Labor and Delivery

Which statement by a patient in the obstetrician's clinic is most concerning?

Which information does the nurse provide to the woman who is 8 weeks pregnant about a transvaginal ultrasound?

The nurse is caring for the 3.7 kg neonate who was born at 38 weeks gestation after an uncomplicated pregnancy and delivery in the newborn nursery. Which immunization does the nurse administer to the patient prior to discharge from the hospital?

The 31-week-gestation woman is brought to the emergency department after being struck in the abdomen when the airbags deployed during a motor vehicle accident. Initial screening labs reveal the mother is blood type A-. The nurse advocates for which additional lab to assess the status of the pregnancy?

The nurse is performing an assessment of an infant born 8 hours ago. The infant’s POC blood glucose level is 25 mg/dL. Which action does the nurse take first?

The woman who delivered her first baby will be discharged tomorrow. After a bedside education program in the hospital, the patient tells the nurse that she does not have a crib, bottles, or diapers to care for her new baby. Which action is most appropriate?

The nurse is caring for the woman in labor whose body temperature is 102.8°F and heart rate is 114 bpm. Which order does the nurse carry out first?

The gravida 1 para 1 woman delivered an infant at 41 weeks gestation that weighed 9 lbs. 2 oz. She received oxytocin during labor and forceps were used to assist in the delivery. The nurse is most concerned for which complication?

The nurse provides education to the pregnant woman about the signs of blood clots due to which cause of increased blood clotting risk during pregnancy?

The nurse notes the fetal heart rate (FHR) monitor is reflecting variable decelerations. Which action does the nurse take first?

Which statement describes the role of luteinizing hormone in the female body?

Which physiologic event causes the functional closure of the foramen ovale after birth?

The nurse is in the delivery room of a full-term neonate who requires additional stimulation to begin spontaneous respirations. The nurse removes wet blankets from below the baby to decrease cold stress due to which form(s) of heat loss? Select all that apply. 

The nurse is preparing for the delivery of a 35-week gestation neonate being born via cesarean section for maternal preeclampsia with severe features. The nurse sets the fraction of inspired oxygen (FiO2) for the flow-inflating bag to which percentage?

The nurse receives report on four patients at the start of the shift. Which patient does the nurse visit first?

The nurse is educating the pregnant woman at 13 weeks’ gestation with a newly placed cerclage. The nurse tells the patient to contact the provider if which events occur? Select all that apply.

The nurse educates parents on the care of their 3-day-old infant prior to discharge from the hospital. Which instruction does the nurse include in the teaching?

A nurse is caring for a woman who is at 39 weeks' gestation and in active labor. What is the correct order of the four Leopold's maneuvers?

The 40-year-old woman is pregnant for the first time. She undergoes prenatal testing and is found to have an elevated serum alpha-fetoprotein and asks the nurse to explain what this could mean for her baby. Which response by the nurse is most appropriate?

The 30-week gestation pregnant woman reports her fetus moved two times in an hour during her assessment of fetal activity. Which response by the nurse is best?

The patient who is 33 weeks pregnant reports fetal activity of 8 kicks/hour. Which action by the nurse is appropriate?

The patient who is 32 weeks pregnant presents to the obstetrician’s office with concern for decreased fetal movement. A biophysical profile (BPP) assessment is ordered to determine if the fetus is compromised and needs to be delivered. The nurse prepares the client for which tests as part of the BPP? Select all that apply.

The nurse is asked to assist in a contraction stress test for a patient who is 38-weeks’ gestation. Which strategies does the nurse use to stimulate contractions? Select all that apply.

The nurse is present at the delivery of a 34-weeks pregnant woman with absent end diastolic flow through the umbilical arteries. The nurse anticipated which appearance of the neonate?

The patient who is 27-weeks pregnant is admitted to the hospital with contractions and decreased fetal movement. A biophysical profile (BPP) is performed and determined to be 4 out of 10 and the amniotic fluid volume is decreased. Which action by the nurse is most appropriate?

The presence of which substance in amniotic fluid is most helpful indicator of fetal lung maturity?

The nurse notes a sinusoidal pattern on the fetal heart rate tracing of a patient who is 32-weeks pregnant. Which information is most important for the nurse to determine?

The female patient’s hypertension is controlled with reduced sodium intake and enalapril and has no other health problems. Abdominal weight gain is noted at the patient’s regular checkup and a human chorionic gonadotropin test is positive. Further testing reveals the patient is 32 weeks pregnant. Which assessment is most important for the safety of the fetus in relation to the enalapril?

The nurse applies a fetal heart rate monitor to the abdomen of the 34-week-gestation patient in preterm labor. The patient asks the nurse, “This is so uncomfortable. Why do I have to wear this thing?” The nurse bases the response on which understanding of the rationale for fetal heart rate (FHR) monitoring?

During an amnioinfusion, the uterine resting tone is found to be three times as high as normal. Which action by the nurse is most appropriate?

Which symptom can occur following vertical transmission of Neisseria gonorrhoeae?

Which mother is at highest risk for passing herpes simplex virus (HSV) to her fetus/neonate?

The 32-weeks-pregnant woman who presents with genital lesions is diagnosed with herpes simplex virus-2. The nurse prepares a patient information handout for which medication for this patient?

The full-term neonate (3.2 kg) born precipitously to a mother of unknown infectious disease status has had a positive rapid plasma reagin (RPR) test. The nurse plans care to perform which intervention first?

The 42 weeks gestation pregnant woman is about to undergo labor induction. The nurse anticipates administering which medication?

Which statement is true regarding the nonstress test (NST)?

The nurse is teaching a woman ways to prevent mastitis. Which statement by the patient indicates that more teaching is needed?

The gravida 3 para 2 pregnant woman is being screened for gestational diabetes. Which characteristics increase the woman's risk? Select all that apply.

The offspring of which couple is at highest risk for hemolytic anemia of the newborn?

The 40-week-gestation patient is brought to the emergency department in active labor. Which assessment alerts the nurse to an impending emergency?

The nurse is vigilant for Candida albicans infections in patients with which conditions? Select all that apply.

The fetuses of mothers with which infections during pregnancy are at an increased risk for hearing loss? Select all that apply.

The woman who is 36-weeks pregnant reports sudden and severe abdominal pain. Which assessment does the nurse perform first?

The woman with human immunodeficiency virus (HIV) who has a high CD4 count is concerned her fetus may be infected with the virus. Which statement by the nurse is appropriate?

The obstetrician performs a pelvic exam and reports that the 39-weeks-gestation woman is at 4 cm and zero station. The nurse interprets the fetus's head to be in which location? 

The nurse is caring for a woman who gave birth via forceps delivery within the last 24 hours. The patient describes significant rectal pressure but has had normal bowel movements. The nurse reports the finding to the provider with concerns for which postpartum complication?

The women in the fertility clinic states, “I read an article that said I should increase my omega-3 fatty acid intake to improve my chances of conceiving. Which foods should I eat?” The nurse responds with which foods? Select all that apply.

Which term is used to describe normal dark red vaginal bleeding in the postpartum period?

Which hormone is produced in the mother as a result of breastfeeding?

The fetus is delivered in which stage of labor?