Question 9
A 26-year-old primigravida at 39 weeks gestation is admitted for possible induction. Vaginal exam:
- Cervical dilation: 3 cm
- Cervical effacement: 50%
- Station: -1
- Cervical consistency: soft
- Cervical position: anterior
What is the Bishop Score?
✅ Answer: 8
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Question 10
What info regarding a fractured clavicle is most important for newborn care?
✅ Answer: d. No special treatment is necessary.
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Question 11
Which medications are used to manage postpartum hemorrhage (PPH)? (Select all that apply)
✅ Answers: c. Oxytocin, d. Hemabate, e. Methergine
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Question 12
Primary purpose of tocolytic therapy?
✅ Answer: a. The most important function is to provide opportunity to administer antenatal glucocorticoids.
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Question 13
Most likely cause for profuse postpartum bleeding?
✅ Answer: a. Uterine atony
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Question 14
Newborn with pale, tachypneic signs after cesarean at 37 weeks, membranes ruptured for 26 hours. Most likely cause?
✅ Answer: b. Sepsis
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Question 15
Signs of NAS except?
✅ Answer: Hypotonia
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Question 16
Client at greatest risk for early postpartum hemorrhage?
✅ Answer: b. Woman with severe preeclampsia on magnesium sulfate whose labor is induced
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Question 17
Initial sign of puerperal infection?
✅ Answer: c. Temperature of 38°C or higher on 2 successive days
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Question 18
Betamethasone dose calculation: Available 6 mg/mL, ordered 12 mg IM every 24 hr for 2 doses. How many mL per dose?
✅ Answer: 2
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Question 19
Father of dying newborn says “he looks fine to me.” Nurse’s best response?
✅ Answer: a. “This must be a difficult time for you. Tell me how you’re doing.”
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Question 20
NICU baby discharged after 70 days. Mother asks if developmental milestones will be on time. Best response?
✅ Answer: d. “Your baby will need to be corrected for prematurity.”
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Question 23
Purpose of surfactant therapy?
✅ Answer: a. Surfactant improves the ability of your baby’s lungs to exchange oxygen and carbon dioxide.
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Question 24
Mother asks if painting caused stillbirth. Best nurse response?
✅ Answer: c. “I can understand your need to find an answer. What else are you thinking about?”
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Question 25
Parents asked about autopsy. Best nurse info?
✅ Answer: a. Some religions prohibit autopsy.
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Question 26
2 hours postpartum, intense perineal pain, fundus firm/midline. Cause?
✅ Answer: Hematoma formation.
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Question 27
Woman reports leg pain, redness, warmth, hardened area. Likely condition?
✅ Answer: d. Thrombophlebitis; using real-time and color Doppler ultrasound.
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Question 28
Most appropriate nurse statement to bereaved parents?
✅ Answer: a. “What can I do for you?”
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Question 29
Macrosomic infant born after forceps delivery, weight 4550g. Nurse’s first priority?
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Question 30
Which classification of placental separation is not an abnormal adherence pattern?
✅ Answer: d. Placenta abruptio.
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Question 31
Intervention for infant experiencing drug withdrawal?
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Question 32
Nurse’s option to offer parents of stillborn girl?
✅ Answer: b. “When your baby is born, would you like to see and hold her?”
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Question 33
Nurse discovers prolapsed cord. Priority action?
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Question 34
Key nursing intervention when providing care to client on terbutaline?
✅ Answer: b. Assess for dyspnea and crackles.
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Question 35
Most accurate definition of preterm and postterm infants?
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Question 36
Purpose of betamethasone administration?
✅ Answer: a. To stimulate fetal surfactant production.
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Question 37
Benefit of kangaroo care?
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Question 38
Nurse suspects excessive postpartum bleeding. Priority intervention?
✅ Answer: Massage the uterine fundus.
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