Maternal & Child (Intrapartum) Test Bank
1. A nurse is caring for a client in labor. The nurse determines that the client is beginning in the
2nd stage of labor when which of the following assessments is noted?
A. The client begins to expel clear vaginal fluid
B. The contractions are regular
C. The membranes have ruptured
D. The cervix is dilated completely
understanding of business principles.1.4. Preparing for Business ExamsPreparing for business exams involves mastering both conceptual understanding and practical application.
Students are encouraged
2. A nurse in the labor room is caring for a client in the active phases of labor. The nurse is assessing the
fetal patterns and notes a late deceleration on the monitor strip. The most appropriate nursing action is
to:
A. Place the mother in the supine position
B. Document the findings and continue to monitor the fetal patterns
C. Administer oxygen via face mask
D. Increase the rate of pitocin IV infusion
3. A nurse is performing an assessment of a client who is scheduled for a cesarean delivery. Which
assessment finding would indicate a need to contact the physician?
A. Fetal heart rate of 180 beats per minute
B. White blood cell count of 12,000
C. Maternal pulse rate of 85 beats per minute
D. Hemoglobin of 11.0 g/dL
4. A client in labor is transported to the delivery room and is prepared for a cesarean delivery. The client
is transferred to the delivery room table, and the nurse places the client in the:
A. Trendelenburg’s position with the legs in stirrups
B. Semi-Fowler position with a pillow under the knees
C. Prone position with the legs separated and elevated
D. Supine position with a wedge under the right hip
5. A nurse is caring for a client in labor and prepares to auscultate the fetal heart rate by using a Doppler
ultrasound device. The nurse most accurately determines that the fetal heart sounds are heard by:
A. Noting if the heart rate is greater than 140 BPM
B. Placing the diaphragm of the Doppler on the mother abdomen
, C. Performing Leopold’s maneuvers first to determine the location of the fetal heart
D. Palpating the maternal radial pulse while listening to the fetal heart rate
6. A nurse is caring for a client in labor who is receiving Pitocin by IV infusion to stimulate uterine
contractions. Which assessment finding would indicate to the nurse that the infusion needs to be
discontinued?
A. Three contractions occurring within a 10-minute period
B. A fetal heart rate of 90 beats per minute
C. Adequate resting tone of the uterus palpated between contractions
D. Increased urinary output
7. A nurse is beginning to care for a client in labor. The physician has prescribed an IV infusion of Pitocin.
The nurse ensures that which of the following is implemented before initiating the infusion?
A. Placing the client on complete bed rest
B. Continuous electronic fetal monitoring
C. An IV infusion of antibiotics
D. Placing a code cart at the client’s bedside
understanding of business principles.1.4. Preparing for Business ExamsPreparing for business exams involves mastering both conceptual understanding and practical application.
Students are encouraged
8. A nurse is monitoring a client in active labor and notes that the client is having contractions every 3
minutes that last 45 seconds. The nurse notes that the fetal heart rate between contractions is 100
BPM. Which of the following nursing actions is most appropriate?
A. Encourage the client’s coach to continue to encourage breathing exercises
B. Encourage the client to continue pushing with each contraction
C. Continue monitoring the fetal heart rate
D. Notify the physician or nurse midwife
9. A nurse is caring for a client in labor and is monitoring the fetal heart rate patterns. The nurse notes
the presence of episodic accelerations on the electronic fetal monitor tracing. Which of the following
actions is most appropriate?
A. Document the findings and tell the mother that the monitor indicates fetal well-being
B. Take the mother’s vital signs and tell the mother that bed rest is required to conserve oxygen.
C. Notify the physician or nurse midwife of the findings.
D. Reposition the mother and check the monitor for changes in the fetal tracing
10. A nurse is admitting a pregnant client to the labor room and attaches an external electronic fetal
monitor to the client’s abdomen. After attachment of the monitor, the initial nursing assessment is
which of the following?
, A. Identifying the types of accelerations
B. Assessing the baseline fetal heart rate
C. Determining the frequency of the contractions
D. Determining the intensity of the contractions
11. A nurse is reviewing the record of a client in the labor room and notes that the nurse midwife has
documented that the fetus is at (-1) station. The nurse determines that the fetal presenting part is:
A. 1 cm above the ischial spine
B. 1 fingerbreadth below the symphysis pubis
C. 1 inch below the coccyx
D. 1 inch below the iliac crest
understanding of business principles.1.4. Preparing for Business ExamsPreparing for business exams involves mastering both conceptual understanding and practical application.
Students are encouraged
12. A pregnant client is admitted to the labor room. An assessment is performed, and the nurse notes
that the client’s hemoglobin and hematocrit levels are low, indicating anemia. The nurse determines
that the client is at risk for which of the following?
A. A loud mouth
B. Low self-esteem
C. Hemorrhage
D. Postpartum infections
13. A nurse assists in the vaginal delivery of a newborn infant. After the delivery, the nurse observes the
umbilical cord lengthen and a spurt of blood from the vagina. The nurse documents these observations
as signs of:
A. Hematoma
B. Placenta previa
C. Uterine atony
D. Placental separation
14. A client arrives at a birthing center in active labor. Her membranes are still intact, and the nurse-
midwife prepares to perform an amniotomy. A nurse who is assisting the nurse-midwife explains to the
client that after this procedure, she will most likely have:
A. Less pressure on her cervix
B. Increased efficiency of contractions
C. Decreased number of contractions
D. The need for increased maternal blood pressure monitoring
1. A nurse is caring for a client in labor. The nurse determines that the client is beginning in the
2nd stage of labor when which of the following assessments is noted?
A. The client begins to expel clear vaginal fluid
B. The contractions are regular
C. The membranes have ruptured
D. The cervix is dilated completely
understanding of business principles.1.4. Preparing for Business ExamsPreparing for business exams involves mastering both conceptual understanding and practical application.
Students are encouraged
2. A nurse in the labor room is caring for a client in the active phases of labor. The nurse is assessing the
fetal patterns and notes a late deceleration on the monitor strip. The most appropriate nursing action is
to:
A. Place the mother in the supine position
B. Document the findings and continue to monitor the fetal patterns
C. Administer oxygen via face mask
D. Increase the rate of pitocin IV infusion
3. A nurse is performing an assessment of a client who is scheduled for a cesarean delivery. Which
assessment finding would indicate a need to contact the physician?
A. Fetal heart rate of 180 beats per minute
B. White blood cell count of 12,000
C. Maternal pulse rate of 85 beats per minute
D. Hemoglobin of 11.0 g/dL
4. A client in labor is transported to the delivery room and is prepared for a cesarean delivery. The client
is transferred to the delivery room table, and the nurse places the client in the:
A. Trendelenburg’s position with the legs in stirrups
B. Semi-Fowler position with a pillow under the knees
C. Prone position with the legs separated and elevated
D. Supine position with a wedge under the right hip
5. A nurse is caring for a client in labor and prepares to auscultate the fetal heart rate by using a Doppler
ultrasound device. The nurse most accurately determines that the fetal heart sounds are heard by:
A. Noting if the heart rate is greater than 140 BPM
B. Placing the diaphragm of the Doppler on the mother abdomen
, C. Performing Leopold’s maneuvers first to determine the location of the fetal heart
D. Palpating the maternal radial pulse while listening to the fetal heart rate
6. A nurse is caring for a client in labor who is receiving Pitocin by IV infusion to stimulate uterine
contractions. Which assessment finding would indicate to the nurse that the infusion needs to be
discontinued?
A. Three contractions occurring within a 10-minute period
B. A fetal heart rate of 90 beats per minute
C. Adequate resting tone of the uterus palpated between contractions
D. Increased urinary output
7. A nurse is beginning to care for a client in labor. The physician has prescribed an IV infusion of Pitocin.
The nurse ensures that which of the following is implemented before initiating the infusion?
A. Placing the client on complete bed rest
B. Continuous electronic fetal monitoring
C. An IV infusion of antibiotics
D. Placing a code cart at the client’s bedside
understanding of business principles.1.4. Preparing for Business ExamsPreparing for business exams involves mastering both conceptual understanding and practical application.
Students are encouraged
8. A nurse is monitoring a client in active labor and notes that the client is having contractions every 3
minutes that last 45 seconds. The nurse notes that the fetal heart rate between contractions is 100
BPM. Which of the following nursing actions is most appropriate?
A. Encourage the client’s coach to continue to encourage breathing exercises
B. Encourage the client to continue pushing with each contraction
C. Continue monitoring the fetal heart rate
D. Notify the physician or nurse midwife
9. A nurse is caring for a client in labor and is monitoring the fetal heart rate patterns. The nurse notes
the presence of episodic accelerations on the electronic fetal monitor tracing. Which of the following
actions is most appropriate?
A. Document the findings and tell the mother that the monitor indicates fetal well-being
B. Take the mother’s vital signs and tell the mother that bed rest is required to conserve oxygen.
C. Notify the physician or nurse midwife of the findings.
D. Reposition the mother and check the monitor for changes in the fetal tracing
10. A nurse is admitting a pregnant client to the labor room and attaches an external electronic fetal
monitor to the client’s abdomen. After attachment of the monitor, the initial nursing assessment is
which of the following?
, A. Identifying the types of accelerations
B. Assessing the baseline fetal heart rate
C. Determining the frequency of the contractions
D. Determining the intensity of the contractions
11. A nurse is reviewing the record of a client in the labor room and notes that the nurse midwife has
documented that the fetus is at (-1) station. The nurse determines that the fetal presenting part is:
A. 1 cm above the ischial spine
B. 1 fingerbreadth below the symphysis pubis
C. 1 inch below the coccyx
D. 1 inch below the iliac crest
understanding of business principles.1.4. Preparing for Business ExamsPreparing for business exams involves mastering both conceptual understanding and practical application.
Students are encouraged
12. A pregnant client is admitted to the labor room. An assessment is performed, and the nurse notes
that the client’s hemoglobin and hematocrit levels are low, indicating anemia. The nurse determines
that the client is at risk for which of the following?
A. A loud mouth
B. Low self-esteem
C. Hemorrhage
D. Postpartum infections
13. A nurse assists in the vaginal delivery of a newborn infant. After the delivery, the nurse observes the
umbilical cord lengthen and a spurt of blood from the vagina. The nurse documents these observations
as signs of:
A. Hematoma
B. Placenta previa
C. Uterine atony
D. Placental separation
14. A client arrives at a birthing center in active labor. Her membranes are still intact, and the nurse-
midwife prepares to perform an amniotomy. A nurse who is assisting the nurse-midwife explains to the
client that after this procedure, she will most likely have:
A. Less pressure on her cervix
B. Increased efficiency of contractions
C. Decreased number of contractions
D. The need for increased maternal blood pressure monitoring
