Maternal OB Proctored Exam 2 Winter 2026

Because cervical effacement and dilation are not progressing in a patient in labor, the doctor orders I.V. administration of oxytocin (Pitocin). Why should the nurse monitor the patient's fluid intake

The nurse instructs the laboring client to begin pushing with her contractions

A vaginal examination on a laboring client reveals that the biparietal diameter of the fetal head is at +2 station. This indicates that the fetal head is

What is the nursing action that has the highest priority for a client experiencing hypertonic contractions during the use of oxytocin to stimulate labor?

Internal version (manual rotation) is attempted only in:

A client is a gravida 1 para 0, 42 weeks gestation in early labor. Her tracing indicates normal variability and variable decelerations. As her nurse you are aware that the decelerations are probably c

A nurse is caring for a client in labor and is monitoring the fetal heart rate patterns. The nurse notes the presence of episodic accelerations on the electronic fetal monitor tracing. Which of the fo

Which of the following are disadvantages of a midline episiotomy

The placenta failed to separate and deliver. On examination the doctor finds that the placenta has grown through the uterine wall and has attached to the bladder. What kind of abnormal attachments is

The nurse explains to a client that the purpose of a cerclage is to

A client presents to labor and delivery for evaluation. Upon placing her on the monitor you find the fetal heart rate to be consistently 170 to 180 bpm. What should the nurse do first?

Fetal attitude describes which characteristic of the fetus?

The nurse knows that the occurrence of shoulder dystocia during labor is most likely related to

A pregnant client asks why her urine is checked every visit for glucose and protein. The nurse explains that the purpose of the test is to monitor for the development of

Which symptom indicates increasing severity of pregnancy-induced hypertension and signs of HELLP syndrome?

A client is on magnesium sulfate for pre-eclampsia, what assessments should be done hourly. Select all that apply.

The following hourly assessments are obtained by the nurse on a patient with preeclampsia receiving Magnesium Sulfate: T 97.3, P88, R10, blood pressure 148/110. What other priority physical assessment

The painful phenomenon known as "back labor" occurs in a client whose fetus is in what position?

If shoulder dystocia occurs during a delivery, the nurse should immediately

During a vaginal exam, the nurse palpates a loop of prolapsed umbilical cord beside the fetal head. The nurse has the client's husband assist the client onto her hands and knees while the nurse suppor

Which assessment is the best indication that a client is in true labor?

A laboring client has been dilated 9-10 cm for 2 hours. The fetal head has remained at zero station for 45 minutes despite adequate pushing efforts by the client. A sterile vaginal exam reveals a posi

A laboring woman's amniotic membranes have just ruptured. The immediate action of the nurse would be to:

A laboring client is having contractions every 3 minutes lasting 60 seconds and is dilated 10 centimeters. The nurse determines the client is in what phase of labor?

A 26-week pregnant client has a one-hour 50g glucola test. Her results are 150 mg/dl. She should be counseled to: