UWORLD MATERNAL AND NEWBORN UPDATED
EXAMINATION TEST 2026 TESTED QUESTIONS
WITH FULL SOLUTION GRADED A+
◉ What characteristics of fluid should be noted after amniotomy?
Answer: Color, odor, and amount of amniotic fluid
◉ What maternal position is recommended after an amniotomy?
Answer: Side-lying or upright position
◉ What is placenta accreta? Answer: Abnormal placental adherence
to the myometrium
◉ Why is placenta accreta dangerous? Answer: Attempted
separation can cause life-threatening hemorrhage
◉ What IV access is a priority for placenta accreta? Answer: At least
two large-bore IVs
◉ What blood preparation is required for placenta accreta? Answer:
Available blood products
,◉ Why can epidural anesthesia cause hypotension? Answer:
Sympathetic blockade causes peripheral vasodilation
◉ What symptoms suggest epidural-related hypotension? Answer:
Lightheadedness and nausea
◉ What is the nurse's first action when hypotension occurs after
epidural? Answer: Assess blood pressure
◉ What interventions treat epidural-induced hypotension? Answer:
IV fluids, left lateral positioning, oxygen
◉ What fetal position is associated with severe back pain in labor?
Answer: Occiput posterior position
◉ What nursing intervention relieves back pain from occiput
posterior position? Answer: Counterpressure to the sacrum during
contractions
◉ What is the normal duration of contractions during the first stage
of labor? Answer: 45 to 80 seconds
◉ What is the maximum safe contraction duration? Answer: 90
seconds
,◉ Why should contractions not exceed 90 seconds? Answer:
Reduced placental blood flow from uterine hypertonicity
◉ What is normal uterine contraction frequency? Answer: 2 to 5
contractions every 10 minutes
◉ What contraction pattern increases risk of fetal distress? Answer:
Contractions less than 2 minutes apart
◉ Why do frequent contractions cause fetal distress? Answer:
Uteroplacental insufficiency
◉ When is fundal massage performed? Answer: After expulsion of
the placenta
◉ Why is fundal massage performed? Answer: Increase uterine tone
and decrease bleeding
◉ How should oxytocin be administered IV? Answer: Through a
secondary line connected to a primary isotonic IV
◉ Where should oxytocin be connected on the IV line? Answer: Port
closest to the client
, ◉ Why is oxytocin administered via secondary line? Answer:
Prevents bolus dosing and allows rapid discontinuation
◉ What is the earliest sign of uterine rupture? Answer: Abnormal
fetal heart rate patterns
◉ What pain pattern suggests uterine rupture? Answer: Constant
abdominal pain
◉ What labor change suggests uterine rupture? Answer: Sudden
cessation of contractions
◉ What fetal finding suggests uterine rupture? Answer: Loss of fetal
station
◉ What maternal complications can occur with severe uterine
rupture? Answer: Hemorrhage, hypovolemic shock, tachycardia
◉ What is pelvic inflammatory disease (PID)? Answer: Ascending
infection of the reproductive organs and pelvic cavity
◉ How does PID develop? Answer: Bacteria spread upward through
the cervix
EXAMINATION TEST 2026 TESTED QUESTIONS
WITH FULL SOLUTION GRADED A+
◉ What characteristics of fluid should be noted after amniotomy?
Answer: Color, odor, and amount of amniotic fluid
◉ What maternal position is recommended after an amniotomy?
Answer: Side-lying or upright position
◉ What is placenta accreta? Answer: Abnormal placental adherence
to the myometrium
◉ Why is placenta accreta dangerous? Answer: Attempted
separation can cause life-threatening hemorrhage
◉ What IV access is a priority for placenta accreta? Answer: At least
two large-bore IVs
◉ What blood preparation is required for placenta accreta? Answer:
Available blood products
,◉ Why can epidural anesthesia cause hypotension? Answer:
Sympathetic blockade causes peripheral vasodilation
◉ What symptoms suggest epidural-related hypotension? Answer:
Lightheadedness and nausea
◉ What is the nurse's first action when hypotension occurs after
epidural? Answer: Assess blood pressure
◉ What interventions treat epidural-induced hypotension? Answer:
IV fluids, left lateral positioning, oxygen
◉ What fetal position is associated with severe back pain in labor?
Answer: Occiput posterior position
◉ What nursing intervention relieves back pain from occiput
posterior position? Answer: Counterpressure to the sacrum during
contractions
◉ What is the normal duration of contractions during the first stage
of labor? Answer: 45 to 80 seconds
◉ What is the maximum safe contraction duration? Answer: 90
seconds
,◉ Why should contractions not exceed 90 seconds? Answer:
Reduced placental blood flow from uterine hypertonicity
◉ What is normal uterine contraction frequency? Answer: 2 to 5
contractions every 10 minutes
◉ What contraction pattern increases risk of fetal distress? Answer:
Contractions less than 2 minutes apart
◉ Why do frequent contractions cause fetal distress? Answer:
Uteroplacental insufficiency
◉ When is fundal massage performed? Answer: After expulsion of
the placenta
◉ Why is fundal massage performed? Answer: Increase uterine tone
and decrease bleeding
◉ How should oxytocin be administered IV? Answer: Through a
secondary line connected to a primary isotonic IV
◉ Where should oxytocin be connected on the IV line? Answer: Port
closest to the client
, ◉ Why is oxytocin administered via secondary line? Answer:
Prevents bolus dosing and allows rapid discontinuation
◉ What is the earliest sign of uterine rupture? Answer: Abnormal
fetal heart rate patterns
◉ What pain pattern suggests uterine rupture? Answer: Constant
abdominal pain
◉ What labor change suggests uterine rupture? Answer: Sudden
cessation of contractions
◉ What fetal finding suggests uterine rupture? Answer: Loss of fetal
station
◉ What maternal complications can occur with severe uterine
rupture? Answer: Hemorrhage, hypovolemic shock, tachycardia
◉ What is pelvic inflammatory disease (PID)? Answer: Ascending
infection of the reproductive organs and pelvic cavity
◉ How does PID develop? Answer: Bacteria spread upward through
the cervix
