Maternal Newborn Nursing Test Intrapartum and Labor and Delivery 2

Question 1

The nurse is monitoring a patient receiving oxytocin for labor augmentation. Which finding requires the nurse to immediately stop the infusion?

Accepted Answer

Uterine hyperstimulation with 6 contractions in 10 minutes

Answer

Contractions every 3 minutes lasting 45 seconds

Answer

Fetal heart rate baseline of 140 bpm

Answer

Cervical dilation progressing 1 cm per hour

Question 2

A patient's labor has been augmented with oxytocin. She is now 10 cm dilated and pushing. The fetal head has not advanced after 2 hours of pushing in a nulliparous patient. This is termed:

Accepted Answer

Arrested descent

Answer

Active phase arrest

Answer

Prolonged latent phase

Answer

Precipitous labor

Question 3

Which maternal position is most effective for promoting fetal descent and reducing back labor caused by an occiput posterior fetal position?

Accepted Answer

Hands-and-knees or all-fours position

Answer

Supine with legs elevated

Answer

Left lateral Sims position

Answer

Semi-Fowler with feet flat

Question 4

After rupture of membranes, the nurse notes the umbilical cord protruding from the vaginal introitus. Which action should the nurse take first?

Accepted Answer

Place the patient in Trendelenburg or knee-chest position

Answer

Cover the cord with a dry sterile gauze

Answer

Prepare the patient for immediate cesarean section

Answer

Clamp and cut the cord to prevent further prolapse

Question 5

A laboring patient is 5 cm dilated with intact membranes and experiencing severe back pain. The fetal position is right occiput posterior (ROP). Which nursing intervention is most appropriate?

Accepted Answer

Apply counterpressure to the sacral area during contractions

Answer

Encourage the patient to lie supine to rest

Answer

Administer an enema to relieve discomfort

Answer

Restrict fluid intake to prevent nausea

Question 6

A patient at 39 weeks gestation is admitted in active labor. Her GBS (Group B Streptococcus) status is positive. What is the priority nursing intervention?

Accepted Answer

Initiate IV antibiotic prophylaxis as ordered

Answer

Prepare for immediate cesarean delivery

Answer

Restrict oral intake and apply fetal monitor

Answer

Obtain a vaginal culture for confirmation