MCN EXAM 2: INTRAPARTUM NCLEX-STYLE
PRACTICE QUESTIONS WITH VERIFIED
SOLUTIONS NEW UPDATE
A nursing student is learning about maternal assessments and the use of
Leopold's maneuvers during pregnancy. Which statement by the student
indicates a correct understanding of the purpose of Leopold's maneuvers?
A. "It helps determine fetal heart rate and assess uterine contractions."
B. "It assists in locating the fetal heartbeat and determining fetal position and
presentation."
C. "It's performed to measure fundal height and estimate gestational age."
D. "It's used to assess the dilation and effacement of the cervix during labor." ---
Answer: B
Rationale: Leopold's maneuvers are a systematic, four-step process used to
determine the position and presentation of the fetus. They involve palpation and
assessment of the maternal abdomen to identify the fetal parts and their
relationships, aiding in the determination of fetal position and presentation.
A nursing student is studying fetal stationing during labor. Which statement by
the student indicates a correct understanding of fetal station?
A. "It is the measurement of the fetal head in relation to the maternal symphysis
pubis and is recorded as a negative or positive value."
B. "It refers to the descent of the fetal buttocks into the pelvis, indicating
engagement in the birth canal."
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,C. "It is determined by assessing the frequency and intensity of uterine
contractions during labor."
D. "It is the measurement of the diagonal diameter of the fetal head in relation
to the maternal pelvic inlet." ---Answer: A
Rationale: Fetal station is the measurement of the fetal head in relation to the
maternal ischial spines or symphysis pubis. It is recorded as a negative (below)
or positive (above) value, indicating the level of descent of the fetal head in the
birth canal.
SATA: Which of the following labs are completed during pregnancy?
A. Hepatitis B
B. HIV testing
C. Syphilis testing (VDRL)
D. Toxicology screening
E. Group B strep test ---Answer: All of the above
Rationale: N/A
True or false: RhoGam is considered a blood product therefore additional
consent is required prior to administration. ---Answer: true
Rationale: N/A
A woman who is 38 weeks pregnant & tested positive for Group B step is
preparing for labor. Given her Group B strep status, which RN intervention is
most appropriate?
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, A. Administer IV vancomycin
B. Administer IV clindamycin
C. Administer PO penicillin
D. Administer PO tetracycline ---Answer: B
Rationale: If a patient's Group B strep status is positive OR known, they should
receive IV penicillin or clindamycin every 4 hours until delivery.
True or false: Upon completion of an artificial rupture of membranes (AROM),
the HCP should monitor for signs of hydramnios. ---Answer: False
Rationale: Hydramnios is excessive amniotic fluid & usually indicates the fetus
is not swallowing enough. The HCP should monitor for signs of hydramnios
upon spontaneous rupture of membranes (SROM) or "Water breaking."
SATA: Which of the following must be documented upon completion of an
artificial rupture of membranes (AROM)?
A. Amount of amniotic fluid
B. Odor of amniotic fluid
C. Time of membrane rupture
D. pH of amniotic fluid
E. Color of amniotic fluid ---Answer: B, C, & E
Rationale: Amniotic fluid should be clear & odorless. If amniotic fluid is
odorous or a different color it could indicate infection or bleeding. Time of
membrane rupture is required due to increased risk for infection if delivery is
not completed within 18 hours.
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PRACTICE QUESTIONS WITH VERIFIED
SOLUTIONS NEW UPDATE
A nursing student is learning about maternal assessments and the use of
Leopold's maneuvers during pregnancy. Which statement by the student
indicates a correct understanding of the purpose of Leopold's maneuvers?
A. "It helps determine fetal heart rate and assess uterine contractions."
B. "It assists in locating the fetal heartbeat and determining fetal position and
presentation."
C. "It's performed to measure fundal height and estimate gestational age."
D. "It's used to assess the dilation and effacement of the cervix during labor." ---
Answer: B
Rationale: Leopold's maneuvers are a systematic, four-step process used to
determine the position and presentation of the fetus. They involve palpation and
assessment of the maternal abdomen to identify the fetal parts and their
relationships, aiding in the determination of fetal position and presentation.
A nursing student is studying fetal stationing during labor. Which statement by
the student indicates a correct understanding of fetal station?
A. "It is the measurement of the fetal head in relation to the maternal symphysis
pubis and is recorded as a negative or positive value."
B. "It refers to the descent of the fetal buttocks into the pelvis, indicating
engagement in the birth canal."
Page 1 of 19
,C. "It is determined by assessing the frequency and intensity of uterine
contractions during labor."
D. "It is the measurement of the diagonal diameter of the fetal head in relation
to the maternal pelvic inlet." ---Answer: A
Rationale: Fetal station is the measurement of the fetal head in relation to the
maternal ischial spines or symphysis pubis. It is recorded as a negative (below)
or positive (above) value, indicating the level of descent of the fetal head in the
birth canal.
SATA: Which of the following labs are completed during pregnancy?
A. Hepatitis B
B. HIV testing
C. Syphilis testing (VDRL)
D. Toxicology screening
E. Group B strep test ---Answer: All of the above
Rationale: N/A
True or false: RhoGam is considered a blood product therefore additional
consent is required prior to administration. ---Answer: true
Rationale: N/A
A woman who is 38 weeks pregnant & tested positive for Group B step is
preparing for labor. Given her Group B strep status, which RN intervention is
most appropriate?
Page 2 of 19
, A. Administer IV vancomycin
B. Administer IV clindamycin
C. Administer PO penicillin
D. Administer PO tetracycline ---Answer: B
Rationale: If a patient's Group B strep status is positive OR known, they should
receive IV penicillin or clindamycin every 4 hours until delivery.
True or false: Upon completion of an artificial rupture of membranes (AROM),
the HCP should monitor for signs of hydramnios. ---Answer: False
Rationale: Hydramnios is excessive amniotic fluid & usually indicates the fetus
is not swallowing enough. The HCP should monitor for signs of hydramnios
upon spontaneous rupture of membranes (SROM) or "Water breaking."
SATA: Which of the following must be documented upon completion of an
artificial rupture of membranes (AROM)?
A. Amount of amniotic fluid
B. Odor of amniotic fluid
C. Time of membrane rupture
D. pH of amniotic fluid
E. Color of amniotic fluid ---Answer: B, C, & E
Rationale: Amniotic fluid should be clear & odorless. If amniotic fluid is
odorous or a different color it could indicate infection or bleeding. Time of
membrane rupture is required due to increased risk for infection if delivery is
not completed within 18 hours.
Page 3 of 19
