NUR2421C Maternity Nursing Care
4.0 Credits
Complete Final Exam (Qns & Ans)
2025
Case: A 29-year-old multiparous woman develops heavy
vaginal bleeding within 2 hours postpartum. On assessment, the
uterus is boggy and poorly contracted.
Question: What is the first-line pharmacologic intervention to
manage this suspected uterine atony?
A. Methylergonovine
B. Carboprost tromethamine
C. Oxytocin
D. Misoprostol
©2025
, Correct ANS: C. Oxytocin
Rationale: Oxytocin is the first-line agent for managing uterine
atony because it promotes uterine contractions, which helps to
control hemorrhage. Other medications are considered if oxytocin
is ineffective or contraindicated.
---
Question 2 (Fill in the Blank)
Case: A 34-year-old woman with severe preeclampsia is started
on magnesium sulfate for seizure prophylaxis.
Statement:
In the management of severe preeclampsia, the initial intravenous
loading dose of magnesium sulfate is typically ______ grams
administered over 15 to 20 minutes.
Correct ANS: 4
©2025
, Rationale: An initial loading dose of 4 grams of magnesium
sulfate IV is standard to rapidly achieve therapeutic levels for
seizure prophylaxis. Close monitoring for toxicity is essential.
---
Question 3 (True/False)
Case: During labor, continuous fetal heart rate monitoring is
performed via electronic fetal monitoring (EFM).
Statement:
Late decelerations observed on the EFM are a normal variant
during labor.
Correct ANS: False
Rationale: Late decelerations are abnormal; they indicate
uteroplacental insufficiency and require prompt evaluation and
intervention to prevent fetal compromise.
---
©2025
, Question 4 (Multiple Response)
Case: A 32-year-old pregnant woman is diagnosed with
gestational diabetes mellitus.
Question:
Which of the following interventions are key components in the
management of gestational diabetes? (Select all that apply.)
A. Implementing a carbohydrate-controlled diet
B. Regular blood glucose monitoring
C. Insulin therapy when necessary
D. Routine use of oral hypoglycemic agents
Correct ANSs: A, B, C
Rationale: Effective management of gestational diabetes
includes dietary modifications (carbohydrate-controlled diet),
frequent glucose monitoring, and insulin therapy if blood glucose
targets are not met. Oral hypoglycemic agents are generally not
first-line due to potential risks during pregnancy.
---
©2025
4.0 Credits
Complete Final Exam (Qns & Ans)
2025
Case: A 29-year-old multiparous woman develops heavy
vaginal bleeding within 2 hours postpartum. On assessment, the
uterus is boggy and poorly contracted.
Question: What is the first-line pharmacologic intervention to
manage this suspected uterine atony?
A. Methylergonovine
B. Carboprost tromethamine
C. Oxytocin
D. Misoprostol
©2025
, Correct ANS: C. Oxytocin
Rationale: Oxytocin is the first-line agent for managing uterine
atony because it promotes uterine contractions, which helps to
control hemorrhage. Other medications are considered if oxytocin
is ineffective or contraindicated.
---
Question 2 (Fill in the Blank)
Case: A 34-year-old woman with severe preeclampsia is started
on magnesium sulfate for seizure prophylaxis.
Statement:
In the management of severe preeclampsia, the initial intravenous
loading dose of magnesium sulfate is typically ______ grams
administered over 15 to 20 minutes.
Correct ANS: 4
©2025
, Rationale: An initial loading dose of 4 grams of magnesium
sulfate IV is standard to rapidly achieve therapeutic levels for
seizure prophylaxis. Close monitoring for toxicity is essential.
---
Question 3 (True/False)
Case: During labor, continuous fetal heart rate monitoring is
performed via electronic fetal monitoring (EFM).
Statement:
Late decelerations observed on the EFM are a normal variant
during labor.
Correct ANS: False
Rationale: Late decelerations are abnormal; they indicate
uteroplacental insufficiency and require prompt evaluation and
intervention to prevent fetal compromise.
---
©2025
, Question 4 (Multiple Response)
Case: A 32-year-old pregnant woman is diagnosed with
gestational diabetes mellitus.
Question:
Which of the following interventions are key components in the
management of gestational diabetes? (Select all that apply.)
A. Implementing a carbohydrate-controlled diet
B. Regular blood glucose monitoring
C. Insulin therapy when necessary
D. Routine use of oral hypoglycemic agents
Correct ANSs: A, B, C
Rationale: Effective management of gestational diabetes
includes dietary modifications (carbohydrate-controlled diet),
frequent glucose monitoring, and insulin therapy if blood glucose
targets are not met. Oral hypoglycemic agents are generally not
first-line due to potential risks during pregnancy.
---
©2025
