NSG 3500 CERTIFICATION SCRIPT 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◍ Nurse is caring for a G3P1 mom while she is in labor. She is 38 wks, med
hx of 36% BMI, chronic hypertension, gallbladder removal 2 yrs ago, and
uneventful past pregnancies. She had a reactive NST in triage when she
arrived 14 hrs ago. She delivered approx 15 mins ago and is showing signs
of PPH with a QBL of 1600ml. Which of the follow orders from the MD
should the RN question and why? 1. Methergine 0.2mg IV Q2H x3 doses 2.
Oxytocin 40 units IV bolus 3.Indwelling urinary cath & monitor I&Os 4.
Monitor v/s Q15 mins x2 hrs.
Answer: 1 - pt's who have HTN cannot have Methergine
◍ One of the differences between postpartum blues & postpartum depression
is? 1. Blues are just sadness, depression is accompanied by hallucinations. 2.
Blues are transient, depression can last for years & require hospitalization3.
Blues happen immediately postpartum & depression occurs after the first
few weeks4. Blues are a normal reaction, depression only occurs in moms
w/ hx of mental illness.
Answer: 3
◍ What is spinal anesthesia?.
Answer: anesthesia is injected into the subarachnoid space of a lumbar disk
or sacral disk for c-section
◍ What is "Baby Blues"?.
Answer: -Common in most women -Usually within the first two weeks - due
to hormone regulation-Symptoms are mild and do not impair ability to care
for self or baby - Happy one minute, sad the next - Fatigue can contribute -
Does not affect day to day functioning - Does not seem to affect bonding w/
baby - Can last a couple of weeks after birth
,◍ The perinatal nurse is providing information to a PP woman being
discharged from the hospital on warfarin (Coumadin) therapy. Which drug
would the nurse instruct the pt to restrict?a. acetaminophen (Tylenol)b.
ibuprofen (Motrin)c. prenatal vitamins d. decussate sodium (Colace).
Answer: B
◍ What treatment may be required for oligohydramnios?.
Answer: Amnioinfusion
◍ A woman had a cesarean birth 2 hours ago. She now complains of being
hungry and wants something to eat. What action by the nurse is best?a.
assess for bowel sounds and ask if she is passing gasb. inform the woman
that she can't eat until her bowels movec. order her a meal high in
carbohydratesd. provide her with a medical liquid diet.
Answer: A
◍ Can a mom w/ HIV breastfeed?.
Answer: No
◍ Hypertonic Dystocia (what is it? interventions?).
Answer: Contractions are strong & frequent but unproductivePOOF
Positioning- lateralOxygenOxytocin stoppedFluid administrationPosition in
lateral recumbent position
◍ What meds are given to stop postpartum hemorrhage?.
Answer: 1. Methergine (don't give to HTN women)2. Cytotec
◍ What are things you can teach a mom who is having afterpains?.
Answer: Guided imageryTake Motrin/Tylenol 30 mins before breastfeeding
Walk around every 1-2 hrs
◍ What is the difference between induction and augmentation of labor?.
Answer: Induction: Starts laborAugmentation: Helps progress labor that has
already began (seen in hypotonic uterine activity)
◍ If mom is c/o unrelenting perineal pain, as the RN what should you do? 1.
Assess 2. Call MD 3. Nothing, it's normal 4. Obtain v/s.
, Answer: 2
◍ How long does cervidil remain in the vagina?.
Answer: 12 Hours
◍ What is a nuchal cord?.
Answer: Umbilical cord around the fetal neck
◍ Engorgement education for mom.
Answer: Wear a well-fitting bra May need to hand express before latching
or pumping to soften the nipple Feed both breasts for 15-20 mins Use warm
cloths or let warm water run over breasts in shower may help w/ let down
reflex Ice packs after feeding may help w/ edema
◍ A nurse performing a perineal assessment on a postpartum woman assists
her into which position?a. Sim'sb. Pronec. Supined. Knee-chest.
Answer: A
◍ How do you teach new parents to prepare formula?.
Answer: Based on manufacturers instructions (discard after 24 hrs)Water
should be from a tested source Equipment should be sterilized prior to use &
then washed w/ hot soapy water Dishwasher CAN be used Can be fed cold,
room temp, or warm Do NOT use microwave to warm formula Shake after
heating & prior to giving to baby Bottle should always be held up and never
propped up Burp frequently NO COWS MILK until at least 1 yo
◍ Mom arrived in triage 20 mins ago saying her contractions just started
within the hour but she's feeling pressure. On exam, RN finds mom to be
completely dilated & effaced and baby is crowning. The RN is delivering
baby as midwife walks into the room. What type of delivery is this & what
complication is mom @ risk for? 1. Prolonged, PPH2. Precipitous, PPH 3.
Precipitous, infection 4. Prolonged, infection.
Answer: 2
◍ Signs of Endometritis.
Answer: -temp over 101 -develops within 24-48 hrs after birth
-tachycardia-uterine tenderness -suprapubic pain -subinvolution -malaise
QUESTIONS WITH SOLUTIONS GRADED A+
◍ Nurse is caring for a G3P1 mom while she is in labor. She is 38 wks, med
hx of 36% BMI, chronic hypertension, gallbladder removal 2 yrs ago, and
uneventful past pregnancies. She had a reactive NST in triage when she
arrived 14 hrs ago. She delivered approx 15 mins ago and is showing signs
of PPH with a QBL of 1600ml. Which of the follow orders from the MD
should the RN question and why? 1. Methergine 0.2mg IV Q2H x3 doses 2.
Oxytocin 40 units IV bolus 3.Indwelling urinary cath & monitor I&Os 4.
Monitor v/s Q15 mins x2 hrs.
Answer: 1 - pt's who have HTN cannot have Methergine
◍ One of the differences between postpartum blues & postpartum depression
is? 1. Blues are just sadness, depression is accompanied by hallucinations. 2.
Blues are transient, depression can last for years & require hospitalization3.
Blues happen immediately postpartum & depression occurs after the first
few weeks4. Blues are a normal reaction, depression only occurs in moms
w/ hx of mental illness.
Answer: 3
◍ What is spinal anesthesia?.
Answer: anesthesia is injected into the subarachnoid space of a lumbar disk
or sacral disk for c-section
◍ What is "Baby Blues"?.
Answer: -Common in most women -Usually within the first two weeks - due
to hormone regulation-Symptoms are mild and do not impair ability to care
for self or baby - Happy one minute, sad the next - Fatigue can contribute -
Does not affect day to day functioning - Does not seem to affect bonding w/
baby - Can last a couple of weeks after birth
,◍ The perinatal nurse is providing information to a PP woman being
discharged from the hospital on warfarin (Coumadin) therapy. Which drug
would the nurse instruct the pt to restrict?a. acetaminophen (Tylenol)b.
ibuprofen (Motrin)c. prenatal vitamins d. decussate sodium (Colace).
Answer: B
◍ What treatment may be required for oligohydramnios?.
Answer: Amnioinfusion
◍ A woman had a cesarean birth 2 hours ago. She now complains of being
hungry and wants something to eat. What action by the nurse is best?a.
assess for bowel sounds and ask if she is passing gasb. inform the woman
that she can't eat until her bowels movec. order her a meal high in
carbohydratesd. provide her with a medical liquid diet.
Answer: A
◍ Can a mom w/ HIV breastfeed?.
Answer: No
◍ Hypertonic Dystocia (what is it? interventions?).
Answer: Contractions are strong & frequent but unproductivePOOF
Positioning- lateralOxygenOxytocin stoppedFluid administrationPosition in
lateral recumbent position
◍ What meds are given to stop postpartum hemorrhage?.
Answer: 1. Methergine (don't give to HTN women)2. Cytotec
◍ What are things you can teach a mom who is having afterpains?.
Answer: Guided imageryTake Motrin/Tylenol 30 mins before breastfeeding
Walk around every 1-2 hrs
◍ What is the difference between induction and augmentation of labor?.
Answer: Induction: Starts laborAugmentation: Helps progress labor that has
already began (seen in hypotonic uterine activity)
◍ If mom is c/o unrelenting perineal pain, as the RN what should you do? 1.
Assess 2. Call MD 3. Nothing, it's normal 4. Obtain v/s.
, Answer: 2
◍ How long does cervidil remain in the vagina?.
Answer: 12 Hours
◍ What is a nuchal cord?.
Answer: Umbilical cord around the fetal neck
◍ Engorgement education for mom.
Answer: Wear a well-fitting bra May need to hand express before latching
or pumping to soften the nipple Feed both breasts for 15-20 mins Use warm
cloths or let warm water run over breasts in shower may help w/ let down
reflex Ice packs after feeding may help w/ edema
◍ A nurse performing a perineal assessment on a postpartum woman assists
her into which position?a. Sim'sb. Pronec. Supined. Knee-chest.
Answer: A
◍ How do you teach new parents to prepare formula?.
Answer: Based on manufacturers instructions (discard after 24 hrs)Water
should be from a tested source Equipment should be sterilized prior to use &
then washed w/ hot soapy water Dishwasher CAN be used Can be fed cold,
room temp, or warm Do NOT use microwave to warm formula Shake after
heating & prior to giving to baby Bottle should always be held up and never
propped up Burp frequently NO COWS MILK until at least 1 yo
◍ Mom arrived in triage 20 mins ago saying her contractions just started
within the hour but she's feeling pressure. On exam, RN finds mom to be
completely dilated & effaced and baby is crowning. The RN is delivering
baby as midwife walks into the room. What type of delivery is this & what
complication is mom @ risk for? 1. Prolonged, PPH2. Precipitous, PPH 3.
Precipitous, infection 4. Prolonged, infection.
Answer: 2
◍ Signs of Endometritis.
Answer: -temp over 101 -develops within 24-48 hrs after birth
-tachycardia-uterine tenderness -suprapubic pain -subinvolution -malaise
