MaternalNB Practice A
Question: 1 of 60
CORRECT
Time Elapsed: 01:51:48
Pause Remaining: 08:20:00
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A nurse is caring for a client who is to receive oxytocin to augment her labor. Which of the
following findings contraindicates the initiation of the oxytocin infusion and should be reported
to the provider?
Late decelerations
MY ANSWER
Late decelerations are indicative of uteroplacental insufficiency. Therefore,
this is a contraindication for the administration of oxytocin and should be
reported to the provider.
Moderate variability of the FHR
Moderate variability of the FHR is an expected assessment finding associated
with normal fetal acid-base balance. It is not a contraindication to the
administration of oxytocin.
Cessation of uterine dilation
Cessation of uterine dilation is an indication for the initiation of an oxytocin
infusion to augment the client's labor progression.
Question: 2 of 60
CORRECT
Time Elapsed: 01:51:56
Pause Remaining: 08:20:00
PAUSE
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A nurse is caring for a client who is at 32 weeks of gestation and has gonorrhea. The nurse
should identify that the client is at an increased risk for which of the following complications?
,Excessive bleeding
A client who is pregnant and has gonorrhea is not at an increased risk for
excessive bleeding.
Oligohydramnios
A client who is pregnant and has gonorrhea is not at an increased risk for
oligohydramnios. Oligohydramnios is a decrease in amniotic fluid and is
associated with congenital anomalies such as renal agenesis and intrauterine
growth restriction.
Premature rupture of membranes
MY ANSWER
The nurse should identify that a client who is pregnant and has gonorrhea is
at an increased risk for premature rupture of membranes, chorioamnionitis,
preterm birth, neonatal sepsis, and intrauterine growth restriction.
Proteinuria
A client who is pregnant and has gonorrhea is not at an increased risk for
proteinuria. Proteinuria is associated with preeclampsia.
Question: 3 of 60
CORRECT
Time Elapsed: 01:52:01
Pause Remaining: 08:20:00
PAUSE
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A nurse is performing a vaginal examination on a client who is in labor and observes the
umbilical cord protruding from the vagina. After calling for assistance, which of the following
actions should the nurse take?
Insert two gloved fingers into the vagina and apply upward pressure to the presenting part.
MY ANSWER
,The nurse should quickly apply gloves and insert two fingers into the vagina
toward the cervix, exerting upward pressure onto the presenting part to
relieve umbilical cord compression and increase oxygenation to the fetus.
Wrap the visible cord tightly with sterile, dry gauze.
The nurse should wrap the visible cord with a loose sterile towel saturated
with warm 0.9% sodium chloride solution, rather than with sterile, dry gauze.
Apply oxygen to the client at 2 L/min via nasal cannula.
The nurse should apply oxygen to the client at 8 to 10 L/min via nonbreather
mask.
Place the client in the lithotomy position and apply fundal pressure.
The nurse should place the client into a modified Sims position, knee-chest
position, or extreme Trendelenburg to attempt to relieve the compression of
the umbilical cord.
Question: 4 of 60
CORRECT
Time Elapsed: 01:52:07
Pause Remaining: 08:20:00
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A nurse is teaching a client who is at 37 weeks of gestation and has a prescription for a nonstress
test. Which of the following instructions should the nurse include?
"The test should take 10 to 15 minutes to complete."
The nurse should instruct the client that the nonstress will take
approximately 20 to 30 min, but more time might be required if the fetus is
in a sleep state when the testing begins.
"You will lay in a supine position throughout the test."
, The nurse should instruct the client to be positioned in a reclining chair or
semi-Fowler's position with a slight lateral tilt to ensure optimal uterine
perfusion.
"You should not eat or drink for 2 hours before the test."
The client is not required to be NPO before or during the procedure. The
nurse can suggest the client drink orange juice to increase her blood glucose
level which will stimulate fetal movements.
"You should press the handheld button when you feel your baby move."
MY ANSWER
The nurse should instruct the client to press the handheld button when the
fetus moves. This action will mark the fetal monitor tracing with the client's
reports of fetal movement. This will assist in the interpretation of the
nonstress test to determine if it is reactive or nonreactive.
Question: 5 of 60
INCORRECT
Time Elapsed: 01:52:11
Pause Remaining: 08:20:00
PAUSE
FLAG
A charge nurse on a labor and delivery unit is teaching a newly licensed nurse how to perform
Leopold maneuvers. Which of the following images indicates the first step of Leopold
maneuvers?
Question: 1 of 60
CORRECT
Time Elapsed: 01:51:48
Pause Remaining: 08:20:00
PAUSE
FLAG
A nurse is caring for a client who is to receive oxytocin to augment her labor. Which of the
following findings contraindicates the initiation of the oxytocin infusion and should be reported
to the provider?
Late decelerations
MY ANSWER
Late decelerations are indicative of uteroplacental insufficiency. Therefore,
this is a contraindication for the administration of oxytocin and should be
reported to the provider.
Moderate variability of the FHR
Moderate variability of the FHR is an expected assessment finding associated
with normal fetal acid-base balance. It is not a contraindication to the
administration of oxytocin.
Cessation of uterine dilation
Cessation of uterine dilation is an indication for the initiation of an oxytocin
infusion to augment the client's labor progression.
Question: 2 of 60
CORRECT
Time Elapsed: 01:51:56
Pause Remaining: 08:20:00
PAUSE
FLAG
A nurse is caring for a client who is at 32 weeks of gestation and has gonorrhea. The nurse
should identify that the client is at an increased risk for which of the following complications?
,Excessive bleeding
A client who is pregnant and has gonorrhea is not at an increased risk for
excessive bleeding.
Oligohydramnios
A client who is pregnant and has gonorrhea is not at an increased risk for
oligohydramnios. Oligohydramnios is a decrease in amniotic fluid and is
associated with congenital anomalies such as renal agenesis and intrauterine
growth restriction.
Premature rupture of membranes
MY ANSWER
The nurse should identify that a client who is pregnant and has gonorrhea is
at an increased risk for premature rupture of membranes, chorioamnionitis,
preterm birth, neonatal sepsis, and intrauterine growth restriction.
Proteinuria
A client who is pregnant and has gonorrhea is not at an increased risk for
proteinuria. Proteinuria is associated with preeclampsia.
Question: 3 of 60
CORRECT
Time Elapsed: 01:52:01
Pause Remaining: 08:20:00
PAUSE
FLAG
A nurse is performing a vaginal examination on a client who is in labor and observes the
umbilical cord protruding from the vagina. After calling for assistance, which of the following
actions should the nurse take?
Insert two gloved fingers into the vagina and apply upward pressure to the presenting part.
MY ANSWER
,The nurse should quickly apply gloves and insert two fingers into the vagina
toward the cervix, exerting upward pressure onto the presenting part to
relieve umbilical cord compression and increase oxygenation to the fetus.
Wrap the visible cord tightly with sterile, dry gauze.
The nurse should wrap the visible cord with a loose sterile towel saturated
with warm 0.9% sodium chloride solution, rather than with sterile, dry gauze.
Apply oxygen to the client at 2 L/min via nasal cannula.
The nurse should apply oxygen to the client at 8 to 10 L/min via nonbreather
mask.
Place the client in the lithotomy position and apply fundal pressure.
The nurse should place the client into a modified Sims position, knee-chest
position, or extreme Trendelenburg to attempt to relieve the compression of
the umbilical cord.
Question: 4 of 60
CORRECT
Time Elapsed: 01:52:07
Pause Remaining: 08:20:00
PAUSE
FLAG
A nurse is teaching a client who is at 37 weeks of gestation and has a prescription for a nonstress
test. Which of the following instructions should the nurse include?
"The test should take 10 to 15 minutes to complete."
The nurse should instruct the client that the nonstress will take
approximately 20 to 30 min, but more time might be required if the fetus is
in a sleep state when the testing begins.
"You will lay in a supine position throughout the test."
, The nurse should instruct the client to be positioned in a reclining chair or
semi-Fowler's position with a slight lateral tilt to ensure optimal uterine
perfusion.
"You should not eat or drink for 2 hours before the test."
The client is not required to be NPO before or during the procedure. The
nurse can suggest the client drink orange juice to increase her blood glucose
level which will stimulate fetal movements.
"You should press the handheld button when you feel your baby move."
MY ANSWER
The nurse should instruct the client to press the handheld button when the
fetus moves. This action will mark the fetal monitor tracing with the client's
reports of fetal movement. This will assist in the interpretation of the
nonstress test to determine if it is reactive or nonreactive.
Question: 5 of 60
INCORRECT
Time Elapsed: 01:52:11
Pause Remaining: 08:20:00
PAUSE
FLAG
A charge nurse on a labor and delivery unit is teaching a newly licensed nurse how to perform
Leopold maneuvers. Which of the following images indicates the first step of Leopold
maneuvers?
