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The nurse discovers a loop of the umbilical cord protruding through the vagina when preparing
to perform a vaginal examination. The most appropriate intervention is to:
Select one:
a. Place a moist clean towel over the cord to prevent drying
b. Call the physician immediately
c. Immediately turn the client on her side and listen to the FHT
d. Perform vaginal examination and apply upward digital pressure to the presenting part while
having the mother assume a knee-chest position
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Question 2
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A woman is in her postpartum check-up. She has a fever of 1010F and reports abdominal pain
and a bad smell to her lochia. What diagnosis do you suspect?
Select one:
a. Mastitis
b. Endometritis
c. Episiotomy infection
d. Subinvolution
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Heparin is being given thru IV in the management of thrombophlebitis. The nurse is correct if
she will prepare which of the following as an antidote.
Select one:
a. Vitamin K
b. Calcium gluconate
c. Protamine sulfate
d. Coumadine
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Question 4
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The nurse concludes that deceleration of fetal heart rate from 130 to 70 beats per minute with
contractions followed by a rapid return to normal baseline rate is most likely a client’s response
to”
Select one:
a. Uteroplacental Insufficiency
b. Umbilical Cord compression
c. Severe fetal hypoxia
d. Fetal head compression
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Question 5
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In the 4th stage of labor inability of the uterus to contract will cause bleeding due to:
Select one:
a. Retention of placental parts
b. Fetal mal position
c. Cervical laceration
d. Perineal Lacerations
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Question 6
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A client in a postpartum unit complains of sudden sharp pain. Nurse Faye notes that the client is
tachycardic and the respiratory rate is elevated. He suspects a pulmonary embolism. The initial
nursing action is which of the following?
Select one:
a. Prepare to administer morphine sulfate
b. Initiate an intravenous line
c. Assess the client’s BP
d. Administer oxygen at 8 to 10 L/min by face mask
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Nurse Dora admits a client with placenta previa. Which of the following is a correct action of
Nurse Dora?
Select one:
a. Administers enema
b. Prepares a double set up
c. Instructs the client to perfrom valsalva maneuver
d. Positions the client in T-burg position
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Question 8
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Basing from the assessment of a 36 week AOG pregnant woman, her fetus is in shoulder
presentation. Which of the following will you likely expect as the presenting part?
Select one:
a. Head
b. Feet
c. Buttocks
d. Shoulder
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Question 9
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The client has been verbalizing anxiety while on labor. One of the nurses’ intervention to
alleviate anxiety is to:
Select one:
a. Remain at the bedside with the client and family during labor as necessary
b. As much as possible limit communication with the client so as not to distract her
c. Trust is not necessarily needed because the effort will come primarily from the laboring
mother anyways
d. Keep progress of labor confidential at all times
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A woman you care for during labor is having contractions 2 minutes apart but rarely over 50 mm
Hg in strength; the resting tone is high, 20 to 25 mm Hg. She asks what she can do to make
contractions more effective. Your best response would be that
Select one:
a. Hypotonic contractions of this kind will strengthen by themselves
b. Her physician will order oxytocin to strengthen contractions
c. She needs to rest because her contractions are hypertonic
d. Walking around will make her contractions more regular
9:08 AM
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Which of the following indicates fetal distress?
Select one:
a. Greenish amniotic fluid
b. FHR- 100bpm
c. Meconium staining
d. All of the options given are correct
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Question 12
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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?
Select one:
a. An increased blood pressure and oliguria.
b. Painless vaginal bleeding and a fall in blood pressure.
c. Sharp fundal pain and discomfort between contractions.
d. Pain in a lower quadrant and increased pulse rate.
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Question 13
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The nurse is preparing to care for four assigned clients. Which client is at most risk for
hemorrhage?
Select one:
a. A primiparous client who delivered four hours ago
b. A multiparous client who delivered a large baby after oxytocin induction
c. A primiparous client who delivered 6 hours ago and had epidural anesthesia
d. A multiparous client who delivered 6 hours ago
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A uterine dysfunction characterized by weak and infrequent contractions.
Select one:
a. Tetanic contraction
b. Hypotonic contraction
c. Hypertonic contraction
d. Protraction
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A gravida 7, para 6 woman is in the hospital only 15 minutes when she begins to deliver
precipitously. The fetal head begins to deliver as you walk into the labor room. Your best action
would be to:
Select one:
a. Place a hand gently on the fetal head to guide delivery.
b. Attach a fetal monitor to determine fetal status.
c. Ask her to push with the next contraction so delivery is rapid.
d. Assess blood pressure and pulse to detect placental bleeding.
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Question 16
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Which of the following measurements best describes delayed postpartum hemorrhage?
Select one:
a. Blood loss in excess of 300 ml, occurring 24 hours to 6 weeks after delivery
b. Blood loss in excess of 800 ml, occurring 24 hours to 6 weeks after delivery
c. Blood loss in excess of 1000 ml, occurring 24 hours to 6 weeks after delivery
d. Blood loss in excess of 500 ml, occurring 24 hours to 6 weeks after delivery
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The following are causes of uterine rupture:
Select one:
a. Precipitate labor and delivery
b. Manual removal of the placenta
c. Overdistention of the uterus
d. All of the options given are correct
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A postpartal woman has a past history of thrombophlebitis. Which of the following would help
you to determine if she is developing this postpartally?
Select one:
a. Assess for calf redness and edema
b. Take her temperature every 4 hours
c. Ask her if she feels any warmth in her legs
d. Palpate her feet for tingling or numbness
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Question 19
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The nurse determines that fetal distress is occurring after noting which of the following signs?
Select one:
a. Meconium-stained amniotic fluid
b. Acceleration of FHR with each contraction
c. Moderate amount of bloody show
d. Pink-tinged amniotic fluid
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Question 20
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The pre-disposing factors of thrombophlebitis include the following EXCEPT:
Select one:
a. Prolonged time spent in delivery room stirrups
b. Dilated blood vessel of the lower extremity
c. Elevated fibrinogen level during the postpartum stage
d. Decreased clotting factor
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You are assisting a delivery that is complicated by shoulder dystocia. Which action is indicated?
Select one:
a. Start rescue breathing
b. Assist the RN to flex the woman’s thigh
c. Give fundal pressure
d. Watch the fetal monitor for signs of fetal distress
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Question 22
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Question text
The following are maternal complications of precipitate labor and delivery EXCEPT:
Select one:
a. Uterine rupture
b. Postpartum hemorrhage
c. Amniotic fluid embolism
d. Fetal intracranial hemorrhage
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Question 23
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With a fetus in the left anterior breech presentation, the nurse would expect the fetal heart rate
would be most audible in which of the following areas?
Select one:
a. Above the maternal umbilicus and to the left of midline
b. In the lower-left maternal abdominal quadrant
c. Above the maternal umbilicus and to the right of midline
d. In the lower-right maternal abdominal quadrant
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Question 24
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Which of the following would be most appropriate for the woman who experiences dysfunctional
labor in the first stage of labor?
Select one:
a. Provide ongoing communication about what is happening.
b. Hold all explanations until after the birth to conserve the woman’s energy.
c. Limit talking to things the woman asks questions about.
d. Tell her not to feel anxious or discouraged about what is happening
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Question 25
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The nurse may help a client with a fetus in the right occiput posterior position by avoiding which
of the following actions?
Select one:
a. Assisting her to a knee-chest position
b. Helping her walk around the room
c. Positioning her on her right side
d. Positioning her on her left side
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Question 26
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Factors that may influence the psyche of client in labor may include all of the following except:
Select one:
a. Support systems
b. Coping abilities
c. Last food she ate before labor
d. Self Image
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Question 27
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A nurse is monitoring a client who is in active stage of labor. The client has been experiencing
contractions that are short, irregular, and weak. The nurse documents that the client is
experiencing which type of dystocia?
Select one:
a. Precipitous
b. Hypotonic
c. Hypertonic
d. Preterm labor
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Question 28
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It refers to the failure of the uterus to revert to pre-pregnant state through gradual reduction in
size and placement:
Select one:
a. Puerperium
b. Post-partum infection
c. Hemorrhagic involution
d. Subinvolution
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Question 29
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Important Nursing Consideration to include in assessing patient’s psyche during labor is
Select one:
a. All of the options given are correct
b. Determine the expectation of pregnant mother with labor
c. Determine Client’s coping behavior
d. Determine Client’s past experiences with labor
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Question 30
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A maternity nurse is preparing for the admission of a client that is experiencing vaginal bleeding
and has a suspected diagnosis of placenta previa. The nurse would question which of the
following?
Select one:
a. Obtain equipment for manual pelvic examination
b. Prepare to draw Hgb and Hct sample
c. Prepare client for ultrasound
d. Obtain equipment for fetal heart monitoring
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Post-partum characterized by soft flabby uterus and a completely delivered placenta is due to:
Select one:
a. Cervical laceration
b. Retained cotyledons
c. Atony of the uterus
d. Episiotomy
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Question 32
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A nurse in the labor room is assisting with the vaginal delivery of a newborn. The nurse would
monitor the client closely for the risk of uterine rupture if which of the following occurred?
Select one:
a. Weak bearing down efforts
b. Schultz delivery
c. Forceps delivery
d. Hypotonic contractions
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Question 33
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During augmentation of labor with intravenous oxytocin (Pitocin), a multiparous client becomes
pale and diaphoretic and complains of severe lower abdominal pain with a tearing sensation.
Fetal distress is noted on the monitor. The nurse should expect:
Select one:
a. Precipitate labor
b. Uterine prolapse
c. Rupture of the uterus
d. Amniotic fluid embolus
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Question 34
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A patient is in labor and has just been told she has a breech presentation. The nurse should be
particularly alert for which of the following?
Select one:
a. Prolapsed umbilical cord
b. Quickening
c. Opthalmia neonatorum
d. Uterine rupture
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Question 35
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Which of the following best describes thrombophlebitis?
Select one:
a. Inflammation and clot formation that result when blood components combine to form an
aggregate body
b. Inflammation and blood clots that eventually become lodged within the femoral vein
c. Inflammation of the vascular endothelium with clot formation on the vessel wall
d. Inflammation and blood clots that eventually become lodged within the pulmonary blood
vessels
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Question 36
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Prolapsed cord tend to occur most often in women who has the following conditions except:
Select one:
a. Multiple Gestation
b. Hydramnios
c. Abruptio Placenta
d. Placenta Previa
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Question 37
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After an hour of oxytocin intravenously, you assess a woman’s contractions to be 80 seconds in
length. Your first action would be to:
Select one:
a. Slow the infusion to under 10 gtts per minute.
b. Discontinue the oxytocin infusion.
c. Continue to monitor contraction duration every 2 hours.
d. Increase the flow rate of the main line infusion.
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Question 38
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Nurse Val is caring for a mother who is about to give birth. A sonogram shows that prolapsed
cord could occur once membrane will rupture. Prolapsed cord can cause variable deceleration
of the fetal heart rate. Nurse Val is correct when putting the patient at what position?
Select one:
a. Lithotomy
b. Reverse Trendelenberg
c. Trendelenberg
d. Side Lying
Clear my choice
Question 39
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A client continues to pass large amounts of clots and bright red lochia despite the nurse’s
attempt to massage the fundus. Upon, re-examination, the nurse finds that the client’s uterine
fundus remains boggy. The nursing actions and oxytocin (Pitocin) do not seem to be helping to
keep the fundus firm. What second medication might the physician request the nurse to
administer to manage uterine atony?
Select one:
a. Magnesium sulfate
b. Carboprost (Prostin 15-M or Hermabate)
c. Diniprostone (Cervidil)
d. Terbutaline sulphate (Brethine)
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Question 40
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On the client’s third postpartum day, the nurse enters the room and finds the client crying. The
client states that she doesn’t know why she is crying and she can’t stop. Which of the following
is the most appropriate statement for the nurse to make?
Select one:
a. “Many new mothers have shared with us their same confusion of feelings; would you like to
talk about them?”
b. This happens to lots of mothers, you’ll get over it.”
c. “There is no need to cry, you have a healthy baby.”
d. “Are you dissatisfied with your care?”
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Thirty-six hours after a vaginal delivery, a multiparous client is diagnosed with endometritis due
to B-hemolytic streptococcus. When assessing the client, which of the following would the nurse
expect to find?
Select one:
a. Fever and chills
b. Marked abdominal terderness
c. All of the options given are correct
d. Brownish and foul lochia
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Question 42
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A client delivered a 9-pound, 10-ounce infant assisted by forceps. When the nurse performs the
second 15-minute assessment, the client complains of increasing perineal pain and a lot of
pressure. What action should the nurse take?
Select one:
a. Call for assistance
b. Put an ice-pack on the client’s perineum, reassuring the client that this is normal
c. Check the perineum for a hematoma
d. Assess the fundus for firmness
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Pan delivered via C-section 48 hours ago. She read in the discharge booklet that postpartum
women are at risk for thrombophlebitis. How can she prevent thrombophlebitis? You instruct her
to:
Select one:
a. Cross her legs while sitting
b. Ambulate frequently
c. Remain on strict bedrest
d. Avoid elevating her leg
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Question 44
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Which of the following would be the nurse’s most appropriate response to a client who asks why
she must have a cesarean delivery if she has a complete placenta previa?
Select one:
a. “You will have to ask your physician when he returns.”
b. “The placenta is covering most of your cervix.”
c. “You need a cesarean to prevent hemorrhage.”
d. “The placenta is covering the opening of the uterus and blocking your baby.”
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Question 45
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Postpartum blues is said to be normal provided that the following characteristics are present
except:
Select one:
a. Delusions
b. Woman exhibits the following symptoms- episodic tearfulness, fatigue, oversensitivity, poor
appetite
c. Within 3-10 days only
d. Feeling of overwhelmed unable to cope and fatigue
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Question 46
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A woman whose fetus in breech is scheduled for external version. She says to the nurse, “I’m
really scared of the procedure. Will it hurt badly?” What is the best reply by the nurse?
Select one:
a. Don’t worry. An external version procedure is not painful.
b. You can do it. I’ll hold your hands throughout the procedure and you should be just fine.
c. Sometimes the procedure is uncomfortable. If it becomes too painful, let the doctor know and
she will stop the procedure.
d. The procedure can be quite uncomfortable, but it is best for your baby. You want to do what’s
the best for your baby, right?
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The best method of delivery for fetopelvic disproportion is:
Select one:
a. Normal spontaneous delivery
b. Cesarean section
c. Vacuum-assisted
d. Forceps delivery
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Question 48
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The main reason of post-partum hemorrhage in advanced maternal age is:
Select one:
a. Lacerations
b. Uterine atony
c. Retained placental fragments
d. Hematoma
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After proper positioning is instituted in the event of cord prolapsed, what will be the next action
of the nurse?
Select one:
a. Cover the cord with dry, sterile wrap
b. Start a line with D5LRS
c. Administer oxygen
d. Prepare equipment for cesarean delivery
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Question 50
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A patient tells the nurse “I am depressed to talk to you, leave me alone” Which of the following
response by the nurse is most therapeutic?
Select one:
a. Why are you so depressed?
b. I’ll seat with you for a moment
c. Call me when you feel like talking to me
d. What is your problem?
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Certain factors when present could complicate labor and delivery. Which of the following is not a
risk factor for complicated delivery?
Select one:
a. Less than 18 years old
b. Underwent pelvic dislocation
c. Less than 4’8” tall
d. Gynecoid pelvis
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Question 52
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A nulliparous client has not made any progress in cervical dilatation or station since she was 7
centimeters and 0 station over 2 hours ago. This is termed as:
Select one:
a. Prolonged latent phase
b. Protracted active phase
c. Prolonged deceleration phase
d. Secondary arrest of dilatation
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Question 53
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Which of the following interventions should the nurse perform first when fetal distress is noted?
Select one:
a. Report to MD
b. Maintain IVF
c. Position client to left side-lying
d. Give oxygen
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Question 54
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Which of the following factors is the underlying cause of dystocia?
Select one:
a. Environmental
b. Nutritional
c. Mechanical
d. Medical
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Question 55
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A nurse is monitoring a postpartum client on third stage of labor. Which of the following findings
if noted by the nurse would indicate a complication related to laceration of the birth canal?
Select one:
a. Palpation of the uterus as firm contracted ball
b. Saturation of more than 1 peripad per hour
c. Palpation of the fundus at the level of the umbilicus
d. The presence of dark red lochia
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Question 56
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Nurse Faye is caring for a client with a deep vein thrombosis. Which finding would require his
immediate attention?
Select one:
a. Respiratory rate of 32
b. Blood pressure of 90/60
c. Temperature of 102 degrees Fahrenheit
d. Pulse rate of 98 beats per minute
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Which of the following definitions best describes puerperial infection?
Select one:
a. An infection in the perineum of a postpartum woman
b. An infection in the bladder of a postpartum woman
c. An infection in the uterus of a postpartum woman
d. An infection in the reproductive tract of a postpartum woman
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The client has refused sedation ordered by the physician for hypertonic contractions and
prolonged latent phase labor for fear that her labor will stop. The nurse may help by explaining:
Select one:
a. Sedation will stop contractions that are uncoordinated and provide more time to determine if a
cesarean delivery is needed.
b. Sedation helps to provide needed rest and allows time for the uterine contractions to become
coordinated so that labor is progressive.
c. If contractions continue without cervical effacement and dilatation, the fetus is at risk for
hypoxia.
d. If the woman is experiencing true labor, contractions will not stop even with sedation.
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A woman develops a pathologic retraction ring during labor on assessment, you would expect to
find its appearance as:
Select one:
a. A protruding ring over the uterine fundus
b. Mottling, surrounding the cervix
c. A line of indentation over the lower abdomen
d. An ecchymotic area over the symphysis pubis
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Question 60
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Nurse Faye is developing a plan of care for a postpartum client who was diagnosed with
superficial venous thrombosis. Which of the following interventions would be a component of the
plan of care?
Select one:
a. Ambulation four to six times daily
b. Administration of anticoagulants
c. Application of icepacks to the affected area
d. Elevation of the affected extremity
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The physician documented a gynecoid pelvis after pelvic exam of a client. Nurse knows that this
refers to the following:
Select one:
a. A normal pelvis with heart-shaped inlet
b. An apelike pelvis with an oval inlet
c. A typical female pelvis with a rounded inlet
d. A flat female pelvis with a transverse oval inlet
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Question 62
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An appropriate nursing intervention when caring for a postpartum mother with thrombophlebitis
is:
Select one:
a. Instruct the mother to apply elastic bondage from the foot going towards the knee to improve
venous return flow
b. Elevate the affected leg and keep the patient on bedrest
c. Apply warm compress on the affected leg to relieve the pain
d. Encourage the mother to ambulate to relieve the pain in the leg
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Question 63
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The client is a 36-yr old woman, G6P6 who delivered a baby girl at 38 weeks gestation after 8
hours of labor. The baby weigh 7 lbs and 14 oz. The client’s vital signs are stable and her lochia
is bright red, heavy, and contains large clots. The client is considered to be high risk for uterine
atony because of which of the following?
Select one:
a. Size of the baby
b. Grand multiparity
c. Length of labor
d. Client’s age
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Question 64
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Which of the following is true about fetal malposition?
Select one:
a. Malpositions include occipitoposterior and occipitotransverse positions of fetal head in
relation to maternal pelvis
b. Fetal malpositions includes breech presentation
c. Fetal malposition indicates a problem in the genetic make – up of the mother
d. None of the mentioned choices
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Question 65
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An ultrasound is performed on a client at term gestation that is experiencing moderate vaginal
bleeding. The results of the ultrasound indicate that an abruptio placenta is present. Based on
these findings, the nurse would prepare the client for:
Select one:
a. The need for weekly monitoring of coagulation studies until time of delivery
b. Delivery of fetus
c. Complete bed rest
d. Strict monitoring for intake and output
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Question 66
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Which of the following is correct regarding breech presentation?
Select one:
a. None of the options given are correct
b. The presenting parts are the iliac crest, shoulders and acromion process
c. The head come into contact with the cervix and vaginal wall
d. Either the buttocks or the feet are the first body parts that will contact the cervix
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Which of the following instructions should be included in the discharge teaching plan to assist
the postpartal client in recognizing early signs of complications?
Select one:
a. Report any decrease in the amount of brownish-red lochia
b. The passage of clots as large as an orange is expected
c. Palpate the fundus daily to make sure it is soft
d. Notify your healthcare provider of any increase in the amount of lochia or a return to bright
red bleeding
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In terms of planning care, why is the development of a pathologic retraction ring important?
Select one:
a. It implies deficiency in B vitamins
b. It precedes uterine rupture
c. It denotes multiple pregnancy is present
d. It suggests cesarean birth is no longer possible
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Which client is exhibiting symptoms of postpartum psychosis?
Select one:
a. A client delivered an infant 6 months ago. A policeman who found her walking down the
street in her bathrobe has brought her to the ER. She was holding a knife and baby blanket and
screaming, “ My baby is a demon and I have to destroy her.”
b. A client’s husband called the postpartum unit and stated his wife has not gotten out of bed for
the last 2 days, doesn’t want to eat, and is not interested in things that she used to be interested
in.
c. A client delivered baby 6 weeks ago. At her 6 week check up, she complained of episodes of
anxiety, fear, rapid breathing, palpitations and sense of doom.
d. A client delivered an infant 3 days ago. The nurse walked into her room and found her crying.
The client stated “ I am so confused. I am happy that I have my baby but I am so unsure on
what to do!”
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Which of the following signs of thrombophlebitis must the nurse educate the postpartal client to
assess at home after discharge from the hospital?
Select one:
a. Varicose veins in her legs
b. Bruising
c. Muscle soreness in her legs after exercise
d. Local terderness, heat, swelling
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Which of the most hazardous part of the fetus needs attention and close monitoring during
breech birth?
Select one:
a. Birth of the head
b. Birth of the buttock which could cause meconium to pass out
c. All of the options given are correct
d. Birth of the shoulder due to possible fracture
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A postpartal client develops a temperature during her postpartal course. Which of the following
temperatures indicates the presence of postpartal infection?
Select one:
a. 100.4 0F 24 hours after delivery that remains until the second postpartum day
b. 100.2 0F 24 hours after delivery that decreases the second postpartum day
c. 99.0 0F 12 hours after delivery that decreases after 18 hours
d. 100.6 0F 48 hours after delivery that continues upto the 3rd postpartum day
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Which of the following conditions is associated with breech presentation?
Select one:
a. Dry labor
b. Alternating hypotonic and hypertonic contractions
c. Meconium stained amniotic fluid
d. Premature rupture of membranes
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Question 74
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Uterine dysfunction is caused by the following condition EXCEPT:
Select one:
a. Fetal malposition
b. Excessive analgesia
c. Pelvic contraction
d. Overdistended uterus
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Question 75
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Which of the following is a potential complication of prolonged dysfunction labor:
Select one:
a. Intrauterine infection
b. Maternal exhaustion
c. All of the options given are correct
d. Fetal death
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If the nurse suspects a uterine infection in the post-partum client, the nurse should assess the:
Select one:
a. PR and BP
b. Episiotomy site
c. The abdomen for distention
d. Odor of the lochia
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Question 77
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The nurse is assigned to do a home visit for a new mother in one week postpartum. In the
assessment, leg edema and a slight fever is noted. Aside from advising her to see the physician
immediately, the nurse should instruct her to:
Select one:
a. All of the options given are correct
b. Decrease leg movement
c. Apply warmth to the leg
d. Elevate the leg
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A woman is going to have labor induced with oxytocin. Which statement below reflects the
induction technique you anticipate her primary care provider will order?
Select one:
a. Administer Pitocin in a 20 cc bolus of saline.
b. Administer oxytocin diluted as a “piggyback” infusion.
c. Administer Pitocin in two divided intramuscular sites.
d. Administer oxytocin diluted in the main intravenous fluid.
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Most fetuses are in breech presentation early in pregnancy. The statement above is:
Select one:
a. False
b. Partially False
c. Partially True
d. True
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Question 80
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Nurse Giobuddy, a DR Nurse is assisting in the delivery of a pregnant woman. The woman is
now in the active stage of labor. When assessing the fetal heart tone of a fetus with breech
presentation, Nurse Giobuddy is correct when putting the bell of the stethoscope at what part of
the uterus?
Select one:
a. High In Fundus
b. Left Side Of The Uterus
c. Below The Umbilicus
d. Right Side Of The Uterus
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After an hour of oxytocin therapy, a woman in labor states she feels dizzy and nauseated. Your
best action would be to?
Select one:
a. Administer oral orange juice for added potassium.
b. Instruct her to breathe in and out rapidly.
c. Assess the rate of flow of the oxytocin infusion
d. Assess her vaginally for full dilation.
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You help a postpartum woman out of bed for the first time postpartally and notice that she has a
very heavy lochia flow. Which of the following assessment findings would best help you decide
that the flow is within normal limits?
Select one:
a. The flow contains large clots
b. Her uterus is soft to your touch
c. The flow is over 500 ml
d. The color of the flow is red
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The doctor noted the following assessment to a primigravida: Time of admission: 6AM ; Cervical
dilatation: 4cm, contractions: every 3-4 minutes; vaginal examination at 10AM reveals 5cm
cervical dilatation. Based on the assessment, you would conclude that the client is experiencing:
Select one:
a. Normal labor pattern
b. Arrest of descent
c. Failure of descent
d. Protraction
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Which of the following increases the risks of placenta abruption?
Select one:
a. GDM
b. All of the options given are correct
c. Previous placental abruption
d. Age <35 years
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Hemorrhage following delivery is most often due to:
Select one:
a. Placenta previa
b. All of the options given are correct
c. Retention of placental fragments
d. Abruptio placenta
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Brenda, a postpartum client is being treated for deep venous thrombophlebitis. A nurse
understands that Brenda’s response to treatment will be evaluated by regularly assessing her
for:
Select one:
a. Hematuria, ecchymosis, and vertigo
b. Dysuria, ecchymosis, and vertigo
c. Epistaxis, hematuria, and vertigo
d. Hematuria, ecchymosis, and epistaxis
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Which of the following contributes to the development of uterine atony?
Select one:
a. All of the options given are correct
b. Prolonged labor
c. High parity
d. Overdistended uterus
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When teaching a multipara, which of the following should the nurse mention as the most
common contributing factor to puerperal infection?
Select one:
a. Maternal age older than 30 years.
b. Maternal blood loss of 300 ml during delivery
c. Precipitate labor
d. Frequent vaginal examinations during labor
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Puerperal morbidity is defined as:
Select one:
a. Fever of at least 38°C starting the first to the second day postpartum
b. Fever of at least 38°C any day during the first 10 days postpartum
c. Fever of at least 38°C for 2 episodes during the first 10 days post-partum except the first day
d. Fever of at least 38°C after day 2
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Question 90
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When umbilical cord compression happens, the nurse expects which of the following?
Select one:
a. Variable deceleration
b. All of the options given are correct
c. Early deceleration
d. Late deceleration
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Question 91
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All of the following are appropriate nursing diagnosis for clients experiencing postpartum psyche
disorders except:
Select one:
a. Deficient Knowledge
b. Ineffective Coping
c. Risk for compromised family coping
d. Readiness for enhanced breastfeeding
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Question 92
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The management of fetal malpresentation in a woman who is in early labor and her membranes
are intact includes all of the following except:
Select one:
a. Attempt External Cephalic Version
b. Delivery by caesarean section
c. Administer Oxytocin (Pitocin) through piggyback infusion
d. Administer Tocolytics, such as Terbutaline 0.25 mg IM
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Which of the following is a management for uterine rupture?
Select one:
a. Administer mask oxygen at 3lpm
b. Administer oxytocin
c. All of the options given are correct
d. Blood transfusion
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During vaginal examination, the nurse palpates the fetal head and a large diamond-shaped. The
fetal presentation is:
Select one:
a. Brow
b. Vertex
c. Transverse
d. Face
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Which of the following assessment findings would the nurse expect if the client develops DVT?
Select one:
a. Homan’s sign, and swelling in the affected limb
b. Chills, fever, malaise, occurring 2 weeks after delivery
c. Chills, fever, stiffness, and pain occurring 10 to 14 days after delivery
d. Midcalf pain, tenderness and redness along the vein
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The greatest risk of vaginal delivery of a breech infant is:
Select one:
a. Meconium aspiration
b. Intracranial hemorrhage
c. Fracture of the clavicle
d. Umbilical cord prolapse
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Nurse Faye is developing a plan of care for a client recovering from a cesarean delivery. To
prevent thrombophlebitis, the nurse plans to encourage the woman to:
Select one:
a. Remain on bed rest
b. Apply warm moist packs to the legs
c. Elevate her legs
d. Ambulate frequently
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Nurse Karen is assessing a woman who is on her 37th week pregnancy by using the Leopold’s
Manuever. While assessing she noticed that no engagement is apparent. The above
assessment suggest which of the following?
Select one:
a. Chin presentation
b. Vertex presentation
c. Brow presentation
d. All of the options given are correct
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A nurse is assessing a woman who is about to give birth. The fetus is suspected to have
problem with the position. Posterior positions tend to contributes to a prolonged labor. Which of
the following kind of pelvis is a factor to posterior positions?
Select one:
a. Contracted
b. All of the given options are correct
c. Android
d. Anthropoid
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The effect of anxiety and fear on labor progress may include:
Select one:
a. Increase in energy supply
b. Higher perception of pain
c. NOTA
d. Increase in glucose and oxygen supply