Maternal Test 2 Sherpath Comprehensive Maternal-Newborn
Nursing EXAM 2026-2027 LATEST UPDATED VERSION
QUESTIONS AND ANSWERS
A nurse is caring for a patient who needs general anesthesia. Which statement most describes this
patient?
Patient with a vaginal infection
Patient with severe pain from uterine contractions
Patient needing anesthesia for a vaginal episiotomy
Patient refusing regional and local anesthetic methods and needs a cesarean delivery - answer>>Patient
refusing regional and local anesthetic methods and needs a cesarean delivery
A patient who refuses regional and local anesthetic methods and needs a cesarean delivery does
require general anesthesia.
A nurse is caring for a patient undergoing an episiotomy repair after birth. Which type of anesthesia
does the nurse anticipate?
Select all that apply.
General anesthesia
Epidural anesthesia
Pudendal anesthesia
,Local infiltration anesthesia
Combined spinal-epidural anesthesia - answer>>Pudendal anesthesia
The nurse would anticipate pudendal anesthesia for episiotomy repair. Pudendal blocks anesthetize the
lower vagina and part of the perineum.
Local infiltration anesthesia
The nurse would anticipate local infiltration, which is routinely used for episiotomy repair. Local
infiltration anesthesia numbs the immediate area of the episiotomy or laceration.
A patient carrying twins desires an elective cesarean delivery. Which statement indicates a need for
further teaching regarding cesarean delivery?
"I might need a blood transfusion after the surgery."
"Having a c-section might make my hospital stay longer."
"Since I am not having a vaginal birth, my babies can't be harmed during delivery."
"Depending on how they do the incision, I may be able to have a vaginal delivery if I become pregnant
again." - answer>>"Since I am not having a vaginal birth, my babies can't be harmed during delivery."
Cesarean delivery carries risk of injury to the newborn, such as bruising, fractures, or other trauma.
Which patient laboratory value would the nurse validate as part of routine preparation for cesarean
delivery, in order to determine adequate fetal maturity?
Rh-positive antibody test performed 4 weeks prior to surgery.
Negative rubella titer performed 6 weeks prior to surgery.
,Positive serum pregnancy test performed at least 36 weeks prior to surgery.
High serum alpha-fetoprotein (AFP) level performed 26 weeks prior to surgery. - answer>>Positive
serum pregnancy test performed at least 36 weeks prior to surgery.
Positive serum pregnancy test, performed at least 36 weeks prior to the date of cesarean delivery, can
be used to verify gestational age.
The patient is discussing with the nurse her preference for a vaginal delivery for her current pregnancy.
Which statement by the patient indicates the need for further teaching?
"I had general anesthesia during my last c-section."
"Before my last c-section, the doctor tried to induce labor."
"My ultrasound showed a lot of scar tissue from my last c-section."
"I had a c-section with my last pregnancy because of placenta previa." - answer>>"I had a c-section with
my last pregnancy because of placenta previa."
Cesarean delivery due to placenta previa is typically done using a classic uterine incision, which
eliminates the option for vaginal birth after cesarean (VBAC).
The postpartum nurse is caring for a patient who experienced a cesarean delivery and whose vertical
skin incision is closed with sutures and surgical glue. Which step should the nurse take to ensure the
patient's comfort during the assessment?
Assist the patient to extend her legs prior to palpating the fundus.
Avoid palpating the area around the incision during assessment.
Decrease the frequency of assessments to allow for patient rest.
, Administer the patient's pain medication before fundal assessment. - answer>>Administer the patient's
pain medication before fundal assessment.
Patients with vertical skin incisions often experience greater discomfort during fundal assessment than
patients with Pfannenstiel incisions. Therefore, administering pain medication before fundal
assessment helps ensure patient comfort and is a step the nurse should take during assessment.
The antepartum nurse is caring for a patient with a body mass index (BMI) of 30 who is scheduled for a
planned cesarean delivery. The patient asks the nurse why the provider has told her that a midline
vertical incision will be done for the procedure. Which explanation by the nurse is accurate?
"The midline vertical incision is less likely to lead to hernia formation later in life."
"The midline vertical incision will heal more quickly than a Pfannenstiel incision."
"The midline vertical incision will cause less postoperative pain and allow for earlier ambulation."
"The midline vertical incision is a better option for larger patients because more of the uterus is
exposed." - answer>>"The midline vertical incision is a better option for larger patients because more of
the uterus is exposed."
For obese patients (BMI ≥ 30), a midline vertical incision is optimal because it exposes more of the
uterus and allows for safer delivery.
The antepartum nurse is caring for a new patient who seeks to attempt a vaginal delivery after a
cesarean delivery. She indicates her Pfannenstiel incision scar and insists that she should be able to
successfully have a vaginal birth. Which nursing education is appropriate for this patient?
Pfannenstiel incisions are very likely to rupture during subsequent birth.
Vaginal birth may be attempted with a Pfannenstiel incision; however, labor will most likely need to be
induced.
Vaginal delivery may be possible, but her previous type of uterine incision would need to be verified
before attempting vaginal delivery.
Nursing EXAM 2026-2027 LATEST UPDATED VERSION
QUESTIONS AND ANSWERS
A nurse is caring for a patient who needs general anesthesia. Which statement most describes this
patient?
Patient with a vaginal infection
Patient with severe pain from uterine contractions
Patient needing anesthesia for a vaginal episiotomy
Patient refusing regional and local anesthetic methods and needs a cesarean delivery - answer>>Patient
refusing regional and local anesthetic methods and needs a cesarean delivery
A patient who refuses regional and local anesthetic methods and needs a cesarean delivery does
require general anesthesia.
A nurse is caring for a patient undergoing an episiotomy repair after birth. Which type of anesthesia
does the nurse anticipate?
Select all that apply.
General anesthesia
Epidural anesthesia
Pudendal anesthesia
,Local infiltration anesthesia
Combined spinal-epidural anesthesia - answer>>Pudendal anesthesia
The nurse would anticipate pudendal anesthesia for episiotomy repair. Pudendal blocks anesthetize the
lower vagina and part of the perineum.
Local infiltration anesthesia
The nurse would anticipate local infiltration, which is routinely used for episiotomy repair. Local
infiltration anesthesia numbs the immediate area of the episiotomy or laceration.
A patient carrying twins desires an elective cesarean delivery. Which statement indicates a need for
further teaching regarding cesarean delivery?
"I might need a blood transfusion after the surgery."
"Having a c-section might make my hospital stay longer."
"Since I am not having a vaginal birth, my babies can't be harmed during delivery."
"Depending on how they do the incision, I may be able to have a vaginal delivery if I become pregnant
again." - answer>>"Since I am not having a vaginal birth, my babies can't be harmed during delivery."
Cesarean delivery carries risk of injury to the newborn, such as bruising, fractures, or other trauma.
Which patient laboratory value would the nurse validate as part of routine preparation for cesarean
delivery, in order to determine adequate fetal maturity?
Rh-positive antibody test performed 4 weeks prior to surgery.
Negative rubella titer performed 6 weeks prior to surgery.
,Positive serum pregnancy test performed at least 36 weeks prior to surgery.
High serum alpha-fetoprotein (AFP) level performed 26 weeks prior to surgery. - answer>>Positive
serum pregnancy test performed at least 36 weeks prior to surgery.
Positive serum pregnancy test, performed at least 36 weeks prior to the date of cesarean delivery, can
be used to verify gestational age.
The patient is discussing with the nurse her preference for a vaginal delivery for her current pregnancy.
Which statement by the patient indicates the need for further teaching?
"I had general anesthesia during my last c-section."
"Before my last c-section, the doctor tried to induce labor."
"My ultrasound showed a lot of scar tissue from my last c-section."
"I had a c-section with my last pregnancy because of placenta previa." - answer>>"I had a c-section with
my last pregnancy because of placenta previa."
Cesarean delivery due to placenta previa is typically done using a classic uterine incision, which
eliminates the option for vaginal birth after cesarean (VBAC).
The postpartum nurse is caring for a patient who experienced a cesarean delivery and whose vertical
skin incision is closed with sutures and surgical glue. Which step should the nurse take to ensure the
patient's comfort during the assessment?
Assist the patient to extend her legs prior to palpating the fundus.
Avoid palpating the area around the incision during assessment.
Decrease the frequency of assessments to allow for patient rest.
, Administer the patient's pain medication before fundal assessment. - answer>>Administer the patient's
pain medication before fundal assessment.
Patients with vertical skin incisions often experience greater discomfort during fundal assessment than
patients with Pfannenstiel incisions. Therefore, administering pain medication before fundal
assessment helps ensure patient comfort and is a step the nurse should take during assessment.
The antepartum nurse is caring for a patient with a body mass index (BMI) of 30 who is scheduled for a
planned cesarean delivery. The patient asks the nurse why the provider has told her that a midline
vertical incision will be done for the procedure. Which explanation by the nurse is accurate?
"The midline vertical incision is less likely to lead to hernia formation later in life."
"The midline vertical incision will heal more quickly than a Pfannenstiel incision."
"The midline vertical incision will cause less postoperative pain and allow for earlier ambulation."
"The midline vertical incision is a better option for larger patients because more of the uterus is
exposed." - answer>>"The midline vertical incision is a better option for larger patients because more of
the uterus is exposed."
For obese patients (BMI ≥ 30), a midline vertical incision is optimal because it exposes more of the
uterus and allows for safer delivery.
The antepartum nurse is caring for a new patient who seeks to attempt a vaginal delivery after a
cesarean delivery. She indicates her Pfannenstiel incision scar and insists that she should be able to
successfully have a vaginal birth. Which nursing education is appropriate for this patient?
Pfannenstiel incisions are very likely to rupture during subsequent birth.
Vaginal birth may be attempted with a Pfannenstiel incision; however, labor will most likely need to be
induced.
Vaginal delivery may be possible, but her previous type of uterine incision would need to be verified
before attempting vaginal delivery.
