Obstetric Nurse Test Obstetric Nurse Obstetric Emergencies 3

Question 1

When performing the McRoberts maneuver for shoulder dystocia, the nurse should:

Accepted Answer

Hyperflex the mother's thighs sharply against her abdomen

Answer

McRoberts maneuver involves hyperflexing the maternal thighs to flatten the lumbar lordosis and increase the relative AP diameter of the pelvis.

Question 2

A patient at 30 weeks gestation presents with painless vaginal bleeding following intercourse. Vital signs are stable. The MOST appropriate initial nursing action is:

Accepted Answer

Withhold vaginal examination and notify the provider

Answer

Painless vaginal bleeding after intercourse in late pregnancy is suspicious for placenta previa; digital vaginal exam is contraindicated until placenta previa is excluded.

Question 3

In postpartum hemorrhage secondary to uterine atony, which intervention should occur BEFORE fundal massage?

Accepted Answer

Ensuring the bladder is emptied

Answer

A full bladder displaces the uterus and prevents effective uterine contraction; bladder emptying must occur before fundal massage.

Question 4

Which laboratory finding is characteristic of HELLP syndrome?

Accepted Answer

Hemolysis, elevated liver enzymes, and low platelets

Answer

HELLP stands for Hemolysis, Elevated Liver enzymes, and Low Platelet count, distinguishing it from other pregnancy complications.

Question 5

A nurse is monitoring a patient receiving magnesium sulfate for eclampsia prophylaxis. Which finding warrants IMMEDIATE intervention and withholding the next dose?

Accepted Answer

Respiratory rate of 10 breaths per minute

Answer

Respiratory depression (RR <12) is a sign of magnesium toxicity and is an immediate life threat requiring the infusion to be stopped.

Obstetric Nurse Test Practice Test

Obstetric Nurse Test Practice Test

Obstetric Nurse Test Obstetric Nurse Obstetric Emergencies 3