Exam 2025-2026 With Solved
Solutions.
1. The nurse administered magnesium sulfate to a woman experiencing preterm labor, following
a health care provider prescription. Which assessment would concern the nurse?
Urine output of 50 mL
Oxygen saturation of 95%
10 respirations per minute
Bronchial sounds heard over the body of the sternum - Answer 10 respirations per minute
2. Which risk factor identified by the nurse places the patient at risk for preterm labor (PTL)?
Family history of cervical cancer
Homelessness
Hypertension
History of birth of a child at 37 weeks - Answer Homelessness
3. Which drugs would the nurse anticipate administering for tocolysis during preterm labor?
Select all that apply.
Nifedipine
Indomethacin
Magnesium sulfate
Labetalol
Betamethasone - Answer Nifedipine
Indomethacin
4. A 36-week gestation patient presents with membranes grossly ruptured and is not
contracting. Which diagnosis does the nurse anticipate?
Preterm premature rupture of membranes (PPROM)
Preterm labor (PTL)
, 5. A patient is a G2/P0 at 32 weeks pregnant and experiencing regular contractions. She has a
multifetal gestation pregnancy, a history of preterm birth, and has had recurrent bacterial
vaginosis throughout the pregnancy. Her BMI is 22, she is 30 years' old, and she is a former
smoker who quit two years ago. Of the data provided, which are risk factors for preterm labor?
Select all that apply.
Age
Multifetal gestaation
Recurrent bacterial vaginosis
Former smoker status
BMI 22 - Answer Multifetal gestaation
Recurrent bacterial vaginosis
6. When administering nifedipine for tocolysis, it is important for the nurse to monitor for which
serious side effect?
Reflex tachycardia
Hyperglycemia
Change in fundal height
Bradypnea - Answer Reflex tachycardia
7. Which intervention by the health care team will decrease the risk of infection for a patient
with preterm premature rupture of membranes during labor, delivery, and the postpartum
period?
Avoiding frequent vaginal examinations to check for cervical dilation
Inserting an indwelling urinary catheter to measure urinary output
Checking maternal temperature every 12 hours
Using clean technique when performing speculum examinations - Answer Avoiding frequent
vaginal examinations to check for cervical dilation
8. When administering corticosteroids to a patient in preterm labor, which information is
relevant to the nurse regarding the patient's history?
The patient is 33 weeks' gestation.
The patient suffers from chronic hypertension.
The patient's membranes are ruptured.