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    Exam Review

    1. You are the nurse providing teaching to a pregnant woman on how to do kick counts. You will tell her all of the following except:
      A)Report fetal movement below normal as this is an indication for further assessment.
      B)If fetal movement is decreased, you should eat something, rest, and focus on fetal movement for 1 hour.
      C)You must lay prone to perform fetal kick counts.
      D)Fetal movement counting is based on the physiological principles that compromised fetuses reduce activity in response to decreased oxygenation.
    2. Given the following information, identify the adverse effects related to each medication order. AG1PO delivered a baby that weighs 10 lbs. Patient has a boggy uterus, it is midline, and +1 hour after delivery. Perineal pad is saturated with large golf size clots in 30 minutes. Identify the adverse effects of the medications listed in the order set. Medication: Methergine (Methylergonovine), Oxytocin (Pitocin), Hemabate (carboprost tromethamine), Misoprostol (Cytotec).(SATA)
      A)Diarrhea.
      B)Hypertensive crisis.
      C)Asthma exacerbation.
      D)Fever, chills, hypotension.
    3. Given the following information, identify the adverse effects related to each medication order. AG1PO delivered a baby that weighs 10 lbs. Patient has a boggy uterus, it is midline, and +1 hour after delivery. Perineal pad is saturated with large golf size clots in 30 minutes. Identify the adverse effects of the medications listed in the order set. Medication: Methergine (Methylergonovine), Oxytocin (Pitocin), Hemabate (carboprost tromethamine), Misoprostol (Cytotec).
      A)Diarrhea.
      B)Hypertensive crisis.
      C)Asthma exacerbation.
      D)Fever, chills, hypotension.
    4. You are the nurse providing teaching to a pregnant woman on how to do kick counts. You will tell her all of the following except:
      A)Report fetal movement below normal as this is an indication for further assessment.
      B)If fetal movement is decreased, you should eat something, rest, and focus on fetal movement for 1 hour.
      C)You must lay prone to perform fetal kick counts.
      D)Fetal movement counting is based on the physiological principles that compromised fetuses reduce activity in response to decreased oxygenation.
    Page 1 of 7

    Exam Review

    1. A nurse is caring for a client who is scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation. The nurse provides which of the following explanations about this test to the client?
      A)This test assesses fetal lung maturity.
      B)This test identifies an Rh incompatibility between the mother and fetus.
      C)It assesses various markers of fetal well-being.
      D)This is a screening test for neural tube defects in the fetus.
    2. A client in labor is agitated and nervous about the birth of her child. The nurse explains to the client that fear and anxiety cause the release of certain compounds that can prolong labor. The nurse is referring to which compounds?
      A)Prostaglandin.
      B)Catecholamines.
      C)Oxytocin.
      D)Orexin.
    3. The obstetrician is caring for a client with gestational hypertension. She is concerned about placental perfusion and intrauterine growth restriction (IUGR) after noting minimal fetal growth over the past month. What non-invasive antenatal test would the nurse anticipate the provider will order?
      A)Magnetic Resonance Imaging (MRI).
      B)Doppler Flow Studies.
      C)Amniocentesis.
      D)Chorionic Villus Sampling (CVS).
    4. A nurse is educating a patient about the gate control theory of pain management. Which statement by the patient indicates an understanding of this theory?
      A)The gate control theory states that pain perception is uniform and cannot be altered.
      B)Pain is only perceived in the brain and cannot be influenced by external factors.
      C)Pain signals can be blocked by stimulating other sensory nerves, like through massage or heat.
      D)Pain is solely determined by the amount of tissue damage experienced.
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    Exam Review

    1. The nurse is caring for a client at 39 weeks gestation that arrived to OB triage with complaints of decreased fetal movement. The client was placed on external fetal monitors for an ordered non-stress test. The client was encouraged to drink some cold water and juice, as she reported she had not had anything to eat or drink yet for the day. The nurse observes the following tracing. How should the nurse document the non-stress test?
      A)Reactive.
      B)Non-reactive.
    2. A nurse is educating a patient on the interpretation of a positive contraction stress test. Which of the following explanations is correct?
      A)A positive contraction stress test shows that the baby has a strong heartbeat and will likely have a smooth delivery.
      B)A positive contraction stress test is a normal finding and requires no further monitoring or intervention.
      C)A positive contraction stress test indicates that the baby is healthy and there are no concerns with uterine contractions.
      D)A positive contraction stress test means that the baby’s heart rate decelerates in response to uterine contractions, which may indicate uteroplacental insufficiency.
    3. A nurse is assisting a pregnant patient in labor who is experiencing discomfort. The nurse decides to use effleurage as a comfort measure. Which of the following best describes the technique of effleurage?
      A)Counterpressure of the lower back.
      B)Gentle, rhythmic tapping on the patient’s abdomen.
      C)Rapid, firm kneading of the patient’s arms and legs.
      D)Light, circular stroking movements on the patient’s abdomen.
    4. The nurse is caring for a client in labor at term. The nurse reviews the external monitor tracing below. The nurse identifies that the deceleration pattern seen indicates which of the following?
      A)Cord compression.
      B)Head compression.
      C)Placental insufficiency.
      D)Reactive NST.
    Page 3 of 7

    Exam Review

    1. A nurse is educating a 38-week pregnant client about the ordered contraction stress test. Which of the following is correct regarding the contraction stress test?
      A)We administer oxytocin through the IV to identify whether you can tolerate the pain of labor.
      B)Positive contraction stress tests are associated with good fetal outcomes.
      C)A negative result is a good indicator of fetal well-being.
      D)We are looking for a positive test which has been associated with an increased rate of fetal death, fetal growth restriction, lower Apgar scores, need for C-section, and need for neonatal resuscitation.
    2. A nurse is teaching a client who is at 15 weeks of gestation and is to undergo an amniocentesis. The nurse should explain that the purpose of this test is to identify which of the following conditions?
      A)Anomalies in fetal chromosomes.
      B)Rh incompatibility.
      C)Cephalopelvic disproportion.
      D)Presence of any bacteria or viruses.
      E)Neural tube defects.
    3. What is the interpretation of a biophysical profile score of 2/10?
      A)Normal, low risk of chronic fetal hypoxia.
      B)Abnormal, suspect chronic fetal asphyxia.
      C)The test result is equivocal and further assessment is needed.
      D)Abnormal, strongly suspect chronic fetal asphyxia.
    4. Which of the following are indications for performing a contraction stress test in pregnancy?(SATA)
      A)Intrauterine growth restriction.
      B)A normal biophysical profile.
      C)Placental abruption.
      D)Decreased fetal movements.
      E)Greater than 42 weeks gestation.
    Page 4 of 7

    Exam Review

    1. Which of the following are premonitory signs of labor?(SATA)
      A)Cervical dilation and effacement.
      B)Swelling of the feet and ankles.
      C)Nesting instinct.
      D)Increase in maternal blood pressure.
      E)Bloody show.
      F)Increase in Braxton Hicks contractions.
    2. The nurse performs Leopold’s maneuvers for a client admitted in labor. Which is the main goal of Leopold’s maneuvers?
      A)To determine the presentation and position of the fetus.
      B)To determine whether the client’s cervix has dilated.
      C)To assess the frequency and intensity of the contractions.
      D)To assess whether membranes have been ruptured.
    3. A nurse is caring for a client who is having a nonstress test. The fetal heart rate (FHR) baseline is 145 bpm, there is moderate variability, but there have been no accelerations or fetal movement. Which of the following actions should the nurse complete next?
      A)Encourage the client to walk around without the monitoring unit for 30 minutes, then resume monitoring.
      B)Immediately report the situation to the client’s provider and prepare the client for induction of labor.
      C)Perform vibroacoustic stimulation on the maternal abdomen.
      D)Reposition the client into a supine position and begin the test again.
    4. A nurse is caring for a client who was admitted to the maternity unit at 38 weeks of gestation and who is experiencing polyhydramnios. The nurse should understand that this diagnosis means which of the following?
      A)An excessive amount of amniotic fluid is present.
      B)The fetus is likely to have a congenital anomaly, be growth restricted, or demonstrate fetal distress during labor.
      C)The client is carrying more than one fetus.
      D)There is an elevated level of alpha-fetoprotein (AFP) in the amniotic fluid.
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    Exam Review

    1. Match the description with the associated stage of labor.
      ABCD
      Stage 1 of Labor.
      Stage 2 of Labor.
      Stage 3 of Labor.
      Stage 4 of Labor.
    2. The nurse performs Leopold’s maneuvers for a client admitted in labor. Which is the main goal of Leopold’s maneuvers?
      A)To determine the presentation and position of the fetus.
      B)To determine whether the client’s cervix has dilated.
      C)To assess the frequency and intensity of the contractions.
      D)To assess whether membranes have been ruptured.
    3. A 30-year-old pregnant woman is in labor, and the obstetrician suspects that there might be a complication with the progression of labor due to the fetus. Which fetal issue is most likely causing this complication?
      A)Small for gestational age.
      B)Fetal macrosomia.
      C)Intrauterine growth restriction.
      D)Fetal anemia.
    4. A nurse is caring for a client who is 35 weeks of gestation in the labor and delivery unit. Exhibits Based on the assessment findings, the physician plans to complete a BPP (biophysical profile). Which of the following is included in the BPP? (Select all that apply.)(SATA)
      A)Amniotic Fluid Index (AFI)
      B)Fetal Breathing
      C)Fetal Weight
      D)Fetal Tone
      E)Non-Stress Test (NST)
      F)Fetal Movement
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