RNSG 1517 A Maternity FINAL EXAM | Complete Questions
with Correct Answers - Latest Update 2026
1. After 8 months of trying to get pregnant, Chris (35) and her partner John
decide to seek medical support. After a thorough assessment, their doctor
believes that Chris may not be ovulating. The first step in treatment is MOST
LIKELY to be
for the doctor to tell them to try until 12 months have passed and then
return
laparoscopy to clear blockage in the fallopian tube
clomid to induce ovulation
in-vitro fertilization
2. If a new mother shows signs of swelling and redness in her legs, what should
be the immediate nursing action taken?
Encourage the mother to walk to improve circulation.
Provide the mother with a warm compress for comfort.
Report the findings to the attending physician for further evaluation.
Conduct a Homan's sign test to confirm the diagnosis.
3. Describe how Oxytocin can affect maternal blood pressure during labor.
Oxytocin can lead to hypotension, which is a decrease in blood
pressure.
Oxytocin causes hypertension by increasing heart rate.
Oxytocin increases blood pressure by causing vasodilation.
Oxytocin has no effect on blood pressure during labor.
,4. The nurse teaches a patient how to detect ovulation and suggests having
intercourse the day before and on the day of ovulation. Which patient need is
the nurse addressing? The patient:
Is researching methods of contraception to prevent a pregnancy.
Is looking for methods to increase the probability of conception.
Wants to prevent transmission of sexually transmitted diseases.
Needs advice on ways to prevent excessive menstrual bleeding.
5. A pregnant woman presents with symptoms of deep vein thrombosis.
Considering the physiological changes during pregnancy, what factor may
contribute to her condition?
Decreased blood pressure
Increased clotting factors
Decreased cardiac output
Increased lung volume
6. What is one of the interventions that should be performed to assess a new
mother's risk associated with clotting?
Conduct frequent Homan's sign tests
Immediately report elevated coagulation factors
Help the patient to the bathroom once she feels stable
Assess legs for redness and edema
7. What is the blood pressure reading that indicates a suspicion of gestational
hypertension in the provided scenario?
130/85
, 120/80
154/96
140/90
8. A 30-year-old G2P1 female at 39 weeks 2 days presents to Labor and
Delivery in labor. Over the course of several hours, she progresses from 3 cm
to 8 cm dilation. At this point, she is in:
Stage 2 of labor, active phase
Stage 1 of labor, latent phase
Stage 2 of labor, latent phase
Stage 1 of labor, active phase
9. What is the most concerning condition associated with new onset vaginal
bleeding in a 75-year-old female?
Uterine prolapse
PCOS
Endometrial cancer
PID
10. Why is it critical to palpate and massage the uterus in a multiparous woman
experiencing postpartum bleeding?
To monitor the baby's heart rate during the postpartum period.
To stimulate uterine contraction and prevent further bleeding.
To prepare the woman for potential surgical intervention.
To assess for signs of infection in the uterus.
, 11. Describe how delayed feeding can contribute to the development of
hyperbilirubinemia in newborns.
Delayed feeding has no effect on bilirubin levels.
Delayed feeding only affects weight gain, not bilirubin levels.
Delayed feeding can lead to inadequate elimination of bilirubin,
increasing the risk of hyperbilirubinemia.
Delayed feeding increases the production of bilirubin.
12. If a 38-year-old woman undergoing IVF with Clomid becomes pregnant with
twins, what implications should be discussed regarding her pregnancy
management?
Immediate cessation of Clomid use upon confirmation of pregnancy.
Standard monitoring as if it were a singleton pregnancy.
Increased monitoring for complications associated with multifetal
pregnancies.
No special considerations are needed for a multifetal pregnancy.
13. Interpret the significance of a newborn scoring 9 on the APGAR scale.
A score of 9 indicates that the newborn is in good health with only
minor issues.
A score of 9 means the newborn is at high risk for complications.
A score of 9 suggests the newborn requires immediate medical
intervention.
A score of 9 indicates the newborn is not breathing properly.
with Correct Answers - Latest Update 2026
1. After 8 months of trying to get pregnant, Chris (35) and her partner John
decide to seek medical support. After a thorough assessment, their doctor
believes that Chris may not be ovulating. The first step in treatment is MOST
LIKELY to be
for the doctor to tell them to try until 12 months have passed and then
return
laparoscopy to clear blockage in the fallopian tube
clomid to induce ovulation
in-vitro fertilization
2. If a new mother shows signs of swelling and redness in her legs, what should
be the immediate nursing action taken?
Encourage the mother to walk to improve circulation.
Provide the mother with a warm compress for comfort.
Report the findings to the attending physician for further evaluation.
Conduct a Homan's sign test to confirm the diagnosis.
3. Describe how Oxytocin can affect maternal blood pressure during labor.
Oxytocin can lead to hypotension, which is a decrease in blood
pressure.
Oxytocin causes hypertension by increasing heart rate.
Oxytocin increases blood pressure by causing vasodilation.
Oxytocin has no effect on blood pressure during labor.
,4. The nurse teaches a patient how to detect ovulation and suggests having
intercourse the day before and on the day of ovulation. Which patient need is
the nurse addressing? The patient:
Is researching methods of contraception to prevent a pregnancy.
Is looking for methods to increase the probability of conception.
Wants to prevent transmission of sexually transmitted diseases.
Needs advice on ways to prevent excessive menstrual bleeding.
5. A pregnant woman presents with symptoms of deep vein thrombosis.
Considering the physiological changes during pregnancy, what factor may
contribute to her condition?
Decreased blood pressure
Increased clotting factors
Decreased cardiac output
Increased lung volume
6. What is one of the interventions that should be performed to assess a new
mother's risk associated with clotting?
Conduct frequent Homan's sign tests
Immediately report elevated coagulation factors
Help the patient to the bathroom once she feels stable
Assess legs for redness and edema
7. What is the blood pressure reading that indicates a suspicion of gestational
hypertension in the provided scenario?
130/85
, 120/80
154/96
140/90
8. A 30-year-old G2P1 female at 39 weeks 2 days presents to Labor and
Delivery in labor. Over the course of several hours, she progresses from 3 cm
to 8 cm dilation. At this point, she is in:
Stage 2 of labor, active phase
Stage 1 of labor, latent phase
Stage 2 of labor, latent phase
Stage 1 of labor, active phase
9. What is the most concerning condition associated with new onset vaginal
bleeding in a 75-year-old female?
Uterine prolapse
PCOS
Endometrial cancer
PID
10. Why is it critical to palpate and massage the uterus in a multiparous woman
experiencing postpartum bleeding?
To monitor the baby's heart rate during the postpartum period.
To stimulate uterine contraction and prevent further bleeding.
To prepare the woman for potential surgical intervention.
To assess for signs of infection in the uterus.
, 11. Describe how delayed feeding can contribute to the development of
hyperbilirubinemia in newborns.
Delayed feeding has no effect on bilirubin levels.
Delayed feeding only affects weight gain, not bilirubin levels.
Delayed feeding can lead to inadequate elimination of bilirubin,
increasing the risk of hyperbilirubinemia.
Delayed feeding increases the production of bilirubin.
12. If a 38-year-old woman undergoing IVF with Clomid becomes pregnant with
twins, what implications should be discussed regarding her pregnancy
management?
Immediate cessation of Clomid use upon confirmation of pregnancy.
Standard monitoring as if it were a singleton pregnancy.
Increased monitoring for complications associated with multifetal
pregnancies.
No special considerations are needed for a multifetal pregnancy.
13. Interpret the significance of a newborn scoring 9 on the APGAR scale.
A score of 9 indicates that the newborn is in good health with only
minor issues.
A score of 9 means the newborn is at high risk for complications.
A score of 9 suggests the newborn requires immediate medical
intervention.
A score of 9 indicates the newborn is not breathing properly.
