Are you preparing for a Maternal and Fetal Health proctored exam like NURS 310 or PNUR 325? If your test includes everything from postpartum hemorrhage causes, fetal heart tracing interpretations, magnesium sulfate use, and IV pump calculations, then you know this isn’t your average quiz. These exams are often taken under strict proctoring conditions using tools like:
- 🔐 Respondus LockDown Browser
- 🎥 Honorlock
- 🧠 ProctorU
- 📷 Examity
- 💻 ExamSoft
- 👁️ ProctorTrack
These systems monitor every movement — screen, webcam, audio, and even eye-tracking. But here’s your advantage…
👉 ExamSharks.com offers stealth support for ANY proctored exam, including this one.
💡 We Help With:
- 🩸 Postpartum Hemorrhage Differentiation (Tone, Trauma, Thrombin, Tissue)
- 🤱 Shoulder Dystocia Risks & Complications
- 🧪 Magnesium Sulfate for Preeclampsia
- 🧮 IV Math & Drip Rate Calculations
- 🧬 Diagnosing Oligohydramnios or Abruption
- 👶 Fetal Heart Rate Strip Interpretation
- 🧾 Matching Medications to Indications: Terbutaline, Methotrexate, Oxytocin
- 💉 Recognizing Signs of Ectopic Pregnancy or Endometritis
- 🧠 Counseling for Molar Pregnancy, Grief Support, or Cord Prolapse
We work behind the scenes — invisible to proctoring software — while you stay on camera. Real-time answers. Real nursing tutors. Real results.
🔗 Start Now with the Best in Nursing Exam Support:
👉 Visit ExamSharks.com
Let us help you pass your OB exam with flying colors — even with Category II tracings, IV infusion problems, and shoulder dystocia trauma scenarios.
2
Matching 2 points
Match the postpartum hemorrhage etiology to the associated findings
Trauma
Thrombin
Tone
Tissue
3
Categorization 2 points
Sort the following into maternal risks for shoulder dystocia and maternal complications of shoulder dystocia
Maternal risks for shoulder dystocia
Possible answers
No Answers Chosen
macrosomic fetus and infusion of magnesium sulfate
Retained products of conception
vaginal wall laceration
Von Willebrand disease
Maternal complications of shoulder dystocia
No Answers Chosen
fecal incontinance
⠀ obesity
postpartum hemorrhage
gestational diabetes
history of a shoulder dystocia
3rd of 4th degree lacerations
excessive weight gain during pregnancy
lower extremity nerve injury
4
Multiple Choice 2 points
4/50
A 27 year old G3P2 is coming in for a prenatal appointment. Her background is as follows: 2 vaginal deliveries, at 35 weeks, chronic hypertension, gestational diabetes, and she works as a bar tender. She got off work this morning at 3am, and found she had swelling in her hands, and around her eyes. Her current BP is 170/112, and reports a severe headache. Which complication are we concerned about with this patient?
0000
Preeclampsia with severe features
Eclampsia
Preeclampsia without severe features
Infection
Next
2/50
3/50
Next
Next
5
Multiple Choice 2 points
5/50
A nurse is caring for a client at 39 weeks gestation in labor. The cervical exam is 4 cm, 80% effacted, vertex, -2 station. The patient has requested opioid pain medication. The fetal heart tracing is below. Based on the assessment, what should the nurse do with the patient’s request?
FR 240
FRE 240 taxo
5:406 NOV 09 US TOCO
PRE 240 la
m
FRE 260
Advise the patient that opioid pain medicine can cause respiratory depression in the newborn when it is given in early labor.
Support the patient with some non-pharmacologic pain managment strategies because it is too early for pain medication.
Encourage the patient to consider an epidural because the fetal tracing is a catogory II.
Administer the IV narcotic pain medication as ordered.
6
Multiple Choice 2 points
When preparing to teach a patient about their diagnosis of Oligohydramnios, the nurse recalls that the following is true:
This condition is diagnosed through doppler fetal heart tones
00
This refers to an inadequate level of circulating blood from the placenta to the fetus and can result in fetal injury.
This refers to a low level of amniotic fluid and can be the result of uteroplacental insufficiency, fetal renal abnormalities, and low birth weights.
Refers to a high level of amniotic fluid that can be present with maternal diabetes, neural tube defects, and chromosomal abnormalities.
6 Multiple Choice 2 points
When preparing to teach a patient about their diagnosis of Oligohydramnios, the nurse recalls that the following is true:
This condition is diagnosed through doppler fetal heart tones
This refers to an inadequate level of circulating blood from the placenta to the fetus and can result in fetal injury.
This refers to a low level of amniotic fluid and can be the result of uteroplacental insufficiency, fetal renal abnormalities, and low birth weights.
Refers to a high level of amniotic fluid that can be present with maternal diabetes, neural tube defects, and chromosomal abnormalities.
7
Numeric 2 points
A patient is prescribed 3 L 0.9% normal saline to infuse over 4 hours. At what rate will you program the IV pump in mL/hr?
Answer
Next
6/50
Next
6/50
Next
8
Numeric 2 points
You just hung a new 1,000 mL bag of Lactated Ringer’s. The order is for 150 ml/hour. How many hours will this bag last? Round to the nearest tenth.
Answer
Match the labeled image to the name of the morbidly adherent placenta
A
C
B
A I
C
B
02:07:26 Time Remaining
Off
8/50
Next
Placenta accreta
Placenta percreta
Placenta increta
I
48
Multiple Choice 2 points
Preeclampsia
Chronic Hypertension
Preeclampsia with severe features
Gestational Hypertension
7
Multiple Answer 2 points
A nurse is teaching a nursing student about risk factors for fetal demise. Which of the following risk factors should the nurse include in the teaching? (sele
A client who is 30 years old and pregnant with their 3rd child
A patient who recieved the influenza vaccine at 14 weeks gestation
Previous fetal death
Intrahepatic cholestasis
Oligohydramnios
46
Multiple Answer 2 points
Which of the following should the nurse educate the client on in relation to risk factors for postpartum hemorrhage?
A baby expected to be small for gestational age
Prolonged labor
Retained placenta
A uterine infection
Polyhydramnios
45
Multiple Choice 2 points
44
A nurse is caring for a postpartum client who had cesarean birth 4 hours ago. Which of the following nursing interventions will reduce the risk of the vein thrombosis (DVT)?
Performing a fundal assessment every 4 hours
Administering post-operative antibiotics to prevent infection
Educating the patient on the use of the incentive spirometer
Ensuring the use of a pneumatic compression device
Matching 2 points
Match the image to the fetal postion
C
A
B
C
B
A
Complete breech
Frank breech
Footling breech
43
Multiple Choice 2 points
41
to lower the blood pressure
to stop uterine contractions
to treat hypomagnesium
O to reduce the risk of a seizure occuring
42
Multiple Choice 2 points
A nurse is at the bedside to assess the fundas of a client who delivered 8 hours ago. The fundus is noted to be “boggy” and they observe a moderat small clots on the peripad. Which of the following is consistent with the nurse’s fundal assessment?
Uterine atony
Prolapsed uterus
Unrepaired lacerations
Retained placenta
Fill in the Blank 2 points
When a family is experience the death of their baby, nurses can help to facilitate healthy greiving practices through choose your answer…
choose your answer…
choose your answer…
encouraging the client to
discharge early to prepare for the funeral
Discouraging visitors
following birth
referring to the client as
mom, dad, or parent
39
Multiple Choice 2 points
The most common complication related to shoulder dyctocia for the newborn is
A brachial plexus injury
Hypoxic encephalopathy
Fractured humerus bone
Facial bruising
38
Numeric 2 points
A patient is receiving 500mL Lactated Ringer’s over 2 hours. You are using a tubing with a drip factor of 20 gtt/mL. How many drops per minute sh the nearest whole number.
Answer
37
Multiple Choice 2 points
36
A nurse is discussion placental abruption with a new nurse. Which of the following statements indicates that the new nurse requires additional educa
“Placental abruption always presents with vaginal bleeding”
“Patients who smoke cigarettes or use other substances are at increased risk of a placental abruption occuring”
“Placental abruption is a consideration when a patient has experience abdominal trauma”
“Patient’s experiencing a placental abruption usually have abdominal pain”
Numeric 2 points
The patient you are caring for is on oxytocin for induction of labor. The bag is empty and you need to restart the infusion at 10milliunits/min. The atta medication. The concentration is 30 units/500mL. What rate do you program the pump to infuse the medication?
Answer
X
35
Matching 2 points
Sociodemographic factors
Environmental factors
Biophysical factors
Psychosocial factors
34
Multiple Answer 2 points
Which of the following place a client at higher risk for a morbidely adherent placenta
The condition of endometriosis
A pregnancy resulting in a large for gestation age (LGA) newborn
Prior surgical procedures on the uterus (myometrium)
pregnancy conceived through assistive reproductive technology
Preterm birth
A patient who has type 1 diabetes me
A patient who is 15 years old and live
A patient who is experiencing high st unexpected death
32
333
Numeric 2 points
Answer
Multiple Choice 2 points
Increase the Pitocin rate by 2 mu/minute
Prepare the room for delivery as birth is imminent.
Place a non-rebreather mask on the client at 10 liters/minute and prepare for emergent delivery.
Decrease the Pitocin rate to 8 mu/minute
31
30
32
Multiple Choice 2 points
A nurse just received shift report from the off-going nurse. The patient is having an induction of labor with Pitocin (Oxytocin) and the infusion is at fetal tracing for the prior 4 hours. The last 20 minutes of the tracing is below. What is the priority action for the nurse at this time.
Increase the Pitocin rate by 2 mu/minute
Prepare the room for delivery as birth is imminent.
Place a non-rebreather mask on the client at 10 liters/minute and prepare for emergent delivery.
Decrease the Pitocin rate to 8 mu/minute
Multiple Answer 2 points
A nurse is discussing a new diagnosis of gestational hypertension with a patient at a prenatal visit. Which are appropriate statements to include in th (Select all that all that are true)
“We expect that gestational hypertension will resolve by 12 weeks postpartum”
“Gestational hypertension is a complication that developes after 20 weeks gestation”
“Patients with gestational hypertension typically have protein in their urine”
“You will not need medication to manage your blood pressure because gestational hypertension is temporary”
“Pregnant people who have gestational hypertension have a higher risk of developing preeclampsia”
Multiple Choice 2 points
A nurse is caring for a client who has had a spontaneous abortion. Which of the following is a possible cause of spontaneous abortions?
Chromosomal abnormality
elevated estrogen level
Increasing level of progesterone
A thickened endometrial lining of the uterus
28
29
Multiple Choice 2 points
27
The nurse is performing a postpartum assessment on a client who delivered 5 hours ago. VS-99.1 F, HR 74, RR 16, BP 120/68. The nurse finds a firm umbilicus, displaced to the laterally with moderate lochia on her peri pad. Which of the following nursing actions is appropriate for the nurse to take
Administer oxytocic medication per order
Assist the patient to void and recheck the fundal postion afterward
Notify the physician
Express clots from the uterus
Multiple Choice 2 points
A nurse is caring for a client who had a vaginal delivery 60 minutes ago. They notice a continual flow red bleeding from the vagina. The fundus is asses and just below the umbilicus. VS-T 98.0 F, HR 120, RR 20, BP 90/59. The nurse intervenes by
providing supplimental oxygen at 2 L per nasal cannula
requesting the OB provider to the bedside and preparing the patient for a speculum exam
monitoring vital signs for further decline
performing fundal massage to improve uterine tone
Multiple Choice 2 points
A client calls the OB clinic on day 5 postpartum. The client reports that they do not feel well explaining that they have a fever, chills, lower abdominal notice increased bloody discharge that smells bad this morning. Which of the following postpartum complications is consistent with the client’s man
Uterine inversion
Urinary tract infection
Mastitis
Endometritis
26
Multiple Answer 2 points
Subinvolution can be secondary to which of the following? (select all that apply)
Frequent kangaroo care
Frequent ambulation
Infection
Retained placental fragments
25
Multiple Answer 2 points
The complication of preeclampsia includes which of the following? (select all that are true)
Is diagnosed only after a seizure occurs
Is thought to result from abnormal development of the placenta
Includes new-onset hypertension after 20 weeks gestation
May involve end organ injury that is generally temporary (kidney, brain, liver)
Does not affect growth or wellbeing of the fetus
24
Multiple Choice 2 points
Pregnant patients who have thrombophilia are at increased risk for
developing blood clots in their lungs
requiring an emergency cesarean birth
developing multisystem infections
Fetal malformations
23
Multiple Answer 2 points
Acute hypotension
Chronic hypertension
Placental abruption
Maternal group B streptococcus colonization
22
Multiple Answer 2 points
A nurse is caring for a patient with a confirmed ectopic pregnancy. While waiting for surgical intervention, the nurse remembers that which of the foll ruptured ectopic pregnancy? (Select all that apply)
Shoulder pain
Abdominal pain
Elevated HR
Hypotension
Dizziness
Supraclavicular retractions
Blurred vision
21
Multiple Answer 2 points
Age
Weight
Height
BP
HR
RR
Obstetric History
Medical History
Substance abuse
Relationship Status
Spontaneous abortion
Pseudomenorrhea
Small for gestational age
Placental abruption
Large for gestational age
37
290
5 feet
145/95
75
18
N/A
20
Multiple Answer 2 points
A nurse is caring for a client who is at 32 weeks gestation who was sent from the prenatal office with a headache and a 9 pound weight gain. VS – Tem BP 172/98. Which of the following orders would the nurse expect to be included in the patient’s plan of care?
Hydralazine 10 mg, IV Push STAT
Magnesium sulfate IV infusion – seizure prophylaxis
Methyldopa 500 mg PO every 12 hours
Betamethasone 12.5 mg IM x2 doses, 24 hours apart
Vancomycin 600 mg IV piggyback every 12 hours
19
Multiple Choice 2 points
A laboring client had an epidural placed 15 minutes ago. The nurse is at the bedside monitoring the BP and fetal heartrate closely. The client’s BP fetal heart pattern below and identify the underlying pathophysiology. Fetal heartrate baseline 135 bpm, moderate variability, no accelerations,
240
210
100-
FR 240 tas
290
100
8:40 28 OCT 08 FECG IUP
18:50 28 OCT 08 FECG (UP
^^ ^^
Uteroplacental insufficiency secondary to hypotension
Umbilical cord compression secondary to maternal position following epidural placement
Fetal head compression because the client is nearing delivery
Fetal tachycardia due to maternal fever
CUPE
18
Multiple Choice 2 points
A nurse is admitting a patient from emergency services following a physical assault. The patient report abdominal pain that radiates to their shoulder. 24, BP 84/51. What is the category of the fetal tracing below?
17
THR 240 bmp
210
180
FHR 240 hmp
210-
160-
FHR 240 bmp
210
180-
HR 240 bmp
210
180-
150
150
120
120-
120-
120
90-
-60-
30
90
90-
90
60
30
60
30
GO
30
100
12
100
12
12
10
75
10
75
10
Category 1
Category 4
Category 2
Category 3
50
30-
UA 0 mm
100
100
12
75-
10
75
50
50
Multiple Choice 2 points
Placenta Previa
Preterm labor
Placental Abruption
A vaginal laceration
16
Multiple Choice 2 points
Which of the following statements best describes overt umbilical cord prolapse?
The umbilical cord detaches from the placenta
The umbilical cord is wrapped around the presenting fetal part
The umbilical cord drops below the presenting fetal part into or through the cervix
The umbilical cord is trapped between the fetal body and the uterine wall
15
Matching 2 points
Match the medication to the action/indication.
Mifepristone
Oxytocin
Methotrexate
Terbutaline
13
Multiple Choice 2 points
The client has not emptied her bladder since delivery
A newborn that weighed 6 pounds 3 ounces
Polyhydramnios
Chorioamnionitis (infection)
12
Multiple Choice 2 points
The decelerations in the following fetal heartrate tracing are indicative of
FECOUP
umbilical core compression
uteroplacental insufficiency
stimulous of the fetal vegus nerve.
fetal head compression
11
Multiple Answer 2 points
TECO UP
A nurse is caring for a client who has a molar pregnancy. Which of the following are manifestations of a molar pregnancy? (select all that are true)
severe nausea and vomiting
presence of fetal heartbeat
positive pregnancy test
amenorrhea
pelvic pain
OB nursing exam help 2025, stealth help with maternal nursing exam, lockdown browser bypass for fetal heart monitoring test, live IV pump calculation help, examsharks.com shoulder dystocia tutor, postpartum hemorrhage matching questions, how to pass NURS 310 under proctorU, honorlock help with magnesium sulfate questions, morbidly adherent placenta exam prep, fetal station labor quiz answers, bypass ExamSoft for maternal and child health test, live maternal fetal tutor for proctored nursing test
