NCM 109: Module 3 quizzes Test
Questions Fully Solved.
P 1.) A laboring client complains of low back pain. The nurse replies that this pain occurs most
when the position of the fetus is:
A. Breech
B. Transverse
C. Occiput anterior
D. Occiput posterior - Answer D. Occiput posterior
P 2.) A nurse in the postpartum unit is caring for a client who has just delivered a newborn
infant following a pregnancy with placenta previa. The nurse reviews the plan of care and
prepares to monitor the client for which of the following risks associated with placenta previa?
A. Disseminated intravascular coagulation
B. Chronic hypertension
C. Infection
D. Hemorrhage - Answer D. Hemorrhage
P 3.) Which measure would be least effective in preventing postpartum hemorrhage?
A. Administer Methergine 0.2 mg every 6 hours for 4 doses as ordered
B. Encourage the woman to void every 2 hours
C. Massage the fundus every hour for the first 24 hours following birth
D. Teach the woman the importance of rest and nutrition to enhance healing - Answer C.
Massage the fundus every hour for the first 24 hours following birth.
P 4.) A nurse in the labor room is performing a vaginal assessment on a pregnant client in labor.
The nurse notes the presence of the umbilical cord protruding from the vagina. Which of the
following would be the initial nursing action?
A. Place the client in Trendelenburg's position
B. Call the delivery room to notify the staff that the client will be transported immediately
C. Gently push the cord into the vagina
D. Find the closest telephone and stat page the physician - Answer A. Place the client in
Trendelenburg's position.
, P 5.) A client is admitted to the L & D suite at 36 weeks' gestation. She has a history of C-section
and complains of severe abdominal pain that started less than 1 hour earlier. When the nurse
palpates tetanic contractions, the client again complains of severe pain. After the client vomits,
she states that the pain is better and then passes out. Which is the probable cause of her signs
and symptoms?
A. Hysteria compounded by the flu
B. Placental abruption
C. Uterine rupture
D. Dysfunctional labor - Answer C. Uterine rupture
P 6.) Which assessment would least likely associated with breech presentation?
A. Meconium-stained amniotic fluid
B. Fetal heart tones heard at or above the maternal umbilicus
C. Preterm labor and birth
D. Post term gestation - Answer D. Post term gestation
P 7.) The nurse is caring for a 34-year-old G1P0 patient in her 30th week of gestation. The
patient is having an episode of painless vaginal bleeding and is hemodynamically stable. Which
assessment does the nurse anticipate for the physician to order? - Answer A. Abdominal
ultrasound
P 8.) After the expulsion of the placenta in a client who has six living children, an infusion of
lactated ringer's solution with 10 units of Pitocin is ordered. The nurse understands that this is
indicated for this client because:
A. She had a precipitate birth
B. This was an extramural birth
C. Retained placental fragments must be expelled
D. Multigravidas are at increased risk for uterine atony. - Answer D. Multigravida are at
increased risk for uterine atony
P 9.) After doing Leopold's maneuvers, the nurse determines that the fetus is in the ROP
position. To best auscultate the fetal heart tones, the Doppler is placed:
A. Above the umbilicus at the midline
Questions Fully Solved.
P 1.) A laboring client complains of low back pain. The nurse replies that this pain occurs most
when the position of the fetus is:
A. Breech
B. Transverse
C. Occiput anterior
D. Occiput posterior - Answer D. Occiput posterior
P 2.) A nurse in the postpartum unit is caring for a client who has just delivered a newborn
infant following a pregnancy with placenta previa. The nurse reviews the plan of care and
prepares to monitor the client for which of the following risks associated with placenta previa?
A. Disseminated intravascular coagulation
B. Chronic hypertension
C. Infection
D. Hemorrhage - Answer D. Hemorrhage
P 3.) Which measure would be least effective in preventing postpartum hemorrhage?
A. Administer Methergine 0.2 mg every 6 hours for 4 doses as ordered
B. Encourage the woman to void every 2 hours
C. Massage the fundus every hour for the first 24 hours following birth
D. Teach the woman the importance of rest and nutrition to enhance healing - Answer C.
Massage the fundus every hour for the first 24 hours following birth.
P 4.) A nurse in the labor room is performing a vaginal assessment on a pregnant client in labor.
The nurse notes the presence of the umbilical cord protruding from the vagina. Which of the
following would be the initial nursing action?
A. Place the client in Trendelenburg's position
B. Call the delivery room to notify the staff that the client will be transported immediately
C. Gently push the cord into the vagina
D. Find the closest telephone and stat page the physician - Answer A. Place the client in
Trendelenburg's position.
, P 5.) A client is admitted to the L & D suite at 36 weeks' gestation. She has a history of C-section
and complains of severe abdominal pain that started less than 1 hour earlier. When the nurse
palpates tetanic contractions, the client again complains of severe pain. After the client vomits,
she states that the pain is better and then passes out. Which is the probable cause of her signs
and symptoms?
A. Hysteria compounded by the flu
B. Placental abruption
C. Uterine rupture
D. Dysfunctional labor - Answer C. Uterine rupture
P 6.) Which assessment would least likely associated with breech presentation?
A. Meconium-stained amniotic fluid
B. Fetal heart tones heard at or above the maternal umbilicus
C. Preterm labor and birth
D. Post term gestation - Answer D. Post term gestation
P 7.) The nurse is caring for a 34-year-old G1P0 patient in her 30th week of gestation. The
patient is having an episode of painless vaginal bleeding and is hemodynamically stable. Which
assessment does the nurse anticipate for the physician to order? - Answer A. Abdominal
ultrasound
P 8.) After the expulsion of the placenta in a client who has six living children, an infusion of
lactated ringer's solution with 10 units of Pitocin is ordered. The nurse understands that this is
indicated for this client because:
A. She had a precipitate birth
B. This was an extramural birth
C. Retained placental fragments must be expelled
D. Multigravidas are at increased risk for uterine atony. - Answer D. Multigravida are at
increased risk for uterine atony
P 9.) After doing Leopold's maneuvers, the nurse determines that the fetus is in the ROP
position. To best auscultate the fetal heart tones, the Doppler is placed:
A. Above the umbilicus at the midline
