Obstetric Nurse Test Obstetric Nurse Obstetric Emergencies 4

Question 1

When using the Zavanelli maneuver for an unresolvable shoulder dystocia, the nurse should FIRST:

Accepted Answer

Administer a tocolytic agent to relax the uterus

Answer

A tocolytic is administered to relax the uterus so the fetal head can be reinserted into the vagina before emergency cesarean delivery.

Question 2

A primigravida is 42 weeks gestation and begins laboring. During monitoring, the nurse notes variable decelerations with slow return to baseline and loss of variability. These findings suggest:

Accepted Answer

Umbilical cord compression with possible fetal acidosis

Answer

Variable decelerations with slow return to baseline and loss of variability are non-reassuring signs suggesting cord compression and evolving fetal acidosis.

Question 3

During a precipitous delivery, the nurse delivers the fetal head and notes the face is looking upward (occiput posterior). Before delivering the shoulders, the nurse should:

Accepted Answer

Allow the head to restitute naturally before assisting shoulder delivery

Answer

Allowing natural restitution aligns the fetal shoulders with the pelvis before applying traction, reducing risk of shoulder dystocia.

Question 4

A patient at 36 weeks presents with sudden severe chest pain, dyspnea, and hypoxia following artificial rupture of membranes. Oxygen saturation drops to 82%. The MOST likely diagnosis is:

Accepted Answer

Amniotic fluid embolism

Answer

Sudden cardiovascular collapse with hypoxia immediately after membrane rupture is the classic presentation of amniotic fluid embolism.

Question 5

In the management of uterine inversion, the nurse should anticipate which medication to be administered BEFORE manual replacement of the uterus?

Accepted Answer

Terbutaline or nitroglycerin for uterine relaxation

Answer

Uterine relaxation with tocolytics (terbutaline, nitroglycerin) is required before manual replacement of the inverted uterus.

Obstetric Nurse Test Practice Test

Obstetric Nurse Test Practice Test

Obstetric Nurse Test Obstetric Nurse Obstetric Emergencies 4