University| Actual Exam Question and
Correct Answers
Question 1: A client who is Rh-negative gives birth to an Rh-positive newborn. What is the
appropriate nursing action?
- Administer Rho(D) immune globulin within 72 hours
- Administer oxytocin
- Delay breastfeeding
- Monitor for rubella titers
Answer: Administer Rho(D) immune globulin within 72 hours
Rationale: Rho(D) immune globulin prevents Rh sensitization after delivery of an Rh-positive infant.
Question 2: Drag and drop: Place the following fetal heart rate patterns in order of concern,
from least to most.
- Early decelerations
- Variable decelerations
- Late decelerations
Answer: Early decelerations, Variable decelerations, Late decelerations
Rationale: Early decels are benign, variable may indicate cord compression, and late decels suggest
placental insufficiency.
Question 3: Select all that apply: Which are signs of endometriosis?
- Pelvic pain
- Dysmenorrhea
- Increased fertility
- Painful intercourse
Answer: Pelvic pain, Dysmenorrhea, Painful intercourse
Rationale: Endometriosis often presents with chronic pelvic pain, painful menstruation, and dyspareunia
(painful intercourse).
Question 4: Which finding indicates a complication in a client with preeclampsia receiving
magnesium sulfate?
, - Respiratory rate of 10/min