Maternal-Child Nursing Practice Test
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 - ANS>>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 - ANS>>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 - ANS>>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 - ANS>>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 - ANS>>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 - ANS>>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 - ANS>>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 - ANS>>D
A woman with a history of crack cocaine abuse is admitted to the labor and birth area.
While 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 - ANS>>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 - ANS>>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." - ANS>>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 - ANS>>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 - ANS>>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 - ANS>>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." - ANS>>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 - ANS>>A
After teaching a group of nursing students about risk factors associated with dystocia,
the instructor determines that the teaching was successful when the students identify
which of the following as increasing the risk? (Select all that apply.)
A) Pudendal block anesthetic use
B) Multiparity
C) Short maternal stature
D) Maternal age over 35
E) Breech fetal presentation - ANS>>C, D, E
A nurse is preparing an inservice education program for a group of nurses about
dystocia involving problems with the passenger. Which of the following would the nurse
most likely include as the most common problem?
A) Macrosomia
B) Breech presentation
C) Persistent occiput posterior position
D) Multifetal pregnancy - ANS>>C
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 - ANS>>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 - ANS>>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 - ANS>>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 - ANS>>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 - ANS>>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 - ANS>>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 - ANS>>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 - ANS>>D
A woman with a history of crack cocaine abuse is admitted to the labor and birth area.
While 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 - ANS>>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 - ANS>>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." - ANS>>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 - ANS>>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 - ANS>>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 - ANS>>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." - ANS>>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 - ANS>>A
After teaching a group of nursing students about risk factors associated with dystocia,
the instructor determines that the teaching was successful when the students identify
which of the following as increasing the risk? (Select all that apply.)
A) Pudendal block anesthetic use
B) Multiparity
C) Short maternal stature
D) Maternal age over 35
E) Breech fetal presentation - ANS>>C, D, E
A nurse is preparing an inservice education program for a group of nurses about
dystocia involving problems with the passenger. Which of the following would the nurse
most likely include as the most common problem?
A) Macrosomia
B) Breech presentation
C) Persistent occiput posterior position
D) Multifetal pregnancy - ANS>>C
