NURS 132 (Nursing) SHERPATH Exam
Questions and Accurate Answers
A G1/P0 gestational diabetic mother is undergoing induction of labor.
She is in her 39th week of gestation, and she has been diagnosed with
polyhydramnios. The nurse recognizes which patient cue as a risk
factor for umbilical cord prolapse?
Correct Answer -Polyhydramnios
A G5/P4 laboring patient with suspected fetal intrauterine growth
restriction has just experienced spontaneous rupture of membranes.
On examination, the nurse notes that the cervix is dilated 3 cm and is
70% effaced and that the fetal station is 0. Fetal heart tracing shows
recurrent and severe variable decelerations. Which explanation is the
most likely cause for this change in fetal heart rate?
Correct Answer -Umbilical cord prolapse
During an emergency cesarean section, which interventions can help
minimize maternal risk?
Correct Answer -Administering antibiotics before skin incision
Performing an interdisciplinary time-out before skin incision
The nurse administered magnesium sulfate to a woman experiencing
preterm labor, following a health care provider prescription. Which
assessment would concern the nurse?
Correct Answer -10 respirations per minute
,Which risk factor identified by the nurse places the patient at risk for
preterm labor (PTL)?
Correct Answer -Homelessness
Which drugs would the nurse anticipate administering for tocolysis
during preterm labor?
Correct Answer -Nifedipine
Indomethacin
A 36-week gestation patient presents with membranes grossly
ruptured and is not contracting. Which diagnosis does the nurse
anticipate?
Correct Answer -Preterm premature rupture of membranes (PPROM)
A patient is a G2/P0 at 32 weeks pregnant and experiencing regular
contractions. She has a multifetal gestation pregnancy, a history of
preterm birth, and has had recurrent bacterial vaginosis throughout
the pregnancy. Her BMI is 22, she is 30 years' old, and she is a former
smoker who quit two years ago. Of the data provided, which are risk
factors for preterm labor?
Correct Answer -Multifetal gestaation
Recurrent bacterial vaginosis
When administering nifedipine for tocolysis, it is important for the
nurse to monitor for which serious side effect?
Correct Answer -Reflex tachycardia
,Which intervention by the health care team will decrease the risk of
infection for a patient with preterm premature rupture of membranes
during labor, delivery, and the postpartum period?
Correct Answer -Avoiding frequent vaginal examinations to check for
cervical dilation
When administering corticosteroids to a patient in preterm labor,
which information is relevant to the nurse regarding the patient's
history?
Correct Answer -The patient has type 1 diabetes.
When evaluating a patient with suspected preterm premature rupture
of membranes and preterm labor, the nurse recognizes which cues as
signs of preterm labor?
Correct Answer -Pain and discomfort in the upper inner thighs
Intermittent or constant lower back pain
A sensation that the fetus is frequently "balling up"
Diarrhea
Which statement is consistent with the diagnosis of endometriosis?
Correct Answer -Endometriosis may cause infertility.
Which underlying conditions are associated with amenorrhea?
Correct Answer -Pregnancy
, Cocaine use
Stress
Which health risk is associated with perimenopause?
Correct Answer -Cardiovascular disease
Which nursing action is appropriate for a menopausal woman who tells
the nurse that she finds intercourse uncomfortable?
Correct Answer -Recommend the use of water-based lubricants before
intercourse.
Which nursing recommendation is appropriate for a woman
experiencing pain associated with endometriosis?
Correct Answer -"You may take regular strength ibuprofen for pain
every 8 hours."
Which nursing response is appropriate for the mother of a 12-year-old
who is concerned that her daughter has not started her period?
Correct Answer -"Although the average age of menses is 12 years,
some girls may not begin menses until age 16 years."
A woman is reluctant to perform vulvar self-examinations and asks if
they are necessary because she has no family history of reproductive
cancers and is not sexually active. What patient education is
appropriate for this woman?
Correct Answer -"Performing self-examination now will help you
recognize any abnormal changes that may occur in the future."
Questions and Accurate Answers
A G1/P0 gestational diabetic mother is undergoing induction of labor.
She is in her 39th week of gestation, and she has been diagnosed with
polyhydramnios. The nurse recognizes which patient cue as a risk
factor for umbilical cord prolapse?
Correct Answer -Polyhydramnios
A G5/P4 laboring patient with suspected fetal intrauterine growth
restriction has just experienced spontaneous rupture of membranes.
On examination, the nurse notes that the cervix is dilated 3 cm and is
70% effaced and that the fetal station is 0. Fetal heart tracing shows
recurrent and severe variable decelerations. Which explanation is the
most likely cause for this change in fetal heart rate?
Correct Answer -Umbilical cord prolapse
During an emergency cesarean section, which interventions can help
minimize maternal risk?
Correct Answer -Administering antibiotics before skin incision
Performing an interdisciplinary time-out before skin incision
The nurse administered magnesium sulfate to a woman experiencing
preterm labor, following a health care provider prescription. Which
assessment would concern the nurse?
Correct Answer -10 respirations per minute
,Which risk factor identified by the nurse places the patient at risk for
preterm labor (PTL)?
Correct Answer -Homelessness
Which drugs would the nurse anticipate administering for tocolysis
during preterm labor?
Correct Answer -Nifedipine
Indomethacin
A 36-week gestation patient presents with membranes grossly
ruptured and is not contracting. Which diagnosis does the nurse
anticipate?
Correct Answer -Preterm premature rupture of membranes (PPROM)
A patient is a G2/P0 at 32 weeks pregnant and experiencing regular
contractions. She has a multifetal gestation pregnancy, a history of
preterm birth, and has had recurrent bacterial vaginosis throughout
the pregnancy. Her BMI is 22, she is 30 years' old, and she is a former
smoker who quit two years ago. Of the data provided, which are risk
factors for preterm labor?
Correct Answer -Multifetal gestaation
Recurrent bacterial vaginosis
When administering nifedipine for tocolysis, it is important for the
nurse to monitor for which serious side effect?
Correct Answer -Reflex tachycardia
,Which intervention by the health care team will decrease the risk of
infection for a patient with preterm premature rupture of membranes
during labor, delivery, and the postpartum period?
Correct Answer -Avoiding frequent vaginal examinations to check for
cervical dilation
When administering corticosteroids to a patient in preterm labor,
which information is relevant to the nurse regarding the patient's
history?
Correct Answer -The patient has type 1 diabetes.
When evaluating a patient with suspected preterm premature rupture
of membranes and preterm labor, the nurse recognizes which cues as
signs of preterm labor?
Correct Answer -Pain and discomfort in the upper inner thighs
Intermittent or constant lower back pain
A sensation that the fetus is frequently "balling up"
Diarrhea
Which statement is consistent with the diagnosis of endometriosis?
Correct Answer -Endometriosis may cause infertility.
Which underlying conditions are associated with amenorrhea?
Correct Answer -Pregnancy
, Cocaine use
Stress
Which health risk is associated with perimenopause?
Correct Answer -Cardiovascular disease
Which nursing action is appropriate for a menopausal woman who tells
the nurse that she finds intercourse uncomfortable?
Correct Answer -Recommend the use of water-based lubricants before
intercourse.
Which nursing recommendation is appropriate for a woman
experiencing pain associated with endometriosis?
Correct Answer -"You may take regular strength ibuprofen for pain
every 8 hours."
Which nursing response is appropriate for the mother of a 12-year-old
who is concerned that her daughter has not started her period?
Correct Answer -"Although the average age of menses is 12 years,
some girls may not begin menses until age 16 years."
A woman is reluctant to perform vulvar self-examinations and asks if
they are necessary because she has no family history of reproductive
cancers and is not sexually active. What patient education is
appropriate for this woman?
Correct Answer -"Performing self-examination now will help you
recognize any abnormal changes that may occur in the future."
