NU 314 Maternal Newborn Proctored Exam

A nurse has received a report about a patient in labor. The patient's last vaginal examination was recorded as 3 cm, 30%, and -2. What is the nurse's interpretation of this assessment?

During delivery, the nurse notes the baby's head has just been delivered. The nurse concludes that the baby has just gone through which of the following cardinal movements of labor?

A patient in active labor is told by the nurse-midwife that "the baby is in the flexed attitude.”. When she asks the nurse what that means, what should the nurse say?

In the picture below, each line represents 1 cm with regard to fetal station. What station would describe the darkened line?

Which of the following pictures represents a transverse lie of the fetus?

A nurse is caring for a patient in the first stage of labor and assesses that the patient is 6 cm dilated, 75% effaced, and the baby is at 0 station. Based on these findings, the nurse would document

A patient experiencing back labor complains of intense pain in her lower back. What would be an effective relief measure specific to back pain?

A patient in labor arrives at labor and delivery complaining of intense pain with contractions in her lower abdomen and perineal area. What does the nurse suspect?

A patient in labor has just received an epidural block. What is the most important nursing intervention?

A patient experienced a large hemorrhage postpartum because of a relaxed uterus. Which of the following anesthesia methods is most likely to have contributed to this problem?

Which of the following pregnancy complications could explain the changes seen in the fetal heart tracing above?

The fetal heart rate is heard above the umbilicus and on the mother's left. The nurse concludes that the fetus is in which position?

A patient was given a fentanyl injection during labor. The nurse noted the expected outcome of loss of variability along with a pattern indicating uteroplacental insufficiency. Which of the following

A nurse is caring for a patient in the latent phase of labor who is requesting an epidural for minor labor pains. The nurse encourages the patient to delay the epidural because she knows that walking

The nurse-midwife orders fentanyl 12.5 mg IV now for the laboring mother. Fentanyl from the pharmacy comes in 50 mg/ml vials. How many ml would the nurse draw up for the injection?

A patient in labor has a fetal heart rate with late decelerations. Which of the following are appropriate intrauterine resuscitation measures? Select all that apply.

Butorphanol tartrate (Stadol) and nalbuphine hydrochloride (Nubain) are the preferred opioid analgesics used during labor because these medications:

Opioids such as hydromorphone, fentanyl, and meperidine can cause excessive CNS depression in both the mother and newborn. Opioid antagonists such as naloxone (Narcan) can promptly reverse the CNS dep

Which of the following patients does the nurse recognize as a good candidate for a trial of labor after cesarean (TOLAC) and possible VBAC (vaginal birth after cesarean)?

When assessing a multiparous patient who has just given birth to an 8-pound boy, the nurse notes that the patient's fundus is firm and has become globular in shape. A gush of dark red blood comes from

The nurse is assessing a patient who is 28 weeks pregnant and complaining of intermittent back pain and pelvic pressure. Which of the following should the nurse expect to be done? Select all that appl

Which of the following would indicate PPROM in a 32-week pregnant patient?

A 32-week pregnant patient is receiving nifedipine for preterm labor. Which of the following statements made by the patient indicates a need for additional teaching?

A patient in preterm labor at 30 weeks gestation receives two 12-mg doses of betamethasone intramuscularly. The purpose of this pharmacological treatment is to:

Tocolytic drugs are used in preterm labor to: