Combo with "Obstetrics/Maternity Practice
d d d
Quiz" and 4 others Exam Solution Qs&As
d d d d d d
2023/2025 A+
d
Ad42-
weekdgestationaldclientdisdreceivingdandintravenousdinfusiondofdoxytocind(Pitocin)dtodaugmentdearlydlabor.dTh
ednursedshouldddiscontinuedthedoxytocindinfusiondfordwhichdpatterndofdcontractions?
A. Transitiondlabordwithdcontractionsdeveryd2dminutes,dlastingd90dsecondsdeach.
B. Earlydlabordwithdcontractionsdeveryd5dminutes,dlastingd40dsecondsdeach.
C. Activedlabordwithdcontractionsdeveryd31dminutes,dlastingd60dsecondsdeach.
D. Activedlabordwithdcontractionsdeveryd2dtod3dminutes,dlastingd70dtod80dsecondsdeach.d-dANS-A
Transitiondlabordwithdcontractionsdeveryd2dminutes,dlastingd90dsecondsdeach.dContractiondpatternddescribesd
hyperstimulationdanddandinadequatedrestingdtimedbetweendcontractionsdtodallowdfordplacentaldperfusion.
Adclientdindactivedlabordisdadmitteddwithdpreeclampsia.dWhichdassessmentdfindingdisdmostdsignificantdindplann
ingdthisdclient'sdcare?
A. Patellardreflexd4+.
B. Blooddpressured158/80.
C. Four-hourdurinedoutputd240dml.
D. Respirationd12/minute.d-dANS-Ad4+dreflexdindadclientdwithdpregnancy-
induceddhypertensiondindicatesdhyperreflexia,dwhichdisdandindicationdofdandimpendingdseizure.
Thednursedisdpreparingdadclientdwithdadtermdpregnancydwhodisdindactivedlabordfordandamniotomy.dWhatdequip
mentdshoulddthednursedhavedavailabledatdthedclient'sdbedside?d(Selectdalldthatdapply.)
A. Litmusdpaper.
B. Fetaldscalpdelectrode.
C. Adsteriledglove.
D. Andamnioticdhook.
, E. Steriledvaginaldspeculum.
F. AdDoppler.d-dANS-C,dD,dF
Adsingledsteriledglove,dandamnioticdhook,danddDopplerdtodcheckdfetaldheartdtonesdaredthednecessarydequipme
ntdfordperformingdandamniotomy.
Inddevelopingdadteachingdplandfordexpectantdparents,dthednursedplansdtodincludedinformationdaboutdwhendthe
dparentsdcandexpectdthedinfant'sdfontanelsdtodclose.dThednursedbasesdthedexplanationdondknowledgedthatdfordt
hednormaldnewborn,dthe
A. anteriordfontaneldclosesdatd2dtod4dmonthsdanddthedposteriordbydthedenddofdthedfirstdweek.
,B. anteriordfontaneldclosesdatd5dtod7dmonthsdanddthedposteriordbydthedenddofdthedseconddweek.
C. anteriordfontaneldclosesdatd8dtod11dmonthsdanddthedposteriordbydthedenddofdthedfirstdmonth.
D. anteriordfontaneldclosesdatd12dtod18dmonthsdanddthedposteriordbydthedenddofdthedseconddmonth.d-dANS-D
anteriordfontaneldclosesdatd12dtod18dmonthsdanddthedposteriordbydthedenddofdthedseconddmonth.dIndthednor
maldinfantdthedanteriordfontaneldclosesdatd12dtod18dmonthsdofdagedanddthedposteriordfontaneldbydthedenddofdt
hedseconddmonthd(D).
Whichdassessmentdfindingdshoulddthednurserydnursedreportdtodthedpediatricdhealthcaredprovider?
A. Blooddglucosedleveldofd45dmg/dl.
B. Blooddpressuredofd82/45dmmHg.
C. Non-bulgingdanteriordfontanel.
D. Centraldcyanosisdwhendcrying.d-dANS-D
Andinfantdwhoddemonstratesdcentraldcyanosisdwhendcryingdisdmanifestingdpoordadaptationdtodextrauterinedli
fedwhichdshoulddbedreporteddtodthedhealthcaredproviderdforddeterminationdofdadpossibledunderlyingdcardiov
asculardproblem.
Thednursedisdassessingdadclientdwhodisdhavingdadnon-stressdtestd(NST)datd41-
weeksdgestation.dThednurseddeterminesdthatdthedclientdisdnotdhavingdcontractions,dthedfetaldheartdrated(FHR)
dbaselinedisd144dbpm,danddnodFHRdaccelerationsdaredoccurring.dWhatdactiondshoulddthednursedtake?
A. Checkdthedclientdfordurinarydbladderddistention.
B. Notifydthedhealthcaredproviderdofdthednonreactivedresults.
C. Havedthedmotherdstimulatedthedfetusdtodmove.
D. Askdthedclientdifdshedhasdfeltdanydfetaldmovement.d-dANS-D
Askdthedclientdifdshedhasdfeltdanydfetaldmovement.
Adfull-
termdinfantdisdadmitteddtodthednewborndnurserydand,dafterdcarefuldassessment,dthednursedsuspectsdthatdthedi
nfantdmaydhavedandesophagealdatresia.dWhichdsymptomsdisdthisdnewborndlikelydtodhavedexhibited?
A. Choking,dcoughing,danddcyanosis.
, B. Projectiledvomitingdanddcyanosis.
C. Apneicdspellsdanddgrunting.
D. Scaphoiddabdomendanddanorexia.d-dANS-A
Choking,dcoughing,danddcyanosis.
thed"3dCs"dofdesophagealdatresiadcauseddbydthedoverflowdofdsecretionsdintodthedtrachea.
Adwomandwhodhaddadmiscarriaged6dmonthsdagodbecomesdpregnant.dWhichdinstructiondisdmostdimportantdfor
dthednursedtodprovidedthisdclient?
A. Elevatedlowerdlegsdwhiledresting.
d d d
Quiz" and 4 others Exam Solution Qs&As
d d d d d d
2023/2025 A+
d
Ad42-
weekdgestationaldclientdisdreceivingdandintravenousdinfusiondofdoxytocind(Pitocin)dtodaugmentdearlydlabor.dTh
ednursedshouldddiscontinuedthedoxytocindinfusiondfordwhichdpatterndofdcontractions?
A. Transitiondlabordwithdcontractionsdeveryd2dminutes,dlastingd90dsecondsdeach.
B. Earlydlabordwithdcontractionsdeveryd5dminutes,dlastingd40dsecondsdeach.
C. Activedlabordwithdcontractionsdeveryd31dminutes,dlastingd60dsecondsdeach.
D. Activedlabordwithdcontractionsdeveryd2dtod3dminutes,dlastingd70dtod80dsecondsdeach.d-dANS-A
Transitiondlabordwithdcontractionsdeveryd2dminutes,dlastingd90dsecondsdeach.dContractiondpatternddescribesd
hyperstimulationdanddandinadequatedrestingdtimedbetweendcontractionsdtodallowdfordplacentaldperfusion.
Adclientdindactivedlabordisdadmitteddwithdpreeclampsia.dWhichdassessmentdfindingdisdmostdsignificantdindplann
ingdthisdclient'sdcare?
A. Patellardreflexd4+.
B. Blooddpressured158/80.
C. Four-hourdurinedoutputd240dml.
D. Respirationd12/minute.d-dANS-Ad4+dreflexdindadclientdwithdpregnancy-
induceddhypertensiondindicatesdhyperreflexia,dwhichdisdandindicationdofdandimpendingdseizure.
Thednursedisdpreparingdadclientdwithdadtermdpregnancydwhodisdindactivedlabordfordandamniotomy.dWhatdequip
mentdshoulddthednursedhavedavailabledatdthedclient'sdbedside?d(Selectdalldthatdapply.)
A. Litmusdpaper.
B. Fetaldscalpdelectrode.
C. Adsteriledglove.
D. Andamnioticdhook.
, E. Steriledvaginaldspeculum.
F. AdDoppler.d-dANS-C,dD,dF
Adsingledsteriledglove,dandamnioticdhook,danddDopplerdtodcheckdfetaldheartdtonesdaredthednecessarydequipme
ntdfordperformingdandamniotomy.
Inddevelopingdadteachingdplandfordexpectantdparents,dthednursedplansdtodincludedinformationdaboutdwhendthe
dparentsdcandexpectdthedinfant'sdfontanelsdtodclose.dThednursedbasesdthedexplanationdondknowledgedthatdfordt
hednormaldnewborn,dthe
A. anteriordfontaneldclosesdatd2dtod4dmonthsdanddthedposteriordbydthedenddofdthedfirstdweek.
,B. anteriordfontaneldclosesdatd5dtod7dmonthsdanddthedposteriordbydthedenddofdthedseconddweek.
C. anteriordfontaneldclosesdatd8dtod11dmonthsdanddthedposteriordbydthedenddofdthedfirstdmonth.
D. anteriordfontaneldclosesdatd12dtod18dmonthsdanddthedposteriordbydthedenddofdthedseconddmonth.d-dANS-D
anteriordfontaneldclosesdatd12dtod18dmonthsdanddthedposteriordbydthedenddofdthedseconddmonth.dIndthednor
maldinfantdthedanteriordfontaneldclosesdatd12dtod18dmonthsdofdagedanddthedposteriordfontaneldbydthedenddofdt
hedseconddmonthd(D).
Whichdassessmentdfindingdshoulddthednurserydnursedreportdtodthedpediatricdhealthcaredprovider?
A. Blooddglucosedleveldofd45dmg/dl.
B. Blooddpressuredofd82/45dmmHg.
C. Non-bulgingdanteriordfontanel.
D. Centraldcyanosisdwhendcrying.d-dANS-D
Andinfantdwhoddemonstratesdcentraldcyanosisdwhendcryingdisdmanifestingdpoordadaptationdtodextrauterinedli
fedwhichdshoulddbedreporteddtodthedhealthcaredproviderdforddeterminationdofdadpossibledunderlyingdcardiov
asculardproblem.
Thednursedisdassessingdadclientdwhodisdhavingdadnon-stressdtestd(NST)datd41-
weeksdgestation.dThednurseddeterminesdthatdthedclientdisdnotdhavingdcontractions,dthedfetaldheartdrated(FHR)
dbaselinedisd144dbpm,danddnodFHRdaccelerationsdaredoccurring.dWhatdactiondshoulddthednursedtake?
A. Checkdthedclientdfordurinarydbladderddistention.
B. Notifydthedhealthcaredproviderdofdthednonreactivedresults.
C. Havedthedmotherdstimulatedthedfetusdtodmove.
D. Askdthedclientdifdshedhasdfeltdanydfetaldmovement.d-dANS-D
Askdthedclientdifdshedhasdfeltdanydfetaldmovement.
Adfull-
termdinfantdisdadmitteddtodthednewborndnurserydand,dafterdcarefuldassessment,dthednursedsuspectsdthatdthedi
nfantdmaydhavedandesophagealdatresia.dWhichdsymptomsdisdthisdnewborndlikelydtodhavedexhibited?
A. Choking,dcoughing,danddcyanosis.
, B. Projectiledvomitingdanddcyanosis.
C. Apneicdspellsdanddgrunting.
D. Scaphoiddabdomendanddanorexia.d-dANS-A
Choking,dcoughing,danddcyanosis.
thed"3dCs"dofdesophagealdatresiadcauseddbydthedoverflowdofdsecretionsdintodthedtrachea.
Adwomandwhodhaddadmiscarriaged6dmonthsdagodbecomesdpregnant.dWhichdinstructiondisdmostdimportantdfor
dthednursedtodprovidedthisdclient?
A. Elevatedlowerdlegsdwhiledresting.