Page 1 of 40
Maternal Assessment Exam Questions Comprehensive
2026 Questions Exam Latest Version Solved Questions &
Answers Verified 100 %
A nurse is caring for a client in the latent stage of labor who is reporting a pain
level of 4 on a scale of 1 to 10. Which of the following actions should the nurse
take ?
A. Encourage the client to use hydrotherapy
B. Teach the client biofeedback to control labor pain
C. Lead the client in relaxation breathing techniques
D. Administer a benzodiazepine medication
C. Lead the client in relaxation breathing techniques
A nurse is caring for a postpartum client 8 hr after delivery . Which of the
following factors places the client at risk of uterine atony ? ( Select all that
apply . )
A. Magnesium sulfate infusion
B. Distended bladder
C. Oxytocin infusion
D. Prolonged labor
E. Small for gestational age newborn
A. Magnesium sulfate infusion
B. Distended bladder
D. Prolonged labor
A nurse is providing care for a client who is in the second stage of labor . The
fetal heart tracing indicates multiple variable decelerations . Which of the
following actions should the nurse take ?
, Page 2 of 40
A. Prepare an amnioinfusion
B. Place the client in a supine position
C. Administer oxygen 2 L / min via nasal cannula
D. Give a glucocorticoid
A. Prepare an amnioinfusion
A nurse is creating a plan of care for a client who is in the active stage of labor
and expresses a desire to use nonpharmacological methods of pain relief .
Which of the following interventions should the nurse include ?
A. Encourage the client to listen to music
B. Instruct the client how to use informational biofeedback
C. Ask the client to reconsider using a regional anesthetic
D. Assist the client into a warm shower
D. Assist the client into a warm shower
A nurse is teaching a prenatal class about pain management during labor .
Which of the following statements should the nurse identify as an indication
that the client understands the instructions ?
A. " I can apply a heating pad to my back to relieve back pain . "
B. " I can have a low spinal block to help with labor pain . "
C. " I can have butorphanol every 2 hours during labor . "
D. " My time limit for staying in the hydrotherapy tub is 30 minutes . "
A. " I can apply a heating pad to my back to relieve back pain . "
A nurse is caring for a client who is in the latent phase of labor and is
experiencing low back pain . Which of the following actions should the nurse
take ?
A. Instruct the client to pant during contractions
B. Position the client supine with legs elevated
C. Encourage the client to soak in a warm bath
D. Apply pressure to the client's sacral area during contractions
D. Apply pressure to the client's sacral area during contractions
Counter - pressure lifts the __1___ away from the __2__, which __3___ pain .
, Page 3 of 40
1. Fetal head
2. Sacral nerves
3. Decreases
panting during contractions
prevents pushing or bearing down before the cervix is completely dilated during the
transition phase of labor
The use of hydrotherapy during the latent phase of labor can ____ the labor
process .
prolong
A nurse is preparing to administer an IV infusion of oxytocin for labor
induction to a client who is at 41 weeks of gestation . Which of the following
actions should the nurse plan to take ?
A. Administer the oxytocin with manual IV tubing
B. Monitor the fetal heart rate every 15 minutes initially
C. Begin the infusion at 10 milliunits / min
D. Titrate the dosage until the client has 1 contraction every minute
B. Monitor the fetal heart rate every 15 minutes initially
The nurse should titrate the dosage of oxytocin until the client has 1
contraction every ______.
2 to 3 minutes;
One contraction every minute is an indication of uterine tachysystole
The nurse should administer oxytocin with _______ to ensure accurate flow
rate delivery .
an infusion pump
A nurse is preparing to administer meperidine hydrochloride to a client who is
in labor . Which of the following statements should the nurse make to the
client ?
A. " This medication can cause your blood pressure to rise . "
B. " This medication can cause dry mouth . "
, Page 4 of 40
C. " This medication can cause you to urinate excessively . "
D. " This medication can make you sleepy . "
D. " This medication can make you sleepy . "
Meperidine hydrochloride possible adverse effects
hypotension , confusion , sedation , headaches , respiratory depression ,
constipation , and urinary retention
A nurse in the labor and delivery suite is planning care for a group of 4 clients
. Which of the following clients should the nurse see first ?
A. A client who is in active labor and has late decelerations on the fetal heart
monitor strip
B. A client who is in transition and screaming and disturbing other clients
C. A client who has epidural analgesia and is reporting breakthrough pain
D. A client who has received an oxytocin infusion and is experiencing
contractions every 2 min lasting 60 sec
A. A client who is in active labor and has late decelerations on the fetal heart monitor
strip
A nurse is caring for a client who is in labor . A vaginal examination reveals
the following findings : 2 cm , 50 % , +1 , right occiput anterior ( ROA ) . Based
on this information , which of the following fetal positions should the nurse
document in the medical record ?
A. Transverse
B. Breech
C. Vertex
D. Mentum
C. Vertex
A _____ position indicates that the fetus is lying horizontally in the pelvis and
is presenting with a shoulder .
transverse
A ______ position indicates that the fetus is upright in the uterus and is
presenting with the buttocks or feet .
breech
Maternal Assessment Exam Questions Comprehensive
2026 Questions Exam Latest Version Solved Questions &
Answers Verified 100 %
A nurse is caring for a client in the latent stage of labor who is reporting a pain
level of 4 on a scale of 1 to 10. Which of the following actions should the nurse
take ?
A. Encourage the client to use hydrotherapy
B. Teach the client biofeedback to control labor pain
C. Lead the client in relaxation breathing techniques
D. Administer a benzodiazepine medication
C. Lead the client in relaxation breathing techniques
A nurse is caring for a postpartum client 8 hr after delivery . Which of the
following factors places the client at risk of uterine atony ? ( Select all that
apply . )
A. Magnesium sulfate infusion
B. Distended bladder
C. Oxytocin infusion
D. Prolonged labor
E. Small for gestational age newborn
A. Magnesium sulfate infusion
B. Distended bladder
D. Prolonged labor
A nurse is providing care for a client who is in the second stage of labor . The
fetal heart tracing indicates multiple variable decelerations . Which of the
following actions should the nurse take ?
, Page 2 of 40
A. Prepare an amnioinfusion
B. Place the client in a supine position
C. Administer oxygen 2 L / min via nasal cannula
D. Give a glucocorticoid
A. Prepare an amnioinfusion
A nurse is creating a plan of care for a client who is in the active stage of labor
and expresses a desire to use nonpharmacological methods of pain relief .
Which of the following interventions should the nurse include ?
A. Encourage the client to listen to music
B. Instruct the client how to use informational biofeedback
C. Ask the client to reconsider using a regional anesthetic
D. Assist the client into a warm shower
D. Assist the client into a warm shower
A nurse is teaching a prenatal class about pain management during labor .
Which of the following statements should the nurse identify as an indication
that the client understands the instructions ?
A. " I can apply a heating pad to my back to relieve back pain . "
B. " I can have a low spinal block to help with labor pain . "
C. " I can have butorphanol every 2 hours during labor . "
D. " My time limit for staying in the hydrotherapy tub is 30 minutes . "
A. " I can apply a heating pad to my back to relieve back pain . "
A nurse is caring for a client who is in the latent phase of labor and is
experiencing low back pain . Which of the following actions should the nurse
take ?
A. Instruct the client to pant during contractions
B. Position the client supine with legs elevated
C. Encourage the client to soak in a warm bath
D. Apply pressure to the client's sacral area during contractions
D. Apply pressure to the client's sacral area during contractions
Counter - pressure lifts the __1___ away from the __2__, which __3___ pain .
, Page 3 of 40
1. Fetal head
2. Sacral nerves
3. Decreases
panting during contractions
prevents pushing or bearing down before the cervix is completely dilated during the
transition phase of labor
The use of hydrotherapy during the latent phase of labor can ____ the labor
process .
prolong
A nurse is preparing to administer an IV infusion of oxytocin for labor
induction to a client who is at 41 weeks of gestation . Which of the following
actions should the nurse plan to take ?
A. Administer the oxytocin with manual IV tubing
B. Monitor the fetal heart rate every 15 minutes initially
C. Begin the infusion at 10 milliunits / min
D. Titrate the dosage until the client has 1 contraction every minute
B. Monitor the fetal heart rate every 15 minutes initially
The nurse should titrate the dosage of oxytocin until the client has 1
contraction every ______.
2 to 3 minutes;
One contraction every minute is an indication of uterine tachysystole
The nurse should administer oxytocin with _______ to ensure accurate flow
rate delivery .
an infusion pump
A nurse is preparing to administer meperidine hydrochloride to a client who is
in labor . Which of the following statements should the nurse make to the
client ?
A. " This medication can cause your blood pressure to rise . "
B. " This medication can cause dry mouth . "
, Page 4 of 40
C. " This medication can cause you to urinate excessively . "
D. " This medication can make you sleepy . "
D. " This medication can make you sleepy . "
Meperidine hydrochloride possible adverse effects
hypotension , confusion , sedation , headaches , respiratory depression ,
constipation , and urinary retention
A nurse in the labor and delivery suite is planning care for a group of 4 clients
. Which of the following clients should the nurse see first ?
A. A client who is in active labor and has late decelerations on the fetal heart
monitor strip
B. A client who is in transition and screaming and disturbing other clients
C. A client who has epidural analgesia and is reporting breakthrough pain
D. A client who has received an oxytocin infusion and is experiencing
contractions every 2 min lasting 60 sec
A. A client who is in active labor and has late decelerations on the fetal heart monitor
strip
A nurse is caring for a client who is in labor . A vaginal examination reveals
the following findings : 2 cm , 50 % , +1 , right occiput anterior ( ROA ) . Based
on this information , which of the following fetal positions should the nurse
document in the medical record ?
A. Transverse
B. Breech
C. Vertex
D. Mentum
C. Vertex
A _____ position indicates that the fetus is lying horizontally in the pelvis and
is presenting with a shoulder .
transverse
A ______ position indicates that the fetus is upright in the uterus and is
presenting with the buttocks or feet .
breech
