Obstetric Nurse Test Obstetric Nurse Obstetric Emergencies 5

Question 1

A laboring patient on continuous electronic fetal monitoring develops late decelerations with every contraction and decreased variability. After repositioning and applying oxygen, the nurse should:

Accepted Answer

Discontinue oxytocin infusion and notify the provider

Answer

Persistent late decelerations with decreased variability indicate uteroplacental insufficiency; discontinuing oxytocin reduces uterine activity and improves placental perfusion.

Question 2

A patient 20 minutes postpartum has saturated four perineal pads and her fundus is firm at the umbilicus. The MOST likely cause of hemorrhage in this scenario is:

Accepted Answer

Lacerations of the birth canal

Answer

A firm uterus rules out atony; continued bleeding with a contracted uterus points to lacerations as the source of hemorrhage.

Question 3

Which blood pressure reading meets the threshold for severe-range hypertension in pregnancy according to ACOG guidelines?

Accepted Answer

≥160/110 mmHg

Answer

ACOG defines severe-range hypertension in pregnancy as systolic ≥160 mmHg or diastolic ≥110 mmHg, requiring urgent treatment within 30–60 minutes.

Question 4

A gravida 3 para 2 delivers a 4,200g infant vaginally. After delivery of the placenta, the uterus appears to have turned inside out and is visible at the vaginal introitus. The nurse's IMMEDIATE priority is:

Accepted Answer

Call for emergency assistance and do not remove the placenta if still attached

Answer

Calling for help and leaving the placenta attached prevents further hemorrhage; aggressive manual replacement before team assembly increases risk of hemorrhagic shock.

Question 5

During the management of severe postpartum hemorrhage, which combination of actions best reflects the concept of 'hemorrhage bundle' care?

Accepted Answer

Quantified blood loss measurement, uterotonic administration, IV access with fluid resuscitation, and activation of massive transfusion protocol when indicated

Answer

Hemorrhage bundles include quantified blood loss, structured uterotonic use, IV access, and early activation of massive transfusion protocol to prevent delays in critical care.

Obstetric Nurse Test Practice Test

Obstetric Nurse Test Practice Test

Obstetric Nurse Test Obstetric Nurse Obstetric Emergencies 5