LVN Maternal and Newborn Nursing 2

Question 1

During active labor, how frequently should a nurse assess contractions and fetal heart rate for a low-risk patient?

Accepted Answer

Every 15–30 minutes

Answer

AWHONN guidelines recommend assessing FHR and contractions every 15–30 minutes during active labor for low-risk patients.

Question 2

A patient in the transition phase of labor (8–10 cm dilated) reports a strong urge to push. What is the nurse's priority action?

Accepted Answer

Assess cervical dilation before allowing the patient to push

Answer

Complete dilation (10 cm) must be confirmed before pushing; pushing on an incompletely dilated cervix can cause lacerations and complications.

Question 3

Which medication is routinely administered after delivery of the placenta to prevent postpartum hemorrhage?

Accepted Answer

Oxytocin (Pitocin)

Answer

Oxytocin is the first-line uterotonic agent given immediately after placental delivery to stimulate uterine contraction and prevent hemorrhage.

Question 4

During a postpartum assessment, the nurse finds the fundus is boggy and displaced to the right of midline. What is the most likely cause?

Accepted Answer

A full bladder

Answer

A full bladder is the most common cause of a boggy, displaced fundus because the distended bladder pushes the uterus out of midline and prevents contraction.

Question 5

Which description best defines late decelerations on an electronic fetal monitor tracing?

Accepted Answer

FHR decreases beginning after the peak of a contraction and recovering after the contraction ends

Answer

Late decelerations are gradual FHR decreases that begin after the acme of a contraction and return to baseline after the contraction ends, signaling uteroplacental insufficiency.

(LVN) Licensed Vocational Nurse Practice Test

(LVN) Licensed Vocational Nurse Practice Test

LVN Maternal and Newborn Nursing 2