideal hmaternal hposition hfor hpushing.:
hSquatting
10.A hwoman his hreceiving hmagnesium hsulfate hto hstop hpreterm hlabor. hIn
haddition hto hfetal hheart hrate, hthe hessential hnursing hassessment hrelated hto
hthis hdrug
is?: hMonitoring hhourly hvital hsigns, hheart hsounds, hand hlung hsounds
11.Which hfundal hassessment hfinding hat h12 hhours hafter hbirth hrequires
hfurther hassessment?
a. The hfundus his hpalpable hat hthe hlevel hof hthe humbilicus.
b. The hfundus his hpalpable htwo hfingerbreadths habove hthe humbilicus.
c. The hfundus his hpalpable hone hfingerbreadth hbelow hthe humbilicus.
d. The hfundus his hpalpable htwo hfingerbreadths hbelow hthe humbilicus.: hB-
hThe hfundus his hpalpable htwo hfingerbreadths habove hthe humbilicus.
12.Postpartal hoverdistention hof hthe hbladder hand hurinary hretention hcan
hlead hto hwhich hcomplication?
a. Fever hand hincreased hblood hpressure
b. Postpartum hhemorrhage hand heclampsia
2 h/
h30
, c. Urinary htract hinfection hand huterine hrupture
d. Postpartum hhemorrhage hand hurinary htract hinfection: hD- hPostpartum
hhemor- hrhage hand hurinary htract hinfection
13.A hpostpartum hpatient hasks, h"Will hthese hstretch hmarks hever hgo
haway?" hWhich his hthe hnurse's hbest hresponse?
a. "No, hnever."
b. "Yes, heventually."
c. "They hwill hfade hto hsilvery hlines hbut hwon't hdisappear hcompletely."
d. "They hwill hcontinue hto hfade hand hshould hbe hgone hby hyour h6-week
hcheckup."-
: hC- h"They hwill hfade hto hsilvery hlines hbut hwon't hdisappear hcompletely."
14.Which hclinical hfinding hshould hthe hnurse hsuspect hif hthe hfundus his
hpalpated hon hthe hright hside hof hthe habdomen habove hthe hexpected hlevel?
a. Distended hbladder
b. Normal hinvolution
c. Been hlying hon hher hright hside htoo hlong
d. Stretched hligaments hthat hare hunable hto hsupport hthe huterus: hA-
hDistended hbladder
15.Which hsituation hwould hrequire hthe hadministration hof hRho(D) himmune
hglob- hulin?
a. Mother hRh-negative, hbaby hRh-positive
b. Mother hRh-negative, hbaby hRh-negative
c. Mother hRh-positive, hbaby hRh-positive
d. Mother hRh-positive, hbaby hRh-negative: hA- hMother hRh-negative, hbaby
hRh-posi- htive
16.If hthe hrubella hvaccine his hindicated hfor ha hpostpartum hpatient, hwhich
hinstruc- htions hshould hbe hprovided?
a. No hspecific hinstructions
b. Drinking hplenty hof hfluids hto hprevent hfever
c. Recommendation hto hstop hbreastfeeding hfor h24 hhours hafter hthe hinjection
d. Explanation hof hthe hrisks hof hbecoming hpregnant hwithin h28 hdays
hfollowing hinjection: hD- hExplanation hof hthe hrisks hof hbecoming hpregnant
hwithin h28 hdays hfollowing hinjection
17.Which hmeasure his hoptimal hin horder hto hprevent habdominal hdistention
hfollow- hing ha hcesarean hbirth?
a. Rectal hsuppositories
b. Carbonated hbeverages
c. Early hand hfrequent hambulation
d.Tightening hand hrelaxing habdominal hmuscles: hC- hEarly hand hfrequent
3 h/
h30
ANSWERS
1.A hlaboring hwoman hwho hhas hnot htaken hpain hmedication habruptly
hstops hher hprevious hbreathing htechniques hduring ha hcontraction hand
hmakes hlow hpitched hgrunting hsounds. hThe hpriority hnursing haction his
hto?: hLook hat hher hperineum
2.A hmethod hto hprepare hthe hcervix hfor hinduction hof hlabor his?:
hProstaglandin hvaginal hinserts
3.Bloody hshow hdiffers hfrom hactive hvaginal hbleeding hin hthat hbloody hshow
hhas?-
: hIs hdark hred hand hmixed hwith hmucus
4.A hwomen's hmembranes hrupture hduring ha hcontraction. hThe hpriority
hnursing haction his hto?: hAssess hfetal hheart hrate
5.After hthe hphysician hperforms han hamniotomy, hthe hfluid his hdark hgreen
hwith ha hmild hodor hand hthe hFHR his h130 hto h140 hbeats hper hminutes
h(bpm). hThe hmost
appropriate hnursing hcare his hto: hMonitor hthe hfetus hmore hclosely hfor hnon-
reassuring hsigns
1 h/
h30
,6.A hwomen hhas hshoulder hdystocia hwhen hgiving hbirth. hThe hnurse
hshould hex- hpect?: hApplication hof hsuprapubic hpressure
7.A hfew hminutes hafter ha hwomen's hmembranes hrupture hduring hterm hlabor,
hthe hfetal hheart hrate hdrops hfrom han haverage hof h140 hto h150 hbpm hto h75 hto
h80 hbpm. hThe hpriority hnursing haction his hto?: hPerform ha hvaginal hexam
hand hpalpate hfor hprolapsed hcord
8.An hinfant hweighing h3912 hg h(8 hlbs, h10 hoz) his hborn hvaginally. hShoulder
hdystocia hoccurred hat hbirth. hBecause hof hthis hproblem, hthe hnurse hshould
hassess hthe hinfant hfor?: hCrackling hsensation hwhen hthe hclavicles hare
hpalpated
9.A hwoman his hfully hdilated, hand hthe hfetal hstation his h0. hThe hfetus his hin
ha hright hocciput hposterior hposition. hShe his husing hLamaze hbreathing
htechniques honly. hChoose hthe hideal hmaternal hposition hfor hpushing.:
hSquatting
10.A hwoman his hreceiving hmagnesium hsulfate hto hstop hpreterm hlabor. hIn
haddition hto hfetal hheart hrate, hthe hessential hnursing hassessment hrelated hto
hthis hdrug
is?: hMonitoring hhourly hvital hsigns, hheart hsounds, hand hlung hsounds
11.Which hfundal hassessment hfinding hat h12 hhours hafter hbirth hrequires
hfurther hassessment?
a. The hfundus his hpalpable hat hthe hlevel hof hthe humbilicus.
b. The hfundus his hpalpable htwo hfingerbreadths habove hthe humbilicus.
c. The hfundus his hpalpable hone hfingerbreadth hbelow hthe humbilicus.
d. The hfundus his hpalpable htwo hfingerbreadths hbelow hthe humbilicus.: hB-
hThe hfundus his hpalpable htwo hfingerbreadths habove hthe humbilicus.
12.Postpartal hoverdistention hof hthe hbladder hand hurinary hretention hcan
hlead hto hwhich hcomplication?
a. Fever hand hincreased hblood hpressure
b. Postpartum hhemorrhage hand heclampsia
2 h/
h30
, c. Urinary htract hinfection hand huterine hrupture
d. Postpartum hhemorrhage hand hurinary htract hinfection: hD- hPostpartum
hhemor- hrhage hand hurinary htract hinfection
13.A hpostpartum hpatient hasks, h"Will hthese hstretch hmarks hever hgo
haway?" hWhich his hthe hnurse's hbest hresponse?
a. "No, hnever."
b. "Yes, heventually."
c. "They hwill hfade hto hsilvery hlines hbut hwon't hdisappear hcompletely."
d. "They hwill hcontinue hto hfade hand hshould hbe hgone hby hyour h6-week
hcheckup."-
: hC- h"They hwill hfade hto hsilvery hlines hbut hwon't hdisappear hcompletely."
14.Which hclinical hfinding hshould hthe hnurse hsuspect hif hthe hfundus his
hpalpated hon hthe hright hside hof hthe habdomen habove hthe hexpected hlevel?
a. Distended hbladder
b. Normal hinvolution
c. Been hlying hon hher hright hside htoo hlong
d. Stretched hligaments hthat hare hunable hto hsupport hthe huterus: hA-
hDistended hbladder
15.Which hsituation hwould hrequire hthe hadministration hof hRho(D) himmune
hglob- hulin?
a. Mother hRh-negative, hbaby hRh-positive
b. Mother hRh-negative, hbaby hRh-negative
c. Mother hRh-positive, hbaby hRh-positive
d. Mother hRh-positive, hbaby hRh-negative: hA- hMother hRh-negative, hbaby
hRh-posi- htive
16.If hthe hrubella hvaccine his hindicated hfor ha hpostpartum hpatient, hwhich
hinstruc- htions hshould hbe hprovided?
a. No hspecific hinstructions
b. Drinking hplenty hof hfluids hto hprevent hfever
c. Recommendation hto hstop hbreastfeeding hfor h24 hhours hafter hthe hinjection
d. Explanation hof hthe hrisks hof hbecoming hpregnant hwithin h28 hdays
hfollowing hinjection: hD- hExplanation hof hthe hrisks hof hbecoming hpregnant
hwithin h28 hdays hfollowing hinjection
17.Which hmeasure his hoptimal hin horder hto hprevent habdominal hdistention
hfollow- hing ha hcesarean hbirth?
a. Rectal hsuppositories
b. Carbonated hbeverages
c. Early hand hfrequent hambulation
d.Tightening hand hrelaxing habdominal hmuscles: hC- hEarly hand hfrequent
3 h/
h30
