DOH Nursing Obstetric & Maternity Nursing 3

Question 1

What is a normal fetal heart rate during labor?

Accepted Answer

110–160 beats per minute

Answer

60–90 beats per minute

Answer

170–200 beats per minute

Answer

100–110 beats per minute

Question 2

A patient at 28 weeks gestation is at risk for preterm labor. Which medication is used to accelerate fetal lung maturity?

Accepted Answer

Betamethasone (antenatal corticosteroid)

Answer

Magnesium sulfate for neuroprotection only

Answer

Nifedipine for tocolysis only

Answer

Oxytocin to strengthen contractions

Question 3

What is the correct action when a variable deceleration pattern is seen on the fetal monitor during labor?

Accepted Answer

Reposition the mother, administer oxygen, and increase IV fluid rate

Answer

Increase oxytocin infusion immediately

Answer

Perform an emergency cesarean section immediately

Answer

Document and continue routine monitoring

Question 4

A G4P3 mother is delivering her fourth baby rapidly. The nurse notes the umbilical cord prolapsed ahead of the baby's head. What is the immediate action?

Accepted Answer

Manually hold the presenting part off the cord with a gloved hand and call for emergency cesarean

Answer

Allow delivery to proceed since it will be rapid

Answer

Apply traction to the cord to deliver the placenta first

Answer

Place the mother in Trendelenburg and wait for the physician to decide

Question 5

Which nursing assessment is most important in a patient receiving magnesium sulfate for preeclampsia?

Accepted Answer

Respiratory rate, deep tendon reflexes, and urine output

Answer

Blood pressure every 4 hours

Answer

Fetal heart rate only

Answer

Daily weight and dietary intake

Question 6

What does a positive non-stress test (NST) indicate?

Accepted Answer

A reactive NST with at least 2 accelerations in 20 minutes indicates fetal well-being

Answer

A positive NST always indicates fetal distress requiring immediate delivery

Answer

NST detects only uterine contractions, not fetal heart rate

Answer

A non-reactive NST is always normal in post-term pregnancies