PN Maternal & Newborn
See correct answers immediately with detailed explanations after each question.
Answer all questions, then review your results with feedback at the end.
Timed simulation that mimics real exam conditions. No feedback until completion.
Below are sample questions from this exam to help you understand the content and format.
Q1: The nurse is preparing to assist the nurse midwife with an amnioinfusion. The patient asks, "Why do I need this?" The best response by the nurse is:
Answer Choices:
🔶 An amnioinfusion is used to increase amniotic fluid in the uterus, which can relieve cord compression.
🔶 When the amniotic fluid is low, the umbilical cord can be compressed, leading to variable fetal heart rate decelerations.
🔶 The procedure helps reintroduce fluid to reduce pressure on the cord, improving fetal oxygenation.
🔶 It does not decrease fluid in the uterus but rather helps restore an optimal amount of fluid.
Q2: A nurse is discussing intermittent fetal heart monitoring with a newly licensed nurse. Which of the following statements should the nurse include?
Answer Choices:
🔷 Intermittent fetal heart monitoring involves assessing the fetal heart rate (FHR) at regular intervals to assess fetal well-being.
🔷 During active labor, it is recommended to auscultate every 5 minutes to monitor for fetal distress.
🔷 Monitoring helps detect any abnormal heart rate patterns, allowing for early intervention if necessary.
🔷 The frequency may increase if abnormalities are detected.
Q3: A major responsibility of the nurse caring for a patient receiving oxytocin for labor induction is to
Answer Choices:
🔶 Tachysystole refers to excessive uterine contractions (more than 5 contractions in 10 minutes), which can compromise fetal oxygenation.
🔶 A major responsibility when administering oxytocin is to monitor uterine activity and prevent hyperstimulation.
🔶 Tachysystole can cause fetal heart rate decelerations, and the nurse should reduce or stop the oxytocin infusion if it occurs.
🔶 Other important assessments include vital signs and fetal heart rate.
Q4: A nurse is assisting with monitoring a client who is admitted for preterm labor and is receiving magnesium sulfate. The client's respiratory rate is 8/min. Which of the following should the nurse administer?
Answer Choices:
🔸 Magnesium sulfate is used to prevent seizures in preeclampsia, but it can cause respiratory depression if levels become too high.
🔸 Calcium gluconate is the antidote for magnesium toxicity, especially when respiratory rates drop below 12/min.
🔸 Immediate administration of calcium gluconate reverses the effects of magnesium toxicity and prevents further complications.
🔸 Monitoring of respiratory rate and reflexes is essential when administering magnesium.
Q5: The 5 factors that affect and define the labor and birth process are:
Answer Choices:
✔️ The five factors that influence labor and birth are passenger (fetus), passageway (pelvis), powers (uterine contractions), position (maternal positioning), and psychological response.
✔️ These factors work together to determine the efficiency and progress of labor.
✔️ The nurse assesses these factors to anticipate potential labor complications and provide support.
✔️ These five factors are critical in determining labor outcomes.
