NUR 4467C
Women, Children & Families
Midterms Exam Review (Qns & Ans)
2025
1. Multiple Choice
Question: A 28-year-old woman is at 39 weeks of gestation and
arrives at the labor ward in active labor. Which is the most
appropriate nursing action upon noticing late decelerations in fetal
heart rate on continuous monitoring?
A. Encourage the patient to bear down with contractions
B. Turn the patient to the left lateral position and administer
oxygen
C. Prepare the patient for immediate cesarean delivery
D. Increase oxytocin infusion to enhance uterine contractions
©2025
, ANS: B
Rationale: Late decelerations often indicate uteroplacental
insufficiency. Positioning the patient laterally improves blood
flow to the uterus, while oxygen administration helps optimize
fetal oxygenation.
---
2. Fill-in-the-Blank
Question: The ____________ score is used immediately after
birth to assess a newborn's physical condition, including heart
rate, respiratory effort, muscle tone, reflex response, and color.
ANS: Apgar
Rationale: The Apgar score is a widely used tool to evaluate
newborn health in the first minute and again at five minutes post-
delivery.
---
3. True/False
Question: A tocolytic medication, such as nifedipine, is often
used to delay preterm labor and allow for corticosteroid
administration to enhance fetal lung maturity.
©2025
, ANS: True
Rationale: Tocolytics temporarily halt labor, providing time for
corticosteroids like betamethasone to promote fetal lung
development.
---
4. Multiple Response
Question: Which interventions are appropriate for managing
postpartum hemorrhage? (Select all that apply)
- A. Uterine massage
- B. Administration of oxytocin
- C. Immediate hysterectomy
- D. Monitoring vital signs frequently
ANS: A, B, D
Rationale: Uterine massage, administration of uterotonic agents
(e.g., oxytocin), and frequent monitoring are critical in managing
postpartum hemorrhage. Hysterectomy is a last resort.
---
©2025
, 5. Multiple Choice
Question: What is the priority nursing intervention when caring
for a neonate with meconium-stained amniotic fluid?
A. Suctioning the neonate's mouth and nose after the first breath
B. Administering antibiotics immediately
C. Performing endotracheal intubation to remove aspirated
meconium
D. Observing the neonate closely for respiratory distress
ANS: D
Rationale: Meconium-stained fluid increases the risk of
respiratory distress. Monitoring for symptoms ensures timely
intervention.
---
6. Fill-in-the-Blank
Question: ____________ is the recommended position for
breastfeeding to promote maternal-infant bonding and effective
latching.
©2025
Women, Children & Families
Midterms Exam Review (Qns & Ans)
2025
1. Multiple Choice
Question: A 28-year-old woman is at 39 weeks of gestation and
arrives at the labor ward in active labor. Which is the most
appropriate nursing action upon noticing late decelerations in fetal
heart rate on continuous monitoring?
A. Encourage the patient to bear down with contractions
B. Turn the patient to the left lateral position and administer
oxygen
C. Prepare the patient for immediate cesarean delivery
D. Increase oxytocin infusion to enhance uterine contractions
©2025
, ANS: B
Rationale: Late decelerations often indicate uteroplacental
insufficiency. Positioning the patient laterally improves blood
flow to the uterus, while oxygen administration helps optimize
fetal oxygenation.
---
2. Fill-in-the-Blank
Question: The ____________ score is used immediately after
birth to assess a newborn's physical condition, including heart
rate, respiratory effort, muscle tone, reflex response, and color.
ANS: Apgar
Rationale: The Apgar score is a widely used tool to evaluate
newborn health in the first minute and again at five minutes post-
delivery.
---
3. True/False
Question: A tocolytic medication, such as nifedipine, is often
used to delay preterm labor and allow for corticosteroid
administration to enhance fetal lung maturity.
©2025
, ANS: True
Rationale: Tocolytics temporarily halt labor, providing time for
corticosteroids like betamethasone to promote fetal lung
development.
---
4. Multiple Response
Question: Which interventions are appropriate for managing
postpartum hemorrhage? (Select all that apply)
- A. Uterine massage
- B. Administration of oxytocin
- C. Immediate hysterectomy
- D. Monitoring vital signs frequently
ANS: A, B, D
Rationale: Uterine massage, administration of uterotonic agents
(e.g., oxytocin), and frequent monitoring are critical in managing
postpartum hemorrhage. Hysterectomy is a last resort.
---
©2025
, 5. Multiple Choice
Question: What is the priority nursing intervention when caring
for a neonate with meconium-stained amniotic fluid?
A. Suctioning the neonate's mouth and nose after the first breath
B. Administering antibiotics immediately
C. Performing endotracheal intubation to remove aspirated
meconium
D. Observing the neonate closely for respiratory distress
ANS: D
Rationale: Meconium-stained fluid increases the risk of
respiratory distress. Monitoring for symptoms ensures timely
intervention.
---
6. Fill-in-the-Blank
Question: ____________ is the recommended position for
breastfeeding to promote maternal-infant bonding and effective
latching.
©2025
