Maternity Exam

10 Questions | Total Attempts: 292

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Maternity Quizzes & Trivia

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Questions and Answers
  • 1. 
    The nurse in charge is reviewing a patient’s prenatal history. Which finding indicates a genetic risk factor? 
    • A. 

      The patient is 25 years old

    • B. 

      The patient has a child with cystic fibrosis

    • C. 

      The patient was exposed to rubella at 36 weeks’ gestation

    • D. 

      The patient has a history of preterm labor at 32 weeks’ gestation

  • 2. 
    When administering magnesium sulfate to a client with preeclampsia, the nurse understands that this drug is given to:
    • A. 

      Prevent seizures

    • B. 

      Reduce blood pressure

    • C. 

      Slow the process of labor

    • D. 

      Increase diuresis

  • 3. 
    The external fetal monitor shows a pattern of variable decelerations in fetal heart rate. What should the nurse do first?
    • A. 

      Change the client’s position.

    • B. 

      Prepare for emergency cesarean section.

    • C. 

      Check for placenta previa.

    • D. 

      Administer oxygen.

  • 4. 
    A 24 year old G2P1 woman is being admitted in active labor at 39 weeks' gestation. What prenatal data would be most important to know in your care of this client at this time?
    • A. 

      Hemoglobin level of 11g/dL at 28 weeks' gestation

    • B. 

      Positive result on test for group B streptococci at 36 weeks' gestation

    • C. 

      Urinary tract infection with Escherichia coli treated at 20 weeks' gestation

    • D. 

      Elevated level on gloucose screening test at 28 weeks' gestation followed by a normal 3-hour glucose tolerance test results at 29 weeks' gestation.

  • 5. 
    You are the RN on a labor and delivery unit caring for a 25 year old G3P2 patient in active labor. You have identified late fetal heart decelerations and decreased variability in the fetal heart rate. You have notified the provider on call, who feels that the pattern is acceptable. What would be your priority action at this time?
    • A. 

      Advise the patient that a different provider will be called because you do not agree with the advice of the first provider.

    • B. 

      Discuss your concerns with another labor and delivery nurse.

    • C. 

      Document your conversation with the provider accurately, including the provider's interpretation and recommendation, and continue close observation of the fetal heart rate.

    • D. 

      Go up the chain of command and communicate your assessment of the fetal heart rate findings clearly to the next appropriate provider.

  • 6. 
    Your patient has underwent testing of her blood type and Rh factor. She has A- blood type. Which of the following statement is correct?
    • A. 

      At 36 weeks she will receive Rh immune globulin

    • B. 

      At 28 weeks she should receive the Rh immune globulin.

    • C. 

      No further testing will be done because the patient is Rh negative, instead of Rh positive.

    • D. 

      The patient will be checked for clotting problems.

  • 7. 
    A pregnant patient has a nonstress test performed. The results showed the baby had 4 fetal heart rate accelerations of at least 15 beats/min that lasted 15 seconds from start to finish in association with fetal movement during 20 minutes. The results of this would be documented as
    • A. 

      "Reactive" Nonstress Test

    • B. 

      "Nonreactive" Nonstress Test

    • C. 

      Negative Contraction Stress Test

    • D. 

      Positive Contraction Stress Test

  • 8. 
    A 39-year-old at 37 weeks’ gestation is admitted to the hospital with complaints of vaginal bleeding following the use of cocaine 1 hour earlier. Which complication is most likely causing the client’s complaint of vaginal bleeding?
    • A. 

      Placenta previa

    • B. 

      Abruptio Placentae

    • C. 

      Ectopic pregnancy

    • D. 

      Spontaneous abortion

  • 9. 
    A client who’s admitted to labor and delivery has the following assessment findings: gravida 2 para 1, estimated 40 weeks’ gestation, contractions 2 minutes apart, lasting 45 seconds, vertex +4 station. Which of the following would be the priority at this time?
    • A. 

      Placing the client in bed to begin fetal monitoring

    • B. 

      Preparing for immediate delivery

    • C. 

      Checking for ruptured membranes

    • D. 

      Providing comfort measures

  • 10. 
    After completing a second vaginal examination of a client in labor, the nurse-midwife determines that the fetus is in the right occiput anterior position and at –1 station. Based on these findings, the nurse-midwife knows that the fetal presenting part is:
    • A. 

      1 cm below the ischial spines.

    • B. 

      Directly in line with the ischial spines.

    • C. 

      1 cm above the ischial spines.

    • D. 

      In no relationship to the ischial spines.