NSG 3500 Exam 2 Elaborate Study
Questions with 100% Correct
Answers
1. A patient presents with hypertension, proteinuria, and a headache. The RN
will look for which lab? - ANSWER AST (liver enzymes are monitored in
pre-eclampsia)
2. The patient is requesting an epidural. She is 10 cm dilated. The RN should: -
ANSWER Stay and breathe with the patient until delivery
3. A patient comes to L&D at 37 weeks in false labor. During the admission it
is discovered the fetus is in breech position. An external cephalic version
(ECV) is planned. What drug might be given? - ANSWER Terbutaline
4. Which of the following is responsible for fetal bradycardia? - ANSWER
Uterine tachysystole
5. When applying external fetal monitors the RN explains to the patient: -
ANSWER The monitor tells us how well your baby is oxygenated and
tolerating labor
6. Vaginal examinations reveals the presenting part is the infant's head which is
well flexed upon the chest. What is this presentation? - ANSWER Vertex
(Cephalic)
,7. What does the nurse note when measuring the frequency of the laboring
woman's contractions? - ANSWER The time between the start of one
contraction and the start of the next
8. The peak of the contraction is called the: - ANSWER Acme
9. The nurse caring for the labor patient notices deep variable decelerations just
after arom. The priority action is: - ANSWER Examine the patient for
prolapsed cord
10.Where is the fundus just after vaginal birth? - ANSWER Firm and 3-finger-
breadths below the umbilicus
11.The nurse palpates the abdomen prior to placing monitors to: - ANSWER
Feel where the baby is located, and make sure the uterus is soft when placing
the monitor
12.Which technique is most likely to help with back labor? - ANSWER
Applying firm pressure to the sacral area
13.Your patient wants to get up and walk. Which of the following should the
nurse know before getting the patient up? - ANSWER The fetal lie, the
status of the membrane’s the patient is non pre-eclamptic, and the well-being
of the fetus
14.Which drug should immediately be available for emergency use when a
woman receives narcotics during labor? - ANSWER Narcan
15.The nurse responds to a shoulder dystocia drill. The first action the nurse
performs is: - ANSWER McRobert's Maneuver-push legs onto abdomen
,16.Which patient may have a vaginal birth? - ANSWER The patient with
abruption placenta with IUFD
17.The end of the second stage is: - ANSWER The baby delivers
18.The function of the IUPC is - ANSWER Instill fluid into the uterus and
accurately measure the contractions
19.What contraction duration does the nurse recognize that may compromise
the fetus? - ANSWER Duration longer than 90 seconds and resting period
shorter than 60 seconds
20.A woman is 7 cm dilated and her contractions are three minutes apart. She
begins cursing at her labor coach. What does the nurse assess as the most
likely explanation for the woman's change in behavior? - ANSWER Labor
has progressed to the active phase
21.The nurse notes the post-partum patient is bleeding profusely, but has a firm
uterus in midline. The priority interventions is: - ANSWER Call for any OB
in house to help
22.Which of the following is the most appropriately used for pain relief during
labor before the cervix is dilated to 4 cm? - ANSWER Stadol IM
23.Why is the relaxation phase important between contractions? - ANSWER
The contractions interfere with fetal oxygenation
, 24.The cardinal movement after the extension of the fetal head is: - ANSWER
Restitution
25.The priority nursing intervention in this strip is (no nnovement in baby's
HR): - ANSWER Stop the oxytocin (don't just slow it down, STOP!)
26.Your patient has been at 6 cm for over three hours. You tell the patient that
her provider is ordering: - ANSWER Augmentation with oxytocin
27.The rate of labor progression in a primigravid patient is expected to be? -
ANSWER 4 cm in 4 hours (1 cm/hr)
28.A woman states that she would like to have an epidural for her labor. When
is this technique best given? - ANSWER Anytime during labor
29.Which necessitates bedrest in a laboring patient? - ANSWER Epidural
anesthesia
30.A patient with an epidural and amnioinfusion complains of shortness of
breath. What is the first intervention? - ANSWER Stop the amnioinfusion
31.The patient has an IUPC in place. Which of the following is consistent with
normal labor that should progress? - ANSWER 50-70 mmHg
32.Which of the following patients should the RN assess first? - ANSWER A
33 y/o patient with a temp of 101 and FHR in the 180s
Questions with 100% Correct
Answers
1. A patient presents with hypertension, proteinuria, and a headache. The RN
will look for which lab? - ANSWER AST (liver enzymes are monitored in
pre-eclampsia)
2. The patient is requesting an epidural. She is 10 cm dilated. The RN should: -
ANSWER Stay and breathe with the patient until delivery
3. A patient comes to L&D at 37 weeks in false labor. During the admission it
is discovered the fetus is in breech position. An external cephalic version
(ECV) is planned. What drug might be given? - ANSWER Terbutaline
4. Which of the following is responsible for fetal bradycardia? - ANSWER
Uterine tachysystole
5. When applying external fetal monitors the RN explains to the patient: -
ANSWER The monitor tells us how well your baby is oxygenated and
tolerating labor
6. Vaginal examinations reveals the presenting part is the infant's head which is
well flexed upon the chest. What is this presentation? - ANSWER Vertex
(Cephalic)
,7. What does the nurse note when measuring the frequency of the laboring
woman's contractions? - ANSWER The time between the start of one
contraction and the start of the next
8. The peak of the contraction is called the: - ANSWER Acme
9. The nurse caring for the labor patient notices deep variable decelerations just
after arom. The priority action is: - ANSWER Examine the patient for
prolapsed cord
10.Where is the fundus just after vaginal birth? - ANSWER Firm and 3-finger-
breadths below the umbilicus
11.The nurse palpates the abdomen prior to placing monitors to: - ANSWER
Feel where the baby is located, and make sure the uterus is soft when placing
the monitor
12.Which technique is most likely to help with back labor? - ANSWER
Applying firm pressure to the sacral area
13.Your patient wants to get up and walk. Which of the following should the
nurse know before getting the patient up? - ANSWER The fetal lie, the
status of the membrane’s the patient is non pre-eclamptic, and the well-being
of the fetus
14.Which drug should immediately be available for emergency use when a
woman receives narcotics during labor? - ANSWER Narcan
15.The nurse responds to a shoulder dystocia drill. The first action the nurse
performs is: - ANSWER McRobert's Maneuver-push legs onto abdomen
,16.Which patient may have a vaginal birth? - ANSWER The patient with
abruption placenta with IUFD
17.The end of the second stage is: - ANSWER The baby delivers
18.The function of the IUPC is - ANSWER Instill fluid into the uterus and
accurately measure the contractions
19.What contraction duration does the nurse recognize that may compromise
the fetus? - ANSWER Duration longer than 90 seconds and resting period
shorter than 60 seconds
20.A woman is 7 cm dilated and her contractions are three minutes apart. She
begins cursing at her labor coach. What does the nurse assess as the most
likely explanation for the woman's change in behavior? - ANSWER Labor
has progressed to the active phase
21.The nurse notes the post-partum patient is bleeding profusely, but has a firm
uterus in midline. The priority interventions is: - ANSWER Call for any OB
in house to help
22.Which of the following is the most appropriately used for pain relief during
labor before the cervix is dilated to 4 cm? - ANSWER Stadol IM
23.Why is the relaxation phase important between contractions? - ANSWER
The contractions interfere with fetal oxygenation
, 24.The cardinal movement after the extension of the fetal head is: - ANSWER
Restitution
25.The priority nursing intervention in this strip is (no nnovement in baby's
HR): - ANSWER Stop the oxytocin (don't just slow it down, STOP!)
26.Your patient has been at 6 cm for over three hours. You tell the patient that
her provider is ordering: - ANSWER Augmentation with oxytocin
27.The rate of labor progression in a primigravid patient is expected to be? -
ANSWER 4 cm in 4 hours (1 cm/hr)
28.A woman states that she would like to have an epidural for her labor. When
is this technique best given? - ANSWER Anytime during labor
29.Which necessitates bedrest in a laboring patient? - ANSWER Epidural
anesthesia
30.A patient with an epidural and amnioinfusion complains of shortness of
breath. What is the first intervention? - ANSWER Stop the amnioinfusion
31.The patient has an IUPC in place. Which of the following is consistent with
normal labor that should progress? - ANSWER 50-70 mmHg
32.Which of the following patients should the RN assess first? - ANSWER A
33 y/o patient with a temp of 101 and FHR in the 180s
