Maternity all 55
1. Pregnant patient, with contractions that are 5 min apart, goes to the bathroom and
you hear a baby crying. What is the best action for the nurse to do? - Answer hit the call
light to call for help
2. Post partal patient has a spinal headache 24 hours after delivery. Prior to
anesthesiologist's arrival what action is best for the nurse to perform? - Answer have
equipment at bedside
3. Patient 20 weeks gestation has HPV. What is the best information for the nurse to
provide? - Answer treatment is available but limited due to pregnancy
4. One hour after delivery the nurse is unable to palpate the fundus. Large amount of
lochia on pad. Massage umbilicus and get vitals. What intervention does the nurse
implement next? - Answer palpate for bladder distention
5. Infant with cephalatoma. What action should the nurse do next? - Answer assess for
jaundice q 8 hours
6. Math problem - Pitocin 4 mU/min. 1000 mL/2 mU. mL/hr - Answer 12 mL/hr
7. Patient receiving Pitocin is experiencing tetanic contractions with variable FHR. What
action should the nurse implement? - Answer - turn off the Pitocin drip
8. Patient scheduled for cesarean for 0600 tells the nurse that she drank some coffee at
0400 to avoid getting a headache. What action does the nurse take next? - Answer tell
the anesthesiologist
9. After delivery of a 10 pound baby 2 hours ago, the fundus is above and to the right of
the umbilicus. She voids 250 mL in a bed pan, Action to implement? - Answer palpate
suprapubic region for distention
10. 33 weeks gestation. Moderate bleeding. No contractions. What intervention to
implement? - Answer Weigh pads
11. Primipara 42 weeks gestation. Pitocin started then stopped. O2 applied.
Contractions 5 minutes apart for 20 seconds. Intervention to implement? - Answer
restart Pitocin per protocol
12. Patient with continuous fetal monitoring notices FHR fall and rise abruptly with "v"
shaped pattern. Nurse action to take first? - Answer change position of patient
13. 28 weeks gestation with twins. Fundal height 27 cm. fundal height measured 28 cm
3 weeks ago. What does the nurse conclude from this? - Answer may indicate IUGR
1. Pregnant patient, with contractions that are 5 min apart, goes to the bathroom and
you hear a baby crying. What is the best action for the nurse to do? - Answer hit the call
light to call for help
2. Post partal patient has a spinal headache 24 hours after delivery. Prior to
anesthesiologist's arrival what action is best for the nurse to perform? - Answer have
equipment at bedside
3. Patient 20 weeks gestation has HPV. What is the best information for the nurse to
provide? - Answer treatment is available but limited due to pregnancy
4. One hour after delivery the nurse is unable to palpate the fundus. Large amount of
lochia on pad. Massage umbilicus and get vitals. What intervention does the nurse
implement next? - Answer palpate for bladder distention
5. Infant with cephalatoma. What action should the nurse do next? - Answer assess for
jaundice q 8 hours
6. Math problem - Pitocin 4 mU/min. 1000 mL/2 mU. mL/hr - Answer 12 mL/hr
7. Patient receiving Pitocin is experiencing tetanic contractions with variable FHR. What
action should the nurse implement? - Answer - turn off the Pitocin drip
8. Patient scheduled for cesarean for 0600 tells the nurse that she drank some coffee at
0400 to avoid getting a headache. What action does the nurse take next? - Answer tell
the anesthesiologist
9. After delivery of a 10 pound baby 2 hours ago, the fundus is above and to the right of
the umbilicus. She voids 250 mL in a bed pan, Action to implement? - Answer palpate
suprapubic region for distention
10. 33 weeks gestation. Moderate bleeding. No contractions. What intervention to
implement? - Answer Weigh pads
11. Primipara 42 weeks gestation. Pitocin started then stopped. O2 applied.
Contractions 5 minutes apart for 20 seconds. Intervention to implement? - Answer
restart Pitocin per protocol
12. Patient with continuous fetal monitoring notices FHR fall and rise abruptly with "v"
shaped pattern. Nurse action to take first? - Answer change position of patient
13. 28 weeks gestation with twins. Fundal height 27 cm. fundal height measured 28 cm
3 weeks ago. What does the nurse conclude from this? - Answer may indicate IUGR
