LIPPINCOTT MATERNAL HEALTH
EXAM QUESTIONS |GUARANTEED
ACCURATE ANSWERS |LATEST
VERSION 2025\26
The nurse is receiving shift report on four clients on an antenatal unit.
Which of the four clients should the nurse focus on first?
A. A hyperemisis client with emesis four times in the past 12 hours
B. A 30 Week gestation patient with preterm labor on oral nifedipine and
having no contractions in 6 hours
C. A 35 week gestation mother with severe pre-eclampsia started on a
maintenance dose of magnesium sulfate 1 hour ago
D. A 33 week gestation client with placenta previa who began to feel
pelvic pressure during change of shift report - ACCURATE
ANSWERS✔✔ D. A 33 week gestation client with placenta previa who
began to feel pelvic pressure during change of shift report
The primary health care provider prescribes an amnioinfusion for a
primigravida client at term who is diagnosed with oligohydramnios.
Which of the following should the nurse include in the clients teaching
plan about the purpose of this procedure?
A. To decrease the frequency and severity of variable decelerations
B. To minimize the possibility of fetal metabolic alkalosis
,C. To increase the fetal heart rate accelerations during a contraction
D. To raise the amniotic fluid index to more than 15 cm - ACCURATE
ANSWERS✔✔ D. To raise the amniotic fluid index to more than 15 cm
The health care provider has performed an amniotomy on a laboring
client. Which of the following details must be included in the
documentation of this procedure? Select all that apply.
A. Time of rupture
B. Color and clarity of fluid
C. Fetal heart rate and pattern before and after the procedure
D. Size of amnio-hook used during the procedure
E. Odor and amount of fluid - ACCURATE ANSWERS✔✔ A. Time of
rupture
B. Color and clarity of fluid
C. Fetal heart rate and pattern before and after the procedure
E. Odor and amount of fluid
A multigravida client is admitted at 4 cm dilation and requesting pain
medication. The nurse gives the client nalbuphine (Nubain) 15 mg.
Within 5 minutes, the client tells the nurse she feels like she needs to
have a bowel movement. The nurse should:
A. Have naloxone hydrochloride available in the birthing room
,B. Complete a vaginal examination to determine dilation, effacement,
and station
C. Prepare for birth
D. Document the clients relief due to pain medication - ACCURATE
ANSWERS✔✔ B. Complete a vaginal examination to determine
dilation, effacement, and station
During the first hour after a precipitous birth, the nurse should monitor a
muliparous client for signs and symptoms of which of the following?
A. Postpartum Blues
B. Uterine Atony
C. Intrauterine infection
D. Urinary Tract infection - ACCURATE ANSWERS✔✔ B. Uterine
Atony
A client at 33 weeks gestation is admitted in preterm labor. She is given
betamethasone 12 mg IM every 24 hours x2. What is the expected
outcome of this drug therapy?
A. The contractions will end within 24 hours
B. The client will give birth to a neonate without infection
C. The client will give birth to a full term neonate
, D. The neonate will be born with mature lungs - ACCURATE
ANSWERS✔✔ D. The neonate will be born with mature lungs
A full term client is admitted for an induction of labor. The health care
provider has assigned a score of 10. Which drug would the nurse
anticipate administering to this client?
A. Oxytocin 30 units in 500 mL D5W
B. Prostaglandin gel 0.5 mg
C. Misoprostol 50 mcg PO
D. Dinoprostone 10 mg - ACCURATE ANSWERS✔✔ A. Oxytocin 30
units in 500 mL D5W
A client has experienced a postpartum hemorrhage. The primary health
care provider verbally ordered carboprost tromethamine (Hemabate)
0.25 mg IM stat at the time of the hemorrhage and this was given by the
nurse. The primary healthcare provider put a prescription into the
electronic medical record for 0.25 mg carboprost tromethamine IV stat.
When seeing the prescription, how should the nurse administering the
carboprost tromethamine respond?
A. Ask the charge nurse to have a discussion with the primary healthcare
provider about the prescription
B Initiate an incident report
EXAM QUESTIONS |GUARANTEED
ACCURATE ANSWERS |LATEST
VERSION 2025\26
The nurse is receiving shift report on four clients on an antenatal unit.
Which of the four clients should the nurse focus on first?
A. A hyperemisis client with emesis four times in the past 12 hours
B. A 30 Week gestation patient with preterm labor on oral nifedipine and
having no contractions in 6 hours
C. A 35 week gestation mother with severe pre-eclampsia started on a
maintenance dose of magnesium sulfate 1 hour ago
D. A 33 week gestation client with placenta previa who began to feel
pelvic pressure during change of shift report - ACCURATE
ANSWERS✔✔ D. A 33 week gestation client with placenta previa who
began to feel pelvic pressure during change of shift report
The primary health care provider prescribes an amnioinfusion for a
primigravida client at term who is diagnosed with oligohydramnios.
Which of the following should the nurse include in the clients teaching
plan about the purpose of this procedure?
A. To decrease the frequency and severity of variable decelerations
B. To minimize the possibility of fetal metabolic alkalosis
,C. To increase the fetal heart rate accelerations during a contraction
D. To raise the amniotic fluid index to more than 15 cm - ACCURATE
ANSWERS✔✔ D. To raise the amniotic fluid index to more than 15 cm
The health care provider has performed an amniotomy on a laboring
client. Which of the following details must be included in the
documentation of this procedure? Select all that apply.
A. Time of rupture
B. Color and clarity of fluid
C. Fetal heart rate and pattern before and after the procedure
D. Size of amnio-hook used during the procedure
E. Odor and amount of fluid - ACCURATE ANSWERS✔✔ A. Time of
rupture
B. Color and clarity of fluid
C. Fetal heart rate and pattern before and after the procedure
E. Odor and amount of fluid
A multigravida client is admitted at 4 cm dilation and requesting pain
medication. The nurse gives the client nalbuphine (Nubain) 15 mg.
Within 5 minutes, the client tells the nurse she feels like she needs to
have a bowel movement. The nurse should:
A. Have naloxone hydrochloride available in the birthing room
,B. Complete a vaginal examination to determine dilation, effacement,
and station
C. Prepare for birth
D. Document the clients relief due to pain medication - ACCURATE
ANSWERS✔✔ B. Complete a vaginal examination to determine
dilation, effacement, and station
During the first hour after a precipitous birth, the nurse should monitor a
muliparous client for signs and symptoms of which of the following?
A. Postpartum Blues
B. Uterine Atony
C. Intrauterine infection
D. Urinary Tract infection - ACCURATE ANSWERS✔✔ B. Uterine
Atony
A client at 33 weeks gestation is admitted in preterm labor. She is given
betamethasone 12 mg IM every 24 hours x2. What is the expected
outcome of this drug therapy?
A. The contractions will end within 24 hours
B. The client will give birth to a neonate without infection
C. The client will give birth to a full term neonate
, D. The neonate will be born with mature lungs - ACCURATE
ANSWERS✔✔ D. The neonate will be born with mature lungs
A full term client is admitted for an induction of labor. The health care
provider has assigned a score of 10. Which drug would the nurse
anticipate administering to this client?
A. Oxytocin 30 units in 500 mL D5W
B. Prostaglandin gel 0.5 mg
C. Misoprostol 50 mcg PO
D. Dinoprostone 10 mg - ACCURATE ANSWERS✔✔ A. Oxytocin 30
units in 500 mL D5W
A client has experienced a postpartum hemorrhage. The primary health
care provider verbally ordered carboprost tromethamine (Hemabate)
0.25 mg IM stat at the time of the hemorrhage and this was given by the
nurse. The primary healthcare provider put a prescription into the
electronic medical record for 0.25 mg carboprost tromethamine IV stat.
When seeing the prescription, how should the nurse administering the
carboprost tromethamine respond?
A. Ask the charge nurse to have a discussion with the primary healthcare
provider about the prescription
B Initiate an incident report
