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MCN 538 EXAM 2 LATEST 2026-2027 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
After several hours of labor, a nursing assessment reveals that a
woman's cervix is 5 cm dilated but contractions are becoming
shorter and less frequent. What is this labor pattern considered? -
ANSWER-Hypotonic, the woman with hypotonic labor dysfunction
begins labor normally, but contractions diminish after the active
phase.
A labor dysfunction due to decreased uterine muscle tone occurs
in a patient who is dilated to 5 cm with membranes intact. What
action by the physician will the nurse anticipate first? - ANSWER-
The physician will perform an amniotomy.
What is the lowest Bishop score the patient should have prior to
induction? - ANSWER-The lowest scale obtainable for induction is
6.
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The nurse would assess for which adverse effect while
administering terbutaline (Brethine) - ANSWER-Cardiac
symptoms which include:
Increased heart rate
Increased blood pressure
How would the nurse position the woman to prevent compression
of a prolapsed cord? - ANSWER-Knee Chest or Trendelenburg;
as well as placing the mother in side lying position with her hips
elevated on pillows
What side effect should the nurse inform the patient that she
might experience with magnesium sulfate? - ANSWER-She may
experience a warm flush during the initiation of therapy
How can anxiety affect labor? - ANSWER-Anxiety causes the
body to respond by:
• Using glucose the uterus needs for energy
• Diverting blood from the uterus
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• Increasing tension of the pelvic muscles, which impedes fetal
descent
• Increasing perception of pain, creating greater anxiety and
stress and thus worsening the cycle
For sudden pain between the scapulae that seems to occur with
every breath while in labor, what is the best nursing action? -
ANSWER-This is a sign of uterine rupture, check for a rising pulse
rate and falling blood pressure reading. Advise the physician.
A pregnant patient tells the nurse that she has been nauseated
and vomiting. How will the nurse explain that hyperemesis
gravidarum is distinguished from morning sickness? - ANSWER-
Dehydration which impairs perfusion of the placenta and
electrolyte and acid-base imbalance. (There are others but these
are the two she said we needed to know for the test).
A woman is 9 weeks pregnant and experiencing heavy bleeding
and cramping. She reports passing some tissue. Cervical dilation
is noted on examination. What is the most likely cause of these
symptoms? - ANSWER-Incomplete Abortion
MCN 538 EXAM 2 LATEST 2026-2027 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
After several hours of labor, a nursing assessment reveals that a
woman's cervix is 5 cm dilated but contractions are becoming
shorter and less frequent. What is this labor pattern considered? -
ANSWER-Hypotonic, the woman with hypotonic labor dysfunction
begins labor normally, but contractions diminish after the active
phase.
A labor dysfunction due to decreased uterine muscle tone occurs
in a patient who is dilated to 5 cm with membranes intact. What
action by the physician will the nurse anticipate first? - ANSWER-
The physician will perform an amniotomy.
What is the lowest Bishop score the patient should have prior to
induction? - ANSWER-The lowest scale obtainable for induction is
6.
,2|Page
The nurse would assess for which adverse effect while
administering terbutaline (Brethine) - ANSWER-Cardiac
symptoms which include:
Increased heart rate
Increased blood pressure
How would the nurse position the woman to prevent compression
of a prolapsed cord? - ANSWER-Knee Chest or Trendelenburg;
as well as placing the mother in side lying position with her hips
elevated on pillows
What side effect should the nurse inform the patient that she
might experience with magnesium sulfate? - ANSWER-She may
experience a warm flush during the initiation of therapy
How can anxiety affect labor? - ANSWER-Anxiety causes the
body to respond by:
• Using glucose the uterus needs for energy
• Diverting blood from the uterus
, 3|Page
• Increasing tension of the pelvic muscles, which impedes fetal
descent
• Increasing perception of pain, creating greater anxiety and
stress and thus worsening the cycle
For sudden pain between the scapulae that seems to occur with
every breath while in labor, what is the best nursing action? -
ANSWER-This is a sign of uterine rupture, check for a rising pulse
rate and falling blood pressure reading. Advise the physician.
A pregnant patient tells the nurse that she has been nauseated
and vomiting. How will the nurse explain that hyperemesis
gravidarum is distinguished from morning sickness? - ANSWER-
Dehydration which impairs perfusion of the placenta and
electrolyte and acid-base imbalance. (There are others but these
are the two she said we needed to know for the test).
A woman is 9 weeks pregnant and experiencing heavy bleeding
and cramping. She reports passing some tissue. Cervical dilation
is noted on examination. What is the most likely cause of these
symptoms? - ANSWER-Incomplete Abortion
