Maternal Newborn Nursing Test Intrapartum Nursing: Labor and Delivery 3

Question 1

A nurse is monitoring a client receiving epidural analgesia in labor. Which complication should the nurse assess for most closely?

Accepted Answer

Maternal hypotension

Answer

Epidural analgesia causes vasodilation, which can precipitate maternal hypotension, reducing uteroplacental blood flow and causing fetal heart rate decelerations.

Question 2

The nurse assesses a client 30 minutes after epidural placement and notes the blood pressure has dropped from 118/72 to 88/52 mmHg. What is the priority intervention?

Accepted Answer

Increase IV fluid infusion rate and reposition to left lateral position

Answer

Epidural-induced hypotension is treated first with IV fluid bolus and left lateral positioning to displace the uterus off the vena cava and restore venous return.

Question 3

Which finding on a biophysical profile (BPP) is considered reassuring?

Accepted Answer

Score of 8 out of 10 with two or more breathing movements, tone, movement, and reactive NST

Answer

A BPP score of 8–10 is reassuring; each component (breathing, movement, tone, amniotic fluid, NST) earns 2 points when present, indicating fetal well-being.

Question 4

During delivery, the nurse observes a tight nuchal cord. What is the most appropriate first action?

Accepted Answer

Attempt to slip the cord over the fetal head or perform a somersault maneuver

Answer

A nuchal cord should first be managed by slipping it over the fetal head; if too tight, the somersault maneuver allows delivery without clamping and cutting.

Question 5

A client has been pushing for 2 hours with no fetal descent. The provider plans an operative vaginal delivery. Which item should the nurse prepare?

Accepted Answer

Vacuum extractor or forceps, along with neonatal resuscitation equipment

Answer

Operative vaginal delivery uses vacuum extraction or forceps; the nurse must prepare the appropriate instrument and ensure neonatal resuscitation equipment is ready for potential birth trauma.

Maternal Newborn Nursing Test Practice Test

Maternal Newborn Nursing Test Practice Test

Maternal Newborn Nursing Test Intrapartum Nursing: Labor and Delivery 3