Obstetric Nurse Test Obstetric Nurse Obstetric Emergencies 2

Question 1

A patient at 34 weeks gestation presents with sudden severe headache, visual disturbances, and BP of 168/112 mmHg. Which intervention is the PRIORITY?

Accepted Answer

Administer magnesium sulfate IV

Answer

Magnesium sulfate is the priority intervention to prevent seizures in severe preeclampsia with neurological symptoms.

Question 2

During the third stage of labor, the nurse observes a sudden gush of blood, cord lengthening, and the uterus rising in the abdomen. This indicates:

Accepted Answer

Placental separation

Answer

These are the classic signs of placental separation: gush of blood, cord lengthening, and uterine fundus rising and becoming globular.

Question 3

A multiparous patient delivers and then develops massive hemorrhage. The uterus is boggy despite fundal massage. After oxytocin fails, which uterotonic agent is contraindicated if the patient has hypertension?

Accepted Answer

Methylergonovine (Methergine)

Answer

Methylergonovine causes vasoconstriction and is contraindicated in hypertension as it can dangerously elevate blood pressure.

Question 4

A laboring patient suddenly develops fetal bradycardia to 60 bpm and the nurse visualizes a loop of umbilical cord at the vaginal introitus. The nurse's FIRST action is to:

Accepted Answer

Manually elevate the presenting part off the cord

Answer

Manual elevation of the presenting part relieves cord compression and is the immediate priority to restore fetal blood flow.

Question 5

A patient at 38 weeks is diagnosed with placenta previa and begins heavy vaginal bleeding. The nurse should:

Accepted Answer

Establish large-bore IV access and avoid vaginal examination

Answer

Vaginal examination with placenta previa can provoke catastrophic hemorrhage; IV access is essential for fluid resuscitation.

Obstetric Nurse Test Practice Test

Obstetric Nurse Test Practice Test

Obstetric Nurse Test Obstetric Nurse Obstetric Emergencies 2