QUESTION 2: MULTIPLE CHOICE

The nurse is explaining the function of the placenta to a pregnant client. Which statement indicates to
the nurse the need for further client teaching
Correct Answer: "The placenta helps maintain a stable temperature for my baby."

The nurse is explaining the function of the placenta to a pregnant patient. Which
statement indicates to the nurse that further clarification is necessary?

A. "My baby gets oxygen from the placenta."

B. "The placenta functions to help excrete waste products."

C. "The nourishment that I take in passes through the placenta."

D. "The placenta helps maintain a stable temperature for my baby."

ANS: D

Amniotic fluid and not the placenta helps with thermoregulation. The remaining
statements are correct regarding placental function.
The nurse is 

QUESTION 3

A woman in tabor is at risk for abruptio placentae. Which assessment would most likely lead the
nurse to suspect that this has happened?
Correct Answer: sharp fundal pain and discomfort between contractions

A woman in labor is at risk for abruptio placentae. Which of the following assessments
would most likely lead you to suspect that this has happened?
a) Sharp fundal pain and discomfort between contractions.
b) Painless vaginal bleeding and a fall in blood pressure.
c) An increased blood pressure and oliguria.
d) Pain in a lower quadrant and increased pulse rate.

QUESTION 4
he nurse is caring for a client who has just had an amniotomy performed by the
primary healthcare provider. The fetal heart rate immediately decreases from 140
to 80 beats/min. What is the priority nursing action?
1
Inspecting the vagina
2
Administering oxygen
3
Increasing the intravenous fluids
4
Placing the client in the knee-chest position

QUESTION 5: MULTIPLE CHOICE

A patient with diabetes is in the first trimester of pregnancy and is currently having
difficulty keeping blood glucose levels within normal limits. The patient explains that she
has been "eating for two" so the baby is healthy. What should the nurse respond to the
patient?

A)"Elevated blood glucose levels cause low birth weights in infants."

B) "Elevated blood glucose levels ensure the baby has mature lungs at birth."
C) "Elevated blood glucose levels hasten the development of the fetus in utero."
D) "Elevated blood glucose levels in the first trimester have been linked to congenital
anomalies."

QUESTION 6: MULTIPLE CHOICE

While caring for a client during labor, which would the nurse remember about the second stage of
labor?
1
It ends at the time of birth.
2
It ends as the placenta is expelled.
3
It begins with the transition phase of labor.
4
It begins with the onset of strong contractions.

QUESTION 7: MULTIPLE CHOICE

A nurse is caring for a dient who is at 40 weeks gestation and is in active labor. The dient has 6 cm of
cervical dilation and 100% cervical effacement. The nurse obtains the dient's blood pressure reading
as 82/52 mm Hg. Which of the following nursing interventions should the nurse perform?
Given Answer: Assist the client to turn onto her side.
Correct Answer: Assist the client to turn onto her side.
QUESTION 8: MULTIPLE CHOICE
The physician ordered a total of 1500 mL of NS to infuse at 75 ml/hour with a drop factor of 15
gtt/mL. How many hours will this IV run?
Given Answer: C. 20
Correct Answer: C. 20

QUESTION 9: MULTIPLE CHOICE

What nursing action is the priority for a client in the second stage of labor?

Check the fetus's position.

Administer medication for pain.

Promote effective pushing by the client.

Explain that breastfeeding can start right after birth.

QUESTION 10: MULTIPLE CHOICE

A nurse is admitting a client who is at 33 weeks of gestation and has a diagnosis of placenta previa.
Which of the following is the priority nursing action?
A. Monitor vaginal bleeding.
B. Administer glucocorticoids.
C. Insert an IV catheter.
D. Apply an external fetal monitor.

QUESTION 11: MULTIPLE CHOICE

A client with poorly controlled type 1 diabetes is now in her thirty-fourth week of
pregnancy. The primary healthcare provider tells her that she should have an
amniocentesis at 37 weeks to assess fetal lung maturity and that induction of labor will
be initiated if the fetus's lungs are mature. The client asks the nurse why an early birth
may be necessary. How should the nurse reply?

"You'll be protected from developing hypertension."

"Your glucose level will be hard to control as you reach term."

"The baby will be small enough for you to have a vaginal birth."

"The chance that your baby will have hypoglycemia will be reduced."

QUESTION 12: MULTIPLE CHOICE

Despite medication, a client's preterm labor continues, her cervix dilates, and
birth appears inevitable. Which medication does the nurse anticipate will be
prescribed to increase the chance of the newborn's survival?
1
Carboprost tromethamine
2
Misoprostol
3
Nalbuphine HCl

Betamethasone

Betamethasone enhances fetal lung maturity when administered before a preterm

birth. Carboprost tromethamine is a prostaglandin and nalbuphine HCl is a
narcotic antagonist, neither of which is appropriate for administration in this
case. Misoprostol is used for labor induction.

QUESTION 13: MULTIPLE CHOICE

Which clinical finding should the nurse evaluate before continuing the administration of intravenous
(IV) magnesium sulfate therapy?
1 - Temperature and respirations
2 - Patellar reflexes and urinary output
3 - Urinary glucose and specific gravity
4 - Level of consciousness and funduscopic appearance
QUESTION 14: MULTIPLE CHOICE

Why is the relaxation phase between contractions important?

a. The laboring woman needs to rest.
b. The uterine muscles fatigue without relaxation.
c. The contractions can interfere with fetal oxygenation.
d. The infant progresses toward delivery at these times.

QUESTION 17: MULTIPLE ANSWER

During a home visit the nurse obtains information regarding a postpartum client's
behavior and suspects that she is experiencing postpartum depression. Which
assessments support this conclusion? Select all that apply.

1. Lethargy

2. Ambivalence

3. Emotional lability

4. Increased appetite

5. Long periods of sleep

QUESTION 18: MULTIPLE CHOICE

The physician ordered 500 mL NS to run over 6 hours with a drop factor of 20 gtt/ml. Calculate the
correct IV
flow rate to set on the infusion pump.
Question 20

A nurse is on the labor and delivery unit is caring for a patient who is having induction of
labor with oxytocin administered through a secondary IV line. Uterine contractions occur
every 2 min, last 90 sec, and are strong to palpation. The baseline fetal heart rate is
150/min, with uniform decelerations beginning at the peak of the contraction and a return
to baseline after the contraction is over. Which of the following actions should the nurse
take?
A. Decrease the rate of infusion of the maintenance IV solution.
B. Discontinue the infusion of the IV oxytocin.
C. Increase the rate of infusion of the IV oxytocin.
D. Slow the client's rate of breathing.

QUESTION 21: MULTIPLE CHOICE

What is the desired outcome for the intrapartum client during the third stage of labor?

Absence of discomfort

Firmly contracted uterine fundus

Efficient fetal heart beat-to-beat variability

Maternal respiratory rate within the expected range

QUESTION 22: MULTIPLE CHOICE

1.8

A pregnant patient is seen in the prenatal clinic and has the following obstetrical history: All her
children fromprevious pregnancies are living. One was born at 39 weeks of gestation, twins were born
at 34 weeks of gestation, and another child was born at 35 weeks of gestation, no miscarriages. What
is gravidity and parity using the GTPAL system?
Given Answer: 4-1-2-0-4
Correct Answer: 3-1-1-1-3

?????????????
A woman's obstetric history indicates that she is pregnant for the fourth time and all of
her children from previous pregnancies are living. One was born at 39 weeks of
gestation, twins were born at 34 weeks of gestation, and another child was born at 35
weeks of gestation. What is her gravidity and parity using the GTPAL system?
a. 3-1-1-1-3
b. 4-1-2-0-4
c. 3-0-3-0-3
d. 4-2-1-0-

QUESTION 23: MULTIPLE CHOICE

A woman at 16 weeks of gestation seen in the prenatal clinic with presumptive signs and symptoms
of
pregnancy. Which would the nurse anticipate the woman to report first?
Given Answer: Positive pregnancy test
Correct Answer: Quickening

QUESTION 24: MULTIPLE CHOICE

A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse
observes late decelerations on the monitor strip and interprets them as indicating which
of the following?
A. Uteroplacental insufficiency
B. Maternal bradycardia
C. Umbilical cord compression
D. Fetal head compression

QUESTION 25: MULTIPLE CHOICE

1.8
.
A nurse is providing education to a client who is in labor and has a prescription for a
continuous IV infusion of oxytocin. Which information should the nurse include?
1. "I will remove the electronic fetal monitor once contractions are regular"
2. "You can push the button on the control device to administer more medication"
3. "Your contractions will become stronger and more frequent"
4. "This medication will help prevent nausea and vomiting"
QUESTION 30
A client who has had a cesarean birth seems upset. She has been having difficulty
breastfeeding for 2 days and now asks the nurse to bring her a bottle of formula. What is
the nurse's initial action?

1) Obtaining the requested formula

2) Administering the prescribed pain medication
3) Observing the client's breastfeeding technique
4) Notifying the practitioner of the client's request to switch feeding methods

QUESTION 31: MULTIPLE CHOICE

A nurse is caring for a client who is in labor at 40 weeks of gestation and reports that she
has saturated two perineal pads in the past 30 min. The nurse caring for her suspects
placenta previa. Which of the following is an appropriate nursing action?

Examination to determine cervical status

A magnesium sulfate infusion

Initiation of pushing

Preparation for cesarean birth

QUESTION 32: MULTIPLE CHOICE

A nurse in a provider's office is caring for a client who is at 34 weeks of gestation and at risk for
placental
abruption. The nurse should recognize that which of the following is the most common risk factor for
abruption?
A. Cocaine use.
B. Hypertension.
C. Blunt force trauma.
D. Cigarette smoking.

QUESTION 33: MULTIPLE CHOICE

Which microorganism causes maternal mastitis
Given Answer: Staphylococcus aureus
Correct Answer: Staphylococcus aureus

QUESTION 34 MULTIPLE CHOICE

A nurse admits a woman who is at 38 weeks of gestation and in early labor with ruptured
membranes. The nurse determines that the client's oral temperature is 38.9C/102F.
Besides notifying the provider, which of the following is the appropriate nursing action?
A. Recheck the client's temperature in 4 hr.
B. Administer glucocorticoids intramuscularly.
C. Assess the odor of the amniotic fluid.
D. Prepare the client for emergency cesarean section

QUESTION 38: MULTIPLE CHOICE

What does the nurse note when measuring the frequency of a laboring woman's
contractions?

a. How long the patient states the contractions last

b. The time between the end of one contraction and the beginning of the next
c. The time between the beginning and the end of one contraction
d. The time between the beginning of one contraction and the beginning of the next

QUESTION 39: MULTIPLE CHOICE

Nursing assessment of a client in labor reveals that she is entering the transition phase
of the first stage of labor. Which clinical manifestations support this conclusion?

Facial redness and an urge to push

Bulging perineum, crowning, and caput

Less intense, less frequent contractions

Increased bloody show, irritability, and shaking

Question 42

A nurse is admitting a client who is at 37 weeks of gestation and has severe gestational
hypertension. Which of the following actions should the nurse expect to implement?
(Select all that apply.)
A. Administer magnesium sulfate IV
B. Provide a dark, quiet environment
C. Assess respiratory status every 4 hr
D. Evaluate neurologic status every 8 hr
E. Ensure that calcium gluconate is readily available

QUESTION 43: MULTIPLE ANSWER

After delivery, a patient is diagnosed with postpartal gestational hypertension. What care
will the nurse provide to this patient? Select all that apply.

Administer antihypertensive medication as prescribed.

Administer magnesium sulfate as prescribed.
Monitor urine output.
Instruct on the purpose of a fluid restriction
Maintain on bed rest.
QUESTION 44: MULTIPLE CHOICE
Immediately after the third stage of labor a nurse administers the prescribed oxytocin infusion. Why is
this medication administered?

A. To help the uterus contract

B. To decrease uterine discomfort
C. To aid in the separation of the placenta
D. For the stimulation of breast milk production

QUESTION 45

Cal Given Answer: Push the infant our of the mother's body
Correct Answer: Push the infant our of the mother's body

QUESTION 46: MULTIPLE CHOICE

A nurse in a prenatal clinic is teaching a client who is in her second trimester and has a
new diagnosis of gestational diabetes. Which of the following statements by the client
indicates a need for further teaching?
A. "I should limit my carbohydrates to 40% of caloric intake."
B. "I will reduce my exercise schedule to 3 days a week."
C. "I will take my first insulin dose before breakfast."
D. "I know I am at increased risk to develop type 2 diabetes."

QUESTION 47: MULTIPLE CHOICE

Which complication is a primipara with a second-degree laceration and repair most likely to
experience
during the postpartum period?
1. Posterior vaginal varicosities
2. Difficulty voiding spontaneously
3. Delayed onset of milk production
4. Maladaptive bonding with the newborn

QUESTION 49

The physician ordered clindamycin (Cleocin) 900 mg in 75 ml over 30 minutes with a drop factor of 15
gtt/mL. What is the correct IV flow rate in drops per minute? Use both the standard formula and
dimensional analysis to solve this problem. Round off to the nearest whole number.
Given Answer: B. 38
Correct Answer: B. 38

QUESTION 50: MULTIPLE CHOICE

A nurse is caring for a patient who is gravida 3, para 2, and is in active labor. The fetal
head is at 3+ station after a vaginal examination. Which of the following actions should
the nurse take?
A. Apply fundal pressure.
B. Observe for the presence of a nuchal cord.
C. Observe for crowning.
D. Prepare to administer oxytocin.

QUESTION 51: MULTIPLE CHOICE

A woman is being admitted to the obstetric unit for severe preeclampsia. When assigning room
placement, which area would be most appropriate?

A) Beside the supply room

B) Near the staff elevator
C) Across from the nurse's station
D) At the end of the hallway

QUESTION 32: MULTIPLE CHOICE

 A nurse is caring for a client who is in the first stage of labor. The nurse observes the
umbilical cord protruding from the vagina. Which of the following actions should the
nurse perform first?
A. Cover the cord with a sterile, moist saline dressing
B. Prepare the client for an immediate birth
C. Place the client in knee-chest position
D. Insert a gloved hand into the vagina to relieve pressure on the cord

QUESTION 33: MULTIPLE CHOICE

A nurse is discussing postpartum depression with a newly licensed nurse. Which of the following
statements by the newly licensed nurse indicates an understanding of this condition?
Given Answer
Postpartum depression is more likely to occur in women who have a history of depression.
Postpartum depression is more likely to occur in women who have a history of depression.
Correct
Answer:

What is the function of contractions during the second stage of labor?

a. Dilate and efface the cervix

b. Separate the placenta from the uterine wall
c. Push the infant out of the mother's body
d. Align the infant into the proper position for delivery
&

A nurse in labor and delivery is caring for a client. Following delivery of the placenta, the
nurse examines the umbilical cord. Which of the following vessels should the nurse
expect to observe in the umbilical cord?

A. Two veins and one artery

B. One artery and one vein

C. Two arteries and one vein

D. Two arteries and two veins

&

The physician ordered timercilin 500mg in 50ml to infuse over 30 minutes. The drop factor is 15
gtt/ml . Calculate the flow rate in drop per minute

25

&

A woman develop HELLP syndrome . During labor , which prescription would the nurse question ?

Prepare her epidural anesthesia

&
A client who is in the transition phase reports her pain medication last given 3 hours ago has
worn off. She asks ifshe can have another dose of the meperidine. How should the nurse
respond to her request
Your stage of labor makes giving another dose unsafe."
Your phase of labor makes giving another dose unsafe."

&
A client who has had a cesarean birth appears upset. She has been having difficulty
breastfeeding for two days and now asks the nurse to bring her a bottle of formula. What
is the nurse's initial action?

Obtaining the requested formula

Administering the prescribed pain medication

Assessing the client's breastfeeding technique

Notifying the practitioner of the client's request to switch feeding methods

&&
The nurse is evaluating care provided to a patient in the third trimester of pregnancy who
has been diagnosed with gestational hypertension. Which finding indicates that
treatment has been successful for this patient?
A) Urine protein 0
B) Increased perspiration
C) Weight gain of 1 lb/week
D) Diastolic blood pressure 20 mmHg over normal level

&&
Immediately after the third stage of labor a nurse administers the prescribed oxytocin infusion. Why is
this medication administered?

A. To help the uterus contract

B. To decrease uterine discomfort
C. To aid in the separation of the placenta
D. For the stimulation of breast milk production

&&

A client who is formula feeding her infant complains of discomfort from engorged
breasts. What should the nurse recommend that the client do?
1
Use warm, moist towels as compresses.
2
Express milk from each breast manually.
3
Apply cold packs and a snugly fitting bra.
4
Restrict oral fluid intake to less than a quart a day

&&

After an hour of oxytocin therapy, a patient in labor experiences headache and vomiting.
What should the nurse do?

A) Assess the vagina for full dilation.

B) Notify the physician and stop the infusion.
C) Instruct the patient to breathe in and out rapidly.
D) Administer oral orange juice for added potassium.

&&
Nursing assessment of a client in labor reveals that she is entering the transition phase
of the first stage of labor. Which clinical manifestations support this conclusion?

Facial redness and an urge to push

Bulging perineum, crowning, and caput

Less intense, less frequent contractions

Increased bloody show, irritability, and shaking

&&
A nurse is preparing to administer magnesium sulfate
IV to a client who is experiencing preterm labor.
Which of the following is the priority nursing
assessment for this client?
A. Temperature
B. Fetal heart rate (FHR)
C. Bowel sounds
D. Respiratory rate
&&
The diagnosis of pregnancy is based on which positive signs of pregnancy (Select all that apply)?
A) Identification of fetal heartbeat
B) Palpation of fetal outline
C) Visualization of the fetus
D) Verification of fetal movement
E) Positive hCG test

&&
What is the priority nursing action during a client's second stage of labor?
 Assessing the perineum for bulging 

&&
a client who has completed one pregnancy which has reached the stage ofl viability is known by which
stage
 a. Primipara. b. Multipara. c. Primigravida. d. Nulligravida.

&&
Which is the gravida and Para for a client who delivered triplet 2 year ago and is pregnant again

2., 1

&&

The nurse observes the patient bearing down with contractions and

crying out, "The baby is coming!" What is the best nursing
intervention?
 Stay with the woman and use the call bell to get help

The physicians ordered a unit of 250ml packed red blood cell to

infuse over4 hours with d.rop factor of 10gtt/ml . Calculate the
correct iv flow rate in milliliter per hours?
Extra

A nurse is assisting with the care of a

client who is in the first stage of labor,
the nurse observes the umbilical cord
protruding from the vagina. Which of
the following actions should the nurse
take?

A nurse is performing a vaginal

examination on a client who is in labor
and observes the umbilical cord
protruding from the vagina after calling
for assistance which of the following
actions should the nurse take next