Maternity with correct
answers 2025
TheVproviderVisVdeliveringVaVpatientVwithVGDMVwhoVhasVhadVaVprolongedVlabor.VWhenVtheVprovid
erVmentionsV"turtleVsign",VyouVknowVtheVpatientVisVexperiencingVwhichVcomplication?
ShoulderVdystocia
UterineVabruption
NuchalVcord
UmbilicalVcordVprolapseV-VVcorrectVanswersVShoulderVdystocia
WhichVofVtheVfollowingVsituationsVwouldVresultVinVtheVneedVforVaVcesareanVsection?VSelectVallVthat
Vapply.
OnVsterileVvaginalVexam,VtheVproviderVfeelsVtheVeyesVofVtheVfetusVfacingVintoVtheVcervicalVos.
OnVultrasound,VtheVfetalVocciputVisVagainstVtheVleftVmaternalVwallVandVtheVsacrumVisVagainstVtheVri
ghtVmaternalVwall.
WhileVperformingVaVsterileVvaginalVexam,VtheVnurseVfeelsVaVfetalVhandVinVtheVvagina.
OnVultrasound,VtheVfetalVocciputVisVfacingVtheVmaternalVposterior.
WhileVperformingVaVsterileVvaginalVexam,VtheVnurseVfeelsVtheVfetalVposteriorVfontanelVonVtheVmat
ernalVrightVside.V-
VVcorrectVanswersVOnVsterileVvaginalVexam,VtheVproviderVfeelsVtheVeyesVofVtheVfetusVfacingVintoVthe
VcervicalVos.
OnVultrasound,VtheVfetalVocciputVisVagainstVtheVleftVmaternalVwallVandVtheVsacrumVisVagainstVtheVri
ghtVmaternalVwall.
WhileVperformingVaVsterileVvaginalVexam,VtheVnurseVfeelsVaVfetalVhandVinVtheVvagina.
,TheVnurseVmidwifeVisVmonitoringVaVtermVpatientVinVactiveVlaborVwhoVisVhavingVvariableVdecelerati
ons.VTheVdecelerationsVhaveVbecomeVmoreVfrequentVasVtheVfetusVprogressesVinVstation.VWhatVfin
dingVwouldVbeVexpectedVatVdelivery?
AVknotVinVtheVumbilicalVcord
AVsmallVforVgestationalVageVinfant
AVmaleVinfant
HydramniosV-VVcorrectVanswersVAVknotVinVtheVumbilicalVcord
MeconiumVisV_____________V___________VandVcanVbeVcausedVbyV___________V____________.
FetalVstool,VfetalVdistress
FetalVstool,VfetalVoligohydramnios
MaternalVhydramnios,VfetalVanomalies
FetalVurine,VfetalVdistressV-VVcorrectVanswersVFetalVstool,VfetalVdistress
ValerieVisVaV28-year-
oldVG3P1011VatV37VweeksV3VdaysVwhoVwasVjustVbroughtVtoVOBVtriageVbyVambulanceVandVisVexhibiti
ngVsignsVofVhypovolemia.VOnVabdominalVpalpation,VbonyVprotrusionsVareVfelt.VVitalVsignsVareVBPV9
4/55VmmVHg,VHRV129,VrespirationsV24Vmin,VoxygenVsaturationV94%,VtemperatureV36.7°C,VandVpain
VisVaV4VonVaVscaleVofV1VtoV10.VValerieVstatesVsheVbeganVhavingVcontractionsVbutVthenVhadVaVsharpVp
ainVthatVwasn'tVaVcontractionVandVhasn'tVhadVanyVsince.VWhatVobstetricVemergencyVisVValerieVexp
eriencing?
PlacentalVabruption
DIC
UterineVrupture
AnaphylactoidVsyndromeVofVpregnancyV-VVcorrectVanswersVUterineVrupture
WhichVofVtheVfollowingVpatientsVwouldVmostVlikelyVhaveVaVuterineVrupture?
Sierra,VwithVthreeVpreviousVvaginalVdeliveries,VtwoVofVwhichVwereVinductionsVforVpre-eclampsia.
, May,VwithVtwoVpreviousVdeliveries,VoneVvaginal,VoneVcesareanVwithVaVlowerVuterineVsegmentVincis
ion.
Angela,VwithVthreeVpreviousVdeliveries,VtwoVvaginal,VandVtheVlastVoneVaVcesareanVsectionVwithVaVcl
assicalVincision.
Wakina,VwithVoneVpreviousVpretermVdelivery.V-
VVcorrectVanswersVAngela,VwithVthreeVpreviousVdeliveries,VtwoVvaginal,VandVtheVlastVoneVaVcesarea
nVsectionVwithVaVclassicalVincision.
WhatVuterineVactivityVpatternVisVshownVinVtheVimage?
HypotonicVlabor
HypertonicVlabor
Tachysystole
AccelerationsV-VVcorrectVanswersVHypotonicVlabor
McRobert'sVmaneuverVisVusedVduringVwhichVsituation?
UterineVinversion
LaborVaugmentation
ShoulderVdystocia
MultigestationalVdeliveryV-VVcorrectVanswersVShoulderVdystocia
JillVisVaVG2P1001VatV38VweeksV5VdaysVbeingVinducedVforVpre-
eclampsia.VSheVhasVmagnesium,VLR,VandVoxytocinVrunningVatVthisVtimeVforVaVtotalVIVVinputVofV125V
mL/hr.VHerVlastVassessmentVwasVasVfollows:VbloodVpressureV109/63VmmVHg,VpulseV60,Vrespiration
sV10,VtemperatureV36.6°C,VoxygenVsaturationV95%,VnegativeVforVclonus,VreflexesVabsent,VandVlungs
VclearVtoVauscultationVbilaterally.VTheVinfantVhasVaVcategoryVIIVstrip,VandVFHRVbaselineVisV125VwithV
minimalVvariability.VUrineVoutputVisV20VmL/hr.VAsVJill'sVnurse,VwhatVisVyourVnextVaction?
AskVJillVifVsheVneedsVanythingVelseVbeforeVleavingVtheVroomVsoVsheVcanVcontinueVtoVrestVwithVseizu
reVprecautions.
StopVtheVoxytocin,VgiveVherVaVbolusVofVLR,VturnVherVonVherVleftVside,VandVplaceVherVonVoxygen.
answers 2025
TheVproviderVisVdeliveringVaVpatientVwithVGDMVwhoVhasVhadVaVprolongedVlabor.VWhenVtheVprovid
erVmentionsV"turtleVsign",VyouVknowVtheVpatientVisVexperiencingVwhichVcomplication?
ShoulderVdystocia
UterineVabruption
NuchalVcord
UmbilicalVcordVprolapseV-VVcorrectVanswersVShoulderVdystocia
WhichVofVtheVfollowingVsituationsVwouldVresultVinVtheVneedVforVaVcesareanVsection?VSelectVallVthat
Vapply.
OnVsterileVvaginalVexam,VtheVproviderVfeelsVtheVeyesVofVtheVfetusVfacingVintoVtheVcervicalVos.
OnVultrasound,VtheVfetalVocciputVisVagainstVtheVleftVmaternalVwallVandVtheVsacrumVisVagainstVtheVri
ghtVmaternalVwall.
WhileVperformingVaVsterileVvaginalVexam,VtheVnurseVfeelsVaVfetalVhandVinVtheVvagina.
OnVultrasound,VtheVfetalVocciputVisVfacingVtheVmaternalVposterior.
WhileVperformingVaVsterileVvaginalVexam,VtheVnurseVfeelsVtheVfetalVposteriorVfontanelVonVtheVmat
ernalVrightVside.V-
VVcorrectVanswersVOnVsterileVvaginalVexam,VtheVproviderVfeelsVtheVeyesVofVtheVfetusVfacingVintoVthe
VcervicalVos.
OnVultrasound,VtheVfetalVocciputVisVagainstVtheVleftVmaternalVwallVandVtheVsacrumVisVagainstVtheVri
ghtVmaternalVwall.
WhileVperformingVaVsterileVvaginalVexam,VtheVnurseVfeelsVaVfetalVhandVinVtheVvagina.
,TheVnurseVmidwifeVisVmonitoringVaVtermVpatientVinVactiveVlaborVwhoVisVhavingVvariableVdecelerati
ons.VTheVdecelerationsVhaveVbecomeVmoreVfrequentVasVtheVfetusVprogressesVinVstation.VWhatVfin
dingVwouldVbeVexpectedVatVdelivery?
AVknotVinVtheVumbilicalVcord
AVsmallVforVgestationalVageVinfant
AVmaleVinfant
HydramniosV-VVcorrectVanswersVAVknotVinVtheVumbilicalVcord
MeconiumVisV_____________V___________VandVcanVbeVcausedVbyV___________V____________.
FetalVstool,VfetalVdistress
FetalVstool,VfetalVoligohydramnios
MaternalVhydramnios,VfetalVanomalies
FetalVurine,VfetalVdistressV-VVcorrectVanswersVFetalVstool,VfetalVdistress
ValerieVisVaV28-year-
oldVG3P1011VatV37VweeksV3VdaysVwhoVwasVjustVbroughtVtoVOBVtriageVbyVambulanceVandVisVexhibiti
ngVsignsVofVhypovolemia.VOnVabdominalVpalpation,VbonyVprotrusionsVareVfelt.VVitalVsignsVareVBPV9
4/55VmmVHg,VHRV129,VrespirationsV24Vmin,VoxygenVsaturationV94%,VtemperatureV36.7°C,VandVpain
VisVaV4VonVaVscaleVofV1VtoV10.VValerieVstatesVsheVbeganVhavingVcontractionsVbutVthenVhadVaVsharpVp
ainVthatVwasn'tVaVcontractionVandVhasn'tVhadVanyVsince.VWhatVobstetricVemergencyVisVValerieVexp
eriencing?
PlacentalVabruption
DIC
UterineVrupture
AnaphylactoidVsyndromeVofVpregnancyV-VVcorrectVanswersVUterineVrupture
WhichVofVtheVfollowingVpatientsVwouldVmostVlikelyVhaveVaVuterineVrupture?
Sierra,VwithVthreeVpreviousVvaginalVdeliveries,VtwoVofVwhichVwereVinductionsVforVpre-eclampsia.
, May,VwithVtwoVpreviousVdeliveries,VoneVvaginal,VoneVcesareanVwithVaVlowerVuterineVsegmentVincis
ion.
Angela,VwithVthreeVpreviousVdeliveries,VtwoVvaginal,VandVtheVlastVoneVaVcesareanVsectionVwithVaVcl
assicalVincision.
Wakina,VwithVoneVpreviousVpretermVdelivery.V-
VVcorrectVanswersVAngela,VwithVthreeVpreviousVdeliveries,VtwoVvaginal,VandVtheVlastVoneVaVcesarea
nVsectionVwithVaVclassicalVincision.
WhatVuterineVactivityVpatternVisVshownVinVtheVimage?
HypotonicVlabor
HypertonicVlabor
Tachysystole
AccelerationsV-VVcorrectVanswersVHypotonicVlabor
McRobert'sVmaneuverVisVusedVduringVwhichVsituation?
UterineVinversion
LaborVaugmentation
ShoulderVdystocia
MultigestationalVdeliveryV-VVcorrectVanswersVShoulderVdystocia
JillVisVaVG2P1001VatV38VweeksV5VdaysVbeingVinducedVforVpre-
eclampsia.VSheVhasVmagnesium,VLR,VandVoxytocinVrunningVatVthisVtimeVforVaVtotalVIVVinputVofV125V
mL/hr.VHerVlastVassessmentVwasVasVfollows:VbloodVpressureV109/63VmmVHg,VpulseV60,Vrespiration
sV10,VtemperatureV36.6°C,VoxygenVsaturationV95%,VnegativeVforVclonus,VreflexesVabsent,VandVlungs
VclearVtoVauscultationVbilaterally.VTheVinfantVhasVaVcategoryVIIVstrip,VandVFHRVbaselineVisV125VwithV
minimalVvariability.VUrineVoutputVisV20VmL/hr.VAsVJill'sVnurse,VwhatVisVyourVnextVaction?
AskVJillVifVsheVneedsVanythingVelseVbeforeVleavingVtheVroomVsoVsheVcanVcontinueVtoVrestVwithVseizu
reVprecautions.
StopVtheVoxytocin,VgiveVherVaVbolusVofVLR,VturnVherVonVherVleftVside,VandVplaceVherVonVoxygen.
