Maternal Newborn Nursing Test Intrapartum and Labor and Delivery

Question 1

A laboring patient at 8 cm dilation suddenly reports severe, constant abdominal pain with a rigid uterus and fetal heart rate decelerations. What should the nurse suspect?

Accepted Answer

Placental abruption

Answer

Transition phase of labor

Answer

Urinary tract infection

Answer

Round ligament pain

Question 2

Which fetal heart rate pattern requires the nurse to immediately notify the healthcare provider and prepare for possible emergency delivery?

Accepted Answer

Prolonged deceleration lasting more than 3 minutes

Answer

Early decelerations

Answer

Moderate variability

Answer

Accelerations with fetal movement

Question 3

A patient in active labor has an epidural. Her blood pressure drops to 88/52 mmHg. What is the nurse's priority intervention?

Accepted Answer

Position the patient in left lateral tilt and increase IV fluids

Answer

Administer oxygen by non-rebreather mask

Answer

Call the anesthesiologist immediately

Answer

Document the finding and recheck in 5 minutes

Question 4

The nurse is caring for a patient in labor whose membranes rupture spontaneously. The fluid is green-tinged. What is the priority nursing action?

Accepted Answer

Assess the fetal heart rate immediately

Answer

Document the color and continue routine monitoring

Answer

Perform a vaginal exam to check dilation

Answer

Notify dietary to hold the next meal

Question 5

During the second stage of labor, the nurse identifies variable decelerations with each push. What intervention should the nurse implement first?

Accepted Answer

Have the patient stop pushing and change position

Answer

Increase the oxytocin infusion rate

Answer

Apply oxygen via face mask at 10 L/min

Answer

Perform an amnioinfusion

Question 6

A primigravida is 4 cm dilated and 100% effaced. She is experiencing contractions every 3 minutes lasting 60 seconds. Which phase of labor is she in?

Accepted Answer

Active phase of the first stage

Answer

Latent phase of the first stage

Answer

Transition phase of the first stage

Answer

Second stage of labor