Maternity and Pediatric Nursing Exam 3 | Verified Practice Questions & Correct Answers | A+ 2024 Study Guide

MATERNITY PEDIATRIC NURSING EXAM
3 PRACTICE QUESTIONS AND
ANSWERS




After spontaneous rupture of membranes, the nurse notices a prolapsed cord. The
nurse immediately places the woman in which position?
A) Supine
B) Side-lying
C) Sitting
D) Knee-chest - CORRECT ANSWER-D

A primigravida whose labor was initially progressing normally is now experiencing a
decrease in the frequency and intensity of her contractions. The nurse would assess the
woman for which condition?
A) A low-lying placenta
B) Fetopelvic disproportion
C) Contraction ring
D) Uterine bleeding - CORRECT ANSWER-B

The nurse would be alert for possible placental abruption during labor when assessment
reveals which of the following?
A) Macrosomia
B) Gestational hypertension
C) Gestational diabetes
D) Low parity - CORRECT ANSWER-B

Assessment of a woman in labor who is experiencing hypertonic uterine dysfunction
would reveal contractions that are:
A) Well coordinated
B) Poor in quality
C) Rapidly occurring
D) Erratic - CORRECT ANSWER-D

,A woman in labor is experiencing hypotonic uterine dysfunction. Assessment reveals no
fetopelvic disproportion. Which group of medications would the ;nurse ;expect ;to
;administer?
A)
;Sedatives ;B)
;Tocolytics ;C)
;Oxytocins
D) ;Corticosteroids ;- ;CORRECT ;ANSWER-C

The ;fetus ;of ;a ;woman ;in ;labor ;is ;determined ;to ;be ;in ;persistent ;occiput ;posterior
;position. ;Which ;of ;the ;following ;would ;the ;nurse ;identify ;as ;the ;priority
;intervention?;A) ;Position ;changes
B) Pain ;relief ;measures
C) Immediate ;cesarean ;birth
D) Oxytocin ;administration ;- ;CORRECT ;ANSWER-B

A ;woman ;gave ;birth ;to ;a ;newborn ;via ;vaginal ;delivery ;with ;the ;use ;of ;a
;vacuum;extractor. ;The ;nurse ;would ;be ;alert ;for ;which ;of ;the ;following ;in ;the
;newborn?
A) Asphyxia
B) Clavicular ; fracture
;C) ;Caput
;succedaneum
D) ;Central ;nervous ;system ;injury ;- ;CORRECT ;ANSWER-C

A ;pregnant ;client ;undergoing ;labor ;induction ;is ;receiving ;an ;oxytocin ;infusion. ;Which
;of;the ;following ;findings ;would ;require ;immediate ;intervention?
A) Fetal ;heart ;rate ;of ;150 ;beats/minute
B) Contractions ;every ;2 ;minutes, ;lasting ;45
;seconds;C) ;Uterine ;resting ;tone ;of ;14 ;mm ;Hg
D) ;Urine ;output ;of ;20 ;mL/hour ;- ;CORRECT ;ANSWER-D

A ;woman ;with ;a ;history ;of ;crack ;cocaine ;abuse ;is ;admitted ;to ;the ;labor ;and ;birth
;area.;W hile ;caring ;for ;the ;client, ;the ;nurse ;notes ;a ;sudden ;onset ;of ;fetal ;bradycardia.
Inspection ;of ;the ;abdomen ;reveals ;an ;irregular ;wall ;contour. ;The ;client ;also
;complains;of ;acute ;abdominal ;pain ;that ;is ;continuous. ;Which ;of ;the ;following ;would
;the ;nurse ;suspect?
A) ;Amniotic ;fluid
;embolism;B) ;Shoulder
;dystocia
C) Uterine ;rupture
D) Umbilical ;cord ;prolapse ;- ;CORRECT ;ANSWER-C

When ;assessing ;several ;women ;for ;possible ;VBAC, ;which ;woman ;would ;the
;nurse;identify ;as ;being ;the ;best ;candidate?
A) One ;who ;has ;undergone ;a ;previous ;myomectomy
B) One ;who ;had ;a ;previous ;cesarean ;birth ;via ;a ;low ;transverse
;incision;C) ;One ;who ;has ;a ;history ;of ;a ;contracted ;pelvis
D) ;One ;who ;has ;a ;vertical ;incision ;from ;a ;previous ;cesarean ;birth ;-
;CORRECT;ANSWER-B

, A ;woman ;is ;to ;undergo ;an ;amnioinfusion. ;Which ;statement ;would ;be ;most
;appropriate;to ;include ;when ;teaching ;the ;woman ;about ;this ;procedure?
A) ;"You'll ;need ;to ;stay ;in ;bed ;while ;you're ;having ;this
;procedure.";B) ;"We'll ;give ;you ;an ;analgesic ;to ;help ;reduce ;the
;pain."
C) "After ;the ;infusion, ;you'll ;be ;scheduled ;for ;a ;cesarean ;birth."
D) "A ;suction ;cup ;is ;placed ;on ;your ;baby's ;head ;to ;help ;bring ;it ;out." ;-
;CORRECT;ANSWER-A


Which ;finding ;would ;indicate ;to ;the ;nurse ;that ;a ;woman's ;cervix ;is ;ripe ;in ;preparation
;for;labor ;induction?
A) ;Posterior
;position;B) ;Firm
C) Closed
D) Shortened ;- ;CORRECT ;ANSWER-D

A ;woman ;with ;preterm ;labor ;is ;receiving ;magnesium ;sulfate. ;Which ;finding
;would;require ;the ;nurse ;to ;intervene ;immediately?
A) ;Respiratory ;rate ;of ;16 ;breaths ;per
;minute;B) ;Diminished ;deep ;tendon ;reflexes
C) Urine ;output ;of ;45 ;mL/hour
D) Alert ;level ;of ;consciousness ;- ;CORRECT ;ANSWER-B

A ;woman ;who ;is ;42 ;weeks ;pregnant ;comes ;to ;the ;clinic. ;Which ;of ;the ;following
;would;be ;most ;important?
A) Determining ;an ;accurate ;gestational ;age
B) Asking ;her ;about ;the ;occurrence ;of ;contractions
;C) ;Checking ;for ;spontaneous ;rupture ;of
;membranes
D) ;Measuring ;the ;height ;of ;the ;fundus ;- ;CORRECT ;ANSWER-A

After ;teaching ;a ;couple ;about ;what ;to ;expect ;with ;their ;planned ;cesarean ;birth,
;which;statement ;indicates ;the ;need ;for ;additional ;teaching?
A) "Holding ;a ;pillow ;against ;my ;incision ;will ;help ;me ;when ;I ;cough."
B) "I'm ;going ;to ;have ;to ;wait ;a ;few ;days ;before ;I ;can ;start ;breast-
feeding.";C) ;"I ;guess ;the ;nurses ;will ;be ;getting ;me ;up ;and ;out ;of ;bed
;rather ;quickly."
D) ;"I'll ;probably ;have ;a ;tube ;in ;my ;bladder ;for ;about ;24 ;hours ;or ;so." ;-
;CORRECT;ANSWER-B


The ;nurse ;is ;providing ;care ;to ;several ;pregnant ;women ;who ;may ;be ;scheduled ;for
;labor;induction. ;The ;nurse ;identifies ;the ;woman ;with ;which ;Bishop ;score ;as ;having ;the
;best ;chance ;for ;a ;successful ;induction ;and ;vaginal ;birth?
A) 11
B) 8
C) 6
D) 3 ;- ;CORRECT ;ANSWER-A