Maternity Proctored Exam (Samuel Merit University)

The nurse discovers a loop of the umbilical cord protruding through the vagina when preparing to perform a vaginal examination. The priority intervention is to:

During a vaginal delivery the midwife tells you that a shoulder dystocia has occurred. Which of the following initial nursing actions is appropriate at this time?

The patient has been on IV magnesium sulfate for severe preeclampsia for 24 hours. On assessment, the nurse finds the following vital signs: temperature of 37.3 C, HR 88, RR 9. B/P 140/90, absent deep

A patient is being discharged from the hospital after the evacuation of a molar pregnancy. The nurse recognizes that additional discharge teaching is required when the patient makes which statement?

A woman, G4P0210, and 12 weeks' gestation has been admitted to labor and delivery for a cerclage procedure. Which of the following long-term goals for this patient would we anticipate by doing this pr

The least common cause of long. difficult, or abnormal labor (dystocia) is:

The laboring patient is being augmented with oxytocin and is experiencing contractions every 3-4 minutes lasting 60 seconds. The patient's fetal heart rate is ranging from 130-140 beats per minute (BP

A nurse is monitoring the labor of a patient who is receiving IV oxytocin (Pitocin) at 6 ml/hr. Which of the following clinical signs would lead the nurse to stop the infusion?

The nurse would include which of the following statements when describing the pathophysiology of gestational diabetes?

The nurse is preparing for the admission of a 30 weeks' gestation patient experiencing vaginal bleeding with a suspected diagnosis of placenta previa. In anticipating the patient's needs, which of the

A woman with a history of congestive heart disease is 36 weeks pregnant. Which of the following findings should the nurse report to the primary health care practitioner?

A woman at 39 weeks gestation with a history of preeclampsia is admitted to the labor and delivery. She suddenly experiences increased contraction frequency of every 1 to 2 minutes, dark red bleeding

If the nurse suspects a patient has experienced anaphylactoid syndrome of pregnancy (amniotic fluid embolus), which of the following is the priority nursing intervention?

To assist with an induction of labor which of these medications can be used? Select all that apply

A woman with preeclampsia has a seizure. The nurse's primary duty during the seizure is to:

The clinic nurse’s patient is 21 weeks pregnant. Her blood pressure is 168/100. Blood pressures in prior visits have all been normal. Her urine sample shows trace protein. What other questions or proc

A woman comes in to her physician’s office at 16 weeks of pregnancy complaining of headache. On examination her Blood Pressure is 169/94. As the physician looks over her record he notices that she has

A woman is admitted due to a suspected ectopic pregnancy. While explaining treatment the patient asks if she will be able to get pregnant again. You answer that she absolutely will get pregnant again.

When working with a woman who has just experienced a fetal demise you should offer supportive care, give her the opportunity to grieve, and provide for a chaplain to come in if the patient wants one.

A woman is in the second stage of labor and has a spinal block in place for pain management. The nurse obtains the woman's blood pressure and notes that it is 20% lower than the baseline level. Which

With regard to systemic analgesics administered during labor, nurses should be aware that:

After delivering a healthy baby boy with epidural anesthesia, a woman on the after-birth unit complains of a severe headache. The nurse should anticipate which actions in the patient's plan of care? (

The nurse recognizes that a woman is in true labor when she states…., and finds that her cervix has dilated and effaced on examination.

Professor Proctor: Always wants us to be safe while traveling anywhere- especially when coming to class. This is prioritized even over being on time.