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    Exam Review

    1. If a fetus were not receiving enough oxygen during labor because of uteroplacental insufficiency, which pattern would the nurse anticipate seeing on the monitor?
      A)Fetal baseline rate increasing at least 5 beats per minute
      B)A shallow deceleration occurring with the beginning of contractions
      C)Fetal heart rate declining late in contraction and remaining depressed
      D)Variable decelerations, too unpredictable to count
    2. The nurse asks a laboring client to lie on her left side. The appropriate rationale for this measure is to:
      A)decrease the heart rate of the fetus
      B)Aid the women while she pushes
      C)prevent supine hypertension
      D)prevent the client from falling out of bed
    3. A nurse is caring for a client in the second stage of labor who does not want any tools used to assist with the vaginal birth. Which of the following interventions should the nurse understand will help prevent an assisted vaginal birth? (Select All that Apply.)(SATA)
      A)Change client position every 30 min
      B)Upright positions
      C)Supine positions
      D)Lateral positions
      E)Delayed pushing
    4. A nurse is assessing a client who is 8 hour postpartum. Where should the nurse expect to find the fundus?
      A)at the umbilicus
      B)At a non-palpable depth
      C)just above the symphysis pubis
      D)just below the umbilicus
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    Exam Review

    1. Immediately after birth, the father of the newborn holds the baby close, stares into his eyes, and seems captivated by him. The nurse recognizes this as the normal process of:
      A)Sublimation
      B)claiming
      C)mutuality
      D)engrossment
    2. The nurse is aware that fibrinogen levels are increased in pregnancy. Which measure can be taken to prevent postpartum complications that result because of this increase? Have the client:
      A)a stool softener as needed
      B)urinate every two to three hours
      C)eat a diet high in protein
      D)walk
    3. The pregnant client term has in presented in the early phase of labor. She is experiencing abdominal pain and shows signs of growing anxiety about pain. What is the best pain management technique the nurse can suggest at this stage?
      A)Practicing effleurage on the abdomen
      B)Beginning epidural anesthesia
      C)using on opioid antagonist, such aS Butorphanol
      D)Immersing the client in hot water in a pool of Jacuzzi
    4. A nurse is conducting a home visit on a client who is 5 weeks postpartum. The client says they are still experiencing a "yellow-ish white vaginal discharge.’’ What should the nurse include in the teaching to the client about this type of discharge?
      A)A postpartum individual can have lochia rubra at 5 weeks postpartum.
      B)A postpartum individual should not have any lochia at 5 weeks postpartum.
      C)A postpartum individual can have lochia serosa up to 6 weeks postpartum.
      D)A postpartum individual can have lochia alba ranging from 10 to 14 days and up to weeks postpartum.
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    Exam Review

    1. A client is ordered 325mL of packed red blood cells over 3 hours. What is the rate to be set on the infusion pump? Round to a whole number
    2. A nurse is planning care for a client in labor and delivery. Which of the following activities should the nurse plan to demonstrate working at the highest level of their license?
      A)Fetal heart monitoring
      B)Taking specimens to the lab
      C)Performing vaginal delivery
      D)Giving a client bed bath
    3. A client is ordered digoxin 0.25mg po. daily. On hand is a liquid in a dropper bottle labeled 500mcg/10mL. How many milliliters will be administered?
    4. A client in the second stage of labor reports to a nurse that they are feeling pain and pressure in their pelvis and perinium. Which of the following should the nurse understand that this pain is caused by?
      A)Uterine contractions
      B)The fetal head applying pressure
      C)Nerve stimulation
      D)Cervical dilation
    Page 3 of 10

    Exam Review

    1. A nurse is caring for a client who has their newborn placed skin to skin immediately following birth with a temperature of 37° C (98.6" F). Which of the following interventions by the nurse would place the newborn at higher risk for hypothermia?
      A)Dry and stimulate newborn with towel.
      B)Place a hat on the newborn's head.
      C)Maintain the delivery room temperature at 20° C (68° F)
      D)Place a blanket on top of maternal dent and newborn.
    2. A nurse is assessing a newborn on the first day of life. Which of the following is an expected finding? (Select All that Apply.)(SATA)
      A)Fusion of labia in female genitalia
      B)Erythema toxicum on newborn's skin
      C)Hypospadias is noted in the male newborn
      D)Presence of syndactyly in extremities
      E)Negative Ortolani sign
    3. A nurse is discussing probable signs of pregnancy with a newly licensed nurse. Which of the following terms should the nurse use to describe the movement of the fetus felt by the provider after placing upward pressure on the cervix?
      A)Goodell’s sign
      B)Lightening
      C)Ballottement
      D)Chadwick's sign
    4. A nurse is assessing a client at their first prenatal appointment. The client reports that the first day of their last menstrual period was September 17. Which of the following accurately represents the client's estimated date of birth using Naegele's Rule?
      A)June 10
      B)June 24
      C)June 20
      D)June 14
    Page 4 of 10

    Exam Review

    1. A nurse is teaching a student nurse about the anticipated care of a maternal client with ruptured membranes during the second stage of labor. Which of the following statements by the student indicates an understanding of the teaching?
      A)The client will progress one station every 2 hours
      B)The client should feel the urge to push at -2 station."
      C)Th client's temperature will need to be checked every hour when the membranes have ruptured."
      D)The client's cervix will need to be checked every 30 minutes."
    2. A client who is primiparous at 40 weeks of gestation calls the labor and delivery unit to ask about coming in to be evaluated for labor. The client reports having contractions every 6 to 8 min, which feels slightly painful. Which of the following questions should the nurse ask the client next?
      A)"Have you had any health concerns during your pregnancy?"
      B)Do have a support person present?"
      C)Have you noticed any fluid leaking from your vagina?"
      D)When was your last prenatal visit?
    3. A nurse is assessing a newborn following a vaginal birth. Which of the following findings should the nurse identify as requiring follow-up? (Select All that Apply.)(SATA)
      A)Presence of a two-vessel umbilical cord
      B)Molding of the skull
      C)Asymmetry of ears
      D)Tongue extending past the lower
      E)Diminished breath sounds on one side
    4. A client is discussing incorporating cultural practices into their pain management during labor with a nurse. Which of the following statements by the nurse is most appropriate?
      A)"There are specific pain management options that you need to use
      B)We will work with you to incorporate the practices that are safe for you and your fetus.-
      C)You will need to discuss this with the provider."
      D)It is better to use pain management options that have been researched."
    Page 5 of 10

    Exam Review

    1. Which of the following is an example of a primitive reflex that is present in newborns and typically disappears by 3-4 months of age?
      A)Palmer grasp rettex
      B)Babinski
      C)Rooting reflex:
      D)Moro reflex
    2. A nurse caring for a client who is in labor identifies a baseline fetal heart rate of 150/min with moderate variability and accelerations present. Occasional variable decelerations uterine contractions occur every 4 min, lasting 90 to 100 seconds. Which of the following documentation should the nurse use to represent this fetal heart rate pattern?
      A)Category I
      B)Category Il
      C)Uncategorized
      D)Category III
    3. The nurse is obtaining an obstetrical history on a currently pregnant woman. The client has an 18-month-old daughter who was delivered 2 days after estimated due date and a 3-year-old son who was born at 35 weeks' gestation. Before her son was born, she lost two pregnancies: one at 10 weeks and the other at 22 weeks. Using the GTPAL method, how would the nurse record this history?
      A)G5 T1 P2 A1 L2
      B)G5 T2 P2 A1 L2
      C)G4 T1 P2 A2 L2
      D)G4 T1 P1 A2 L2
    4. A nurse in a hospital is caring for a client who is 4 hour postpartum. Which of the following interventions should the nurse first perform after finding that the client's uterus is not firm? (Select All that Apply.)(SATA)
      A)Ask the client to empty their bladder
      B)Perform fundal massage
      C)Nothing, this is an expected finding
      D)Ambulate the client in the hallway
      E)Give pain medications
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