NUR-Maternity Study Guide Questions With Complete
Solutions
1st trimester Correct Answers 0-13 weeks
2nd trimester Correct Answers 14-26 weeks
3rd trimester Correct Answers 27-40 weeks
A G5/P4 is experiencing painful contractions that start in her
back every 10 minutes for the last hour. How would the
telephone triage nurse advise this woman Correct Answers
advise patient to report to the hospital for labor and delivery
A nurse is caring for a patient undergoing an episiotomy repair
after birth. Which types of anesthesia does the nurse anticipate?
Correct Answers -pudendal anesthesia
-local infiltration anesthesia
A patient arrives at the labor and delivery unit with steady
contractions and is 5 cm dilated. On assessment, the fetal heart
rate is 200 beats/min, and it is determined that a cesarean
delivery should be performed. Which anesthesia method does
the nurse anticipate? Correct Answers subarachnoid (spinal)
block (SAB)
A patient in active labor requests regional anesthesia for pain
management. The nurse knows that the minimum bolus of
intravenous (IV) crystalloid fluid to prevent maternal
hypotension before regional Correct Answers 500 ml
,a patient in her first trimester tells the nurse that she "does not
feel well". which possible explanation is the most serious
Correct Answers small amt of dark-yellow urine
A patient reports a feeling of lightness in her abdomen,
increasing whitish, thin, and odorless vaginal discharge, and
occasional contractions that go away after an hour or so. Which
action would the nurse take next? Correct Answers educate the
patient on the premonitory signs of labor
a patient's urine output from day shift (0700-1500) is recorded
as 100 mL/8 hours. Which intervention is most appropriate
Correct Answers calculate input
A woman at 37 weeks gestation calls and reports, "My water
broke and I have bloody show. I am changing my pad every 10
minutes." Which advice would the nurse provide in response?
Correct Answers call her health care provider or go to the
hospital or birthing center
a woman who is at 38 weeks gestation reports suspected signs of
labor to the triage nurse. which statement by the nurse supports
the beginning of true labor Correct Answers labor contractions
will occur in a consistent pattern that increases in frequency,
duration, and intensity
anesthetic medications Correct Answers admin by professional
and relieves pains by blocking most feeling
ballottement Correct Answers examiner feels "floating fetus"
, barriers to care Correct Answers -inadequate finances
-lack of transportation
-unpleasant clinical personnel
-inconvenient clinic hours
-problems with child care
-personal/cultural attitudes
Battledore Placenta Correct Answers Placenta with umbilical
cord inserted near margin of placenta, increasing the risk for
fetal hemorrhage
blood volume of a pregnant person can increase how much
during pregnancy Correct Answers 45% more
bloody show Correct Answers mix of thick mucus that is
pink/dark brown blood; cervical softening and thinning
chadwick's sign (10 weeks) Correct Answers bluish-purplish
discoloration
chloasma Correct Answers mask of pregnancy; darkening of
skin usually on woman's face
CJMM Correct Answers defines six critical cognitive skills
that guide nurses in their practice
contraindications of epidural Correct Answers coagulation
defects
uncorrected hypovolemia
infection at incision site
severe systemic infection
Solutions
1st trimester Correct Answers 0-13 weeks
2nd trimester Correct Answers 14-26 weeks
3rd trimester Correct Answers 27-40 weeks
A G5/P4 is experiencing painful contractions that start in her
back every 10 minutes for the last hour. How would the
telephone triage nurse advise this woman Correct Answers
advise patient to report to the hospital for labor and delivery
A nurse is caring for a patient undergoing an episiotomy repair
after birth. Which types of anesthesia does the nurse anticipate?
Correct Answers -pudendal anesthesia
-local infiltration anesthesia
A patient arrives at the labor and delivery unit with steady
contractions and is 5 cm dilated. On assessment, the fetal heart
rate is 200 beats/min, and it is determined that a cesarean
delivery should be performed. Which anesthesia method does
the nurse anticipate? Correct Answers subarachnoid (spinal)
block (SAB)
A patient in active labor requests regional anesthesia for pain
management. The nurse knows that the minimum bolus of
intravenous (IV) crystalloid fluid to prevent maternal
hypotension before regional Correct Answers 500 ml
,a patient in her first trimester tells the nurse that she "does not
feel well". which possible explanation is the most serious
Correct Answers small amt of dark-yellow urine
A patient reports a feeling of lightness in her abdomen,
increasing whitish, thin, and odorless vaginal discharge, and
occasional contractions that go away after an hour or so. Which
action would the nurse take next? Correct Answers educate the
patient on the premonitory signs of labor
a patient's urine output from day shift (0700-1500) is recorded
as 100 mL/8 hours. Which intervention is most appropriate
Correct Answers calculate input
A woman at 37 weeks gestation calls and reports, "My water
broke and I have bloody show. I am changing my pad every 10
minutes." Which advice would the nurse provide in response?
Correct Answers call her health care provider or go to the
hospital or birthing center
a woman who is at 38 weeks gestation reports suspected signs of
labor to the triage nurse. which statement by the nurse supports
the beginning of true labor Correct Answers labor contractions
will occur in a consistent pattern that increases in frequency,
duration, and intensity
anesthetic medications Correct Answers admin by professional
and relieves pains by blocking most feeling
ballottement Correct Answers examiner feels "floating fetus"
, barriers to care Correct Answers -inadequate finances
-lack of transportation
-unpleasant clinical personnel
-inconvenient clinic hours
-problems with child care
-personal/cultural attitudes
Battledore Placenta Correct Answers Placenta with umbilical
cord inserted near margin of placenta, increasing the risk for
fetal hemorrhage
blood volume of a pregnant person can increase how much
during pregnancy Correct Answers 45% more
bloody show Correct Answers mix of thick mucus that is
pink/dark brown blood; cervical softening and thinning
chadwick's sign (10 weeks) Correct Answers bluish-purplish
discoloration
chloasma Correct Answers mask of pregnancy; darkening of
skin usually on woman's face
CJMM Correct Answers defines six critical cognitive skills
that guide nurses in their practice
contraindications of epidural Correct Answers coagulation
defects
uncorrected hypovolemia
infection at incision site
severe systemic infection
