MATERNAL NEWBORN SWIFT RIVER:
EXAM, 2025/2026 WITH
CORRECT/ACCURATE ANSWERS
Cindy Mason
Cindy Mason, 28 y/o G2P1 at 40 weeks gestation. She and her
husband present to OB Triage with complaint of early labor. Her
prenatal history indicates an uncomplicated first pregnancy with a
spontaneous vaginal delivery. Her current pregnancy has also
been uncomplicated with no risk factors identified. She and her
husband have attended Lamaze Prepared Childbirth classes and
their Birth Plan indicates a desire for an unmedicated labor and
birth and breastfeeding. Mrs. Mason states her contractions are
occurring every 4 minutes and lasting 60 seconds. She is using
slow-chest breathing and rates her pain at 4/10. She also reports
leaking clear fluid from her vagina. She believes the leaking
began about two hours ago. - CORRECT ANSWERS- Educational
Needs - Increased Acuity
Fall Risk - Increased acuity
Health Change - Increased acuity
Pain Level - Increased acuity
Psychological Needs - Increased Acuity
Sensorium - Normal Acuity
,Cindy Mason
28 y/o G2P1 at 40 weeks gestation. She and her husband present
to OB Triage with complaint of early labor. Her prenatal history
indicates an uncomplicated first pregnancy with a spontaneous
vaginal delivery. Her current pregnancy has also been
uncomplicated with no risk factors identified. She and her
husband have attended Lamaze Prepared Childbirth classes and
their Birth Plan indicates a desire for an unmedicated labor and
birth and breastfeeding. Mrs. Mason states her contractions are
occurring every 4 minutes and lasting 60 seconds. She is using
slow-chest breathing and rates her pain at 4/10. She also reports
leaking clear fluid from her vagina. She believes the leaking
began about two hours ago. - CORRECT ANSWERS- Physiological:
Fatigue Related to Energy Expenditure Required for - True
Labor and Coping Skills, risk for - True
Impaired Comfort - True
Infection, Risk - True
Nausea - False
Risk for Fluid Volume Deficit - False
Risk for Impaired Urinary Elimination - True
Safety:
Deficient knowledge - True
Disturbed sensory perception - False
, Cindy Mason Scenario 1
After washing your hands, introduce yourself to the patient, Mrs.
Cindy Mason, and her husband. You escort her to a triage bed and
hand her a gown to change in to. SELECT THE FIRST TWO
NURSING ACTIONS IN THE ORDER THAT THEY SHOULD BE
IMPLEMENTED: - CORRECT ANSWERS- 1. Review prenatal history
with patient and Birth Plan.
2. Obtain maternal vital signs.
3. Perform Leopold's Maneuver.
4. Apply fetal transducer and external tocodynamometer and
palpate fundus during contractions.
5. Perform a Sterile Vaginal Exam.
Cindy Mason Scenario 2
Client's assessment findings: BP 110/70 mmHg, P. 86 bpm, R. 22
breaths/minute, T 97.8o F., SAO2 100%, contractions every 3
minutes, lasting 60 seconds, moderate intensity per palpation,
FHR 140 baseline, moderate variability, + accelerations (Category
1). Sterile vaginal exam: 5 cm, 90%, -1 station, spontaneous
rupture of membranes confirmed with a positive Nitrazine, slight
bloody show, pain 4/10. Healthcare provider was notified of
assessment and orders are received to admit to the LDR with ice
chips and clear liquids allowed. Mrs. Mason is transferred to the
LDR and report given to labor nurse. Mrs. Mason states that the
contractions are getting stronger and requests suggestions on
additional coping techniques. SELECT THE FIRST TWO NURSING
ACTIONS IN THE ORDER THAT THEY SHOULD BE IMPLEMENTED: -
EXAM, 2025/2026 WITH
CORRECT/ACCURATE ANSWERS
Cindy Mason
Cindy Mason, 28 y/o G2P1 at 40 weeks gestation. She and her
husband present to OB Triage with complaint of early labor. Her
prenatal history indicates an uncomplicated first pregnancy with a
spontaneous vaginal delivery. Her current pregnancy has also
been uncomplicated with no risk factors identified. She and her
husband have attended Lamaze Prepared Childbirth classes and
their Birth Plan indicates a desire for an unmedicated labor and
birth and breastfeeding. Mrs. Mason states her contractions are
occurring every 4 minutes and lasting 60 seconds. She is using
slow-chest breathing and rates her pain at 4/10. She also reports
leaking clear fluid from her vagina. She believes the leaking
began about two hours ago. - CORRECT ANSWERS- Educational
Needs - Increased Acuity
Fall Risk - Increased acuity
Health Change - Increased acuity
Pain Level - Increased acuity
Psychological Needs - Increased Acuity
Sensorium - Normal Acuity
,Cindy Mason
28 y/o G2P1 at 40 weeks gestation. She and her husband present
to OB Triage with complaint of early labor. Her prenatal history
indicates an uncomplicated first pregnancy with a spontaneous
vaginal delivery. Her current pregnancy has also been
uncomplicated with no risk factors identified. She and her
husband have attended Lamaze Prepared Childbirth classes and
their Birth Plan indicates a desire for an unmedicated labor and
birth and breastfeeding. Mrs. Mason states her contractions are
occurring every 4 minutes and lasting 60 seconds. She is using
slow-chest breathing and rates her pain at 4/10. She also reports
leaking clear fluid from her vagina. She believes the leaking
began about two hours ago. - CORRECT ANSWERS- Physiological:
Fatigue Related to Energy Expenditure Required for - True
Labor and Coping Skills, risk for - True
Impaired Comfort - True
Infection, Risk - True
Nausea - False
Risk for Fluid Volume Deficit - False
Risk for Impaired Urinary Elimination - True
Safety:
Deficient knowledge - True
Disturbed sensory perception - False
, Cindy Mason Scenario 1
After washing your hands, introduce yourself to the patient, Mrs.
Cindy Mason, and her husband. You escort her to a triage bed and
hand her a gown to change in to. SELECT THE FIRST TWO
NURSING ACTIONS IN THE ORDER THAT THEY SHOULD BE
IMPLEMENTED: - CORRECT ANSWERS- 1. Review prenatal history
with patient and Birth Plan.
2. Obtain maternal vital signs.
3. Perform Leopold's Maneuver.
4. Apply fetal transducer and external tocodynamometer and
palpate fundus during contractions.
5. Perform a Sterile Vaginal Exam.
Cindy Mason Scenario 2
Client's assessment findings: BP 110/70 mmHg, P. 86 bpm, R. 22
breaths/minute, T 97.8o F., SAO2 100%, contractions every 3
minutes, lasting 60 seconds, moderate intensity per palpation,
FHR 140 baseline, moderate variability, + accelerations (Category
1). Sterile vaginal exam: 5 cm, 90%, -1 station, spontaneous
rupture of membranes confirmed with a positive Nitrazine, slight
bloody show, pain 4/10. Healthcare provider was notified of
assessment and orders are received to admit to the LDR with ice
chips and clear liquids allowed. Mrs. Mason is transferred to the
LDR and report given to labor nurse. Mrs. Mason states that the
contractions are getting stronger and requests suggestions on
additional coping techniques. SELECT THE FIRST TWO NURSING
ACTIONS IN THE ORDER THAT THEY SHOULD BE IMPLEMENTED: -
