Ateneo de Zamboanga University

College of Nursing

Name: ____________________ Score:

_____________
Year & Section: _____________ Date:
______________

Encircle the letter of the correct answer. Erasures and superimpositions are not
allowed.

1. A nurse explains to the patient what compound presentation is. She would be
accurate if she says:
a. It is when the long axis of the fetus is perpendicular or at right angles
to the long axis of the mother.
b. It is commonly used to describe fetal hypoxia.
c. It is the prolapse of the umbilical cord that slips down in front of the
presenting fetal part.
d. It is the prolapse or concurrent presentation of an extremity with the
presenting part.

2. The following are nursing measures during fetal distress EXCEPT:

a. Place patient in a supine position and elevate legs
b. Administer oxygen at 8-10 L/min via face mask
c. Discontinue oxytocin (Pitocin) if infusing
d. Monitor maternal and fetal status

3. In cases of cord prolapse, what is the initial nursing intervention that must be
done:
a. Inform the physician
b. Cover the exposed area with a dry cloth to prevent drying
c. Cover any exposed portion with a sterile saline compress
d. None of the above

4. A nurse explains to her clients that the most common compound presentation
is :
a. An arm prolapsed alongside a breech presentation
b. A fetal hand or arm presents alongside or before the vertex
c. A leg alongside the vertex
d. Both A & B

5. Nurse Charry teaches a primigravid mother about the possible causes of

shoulder presentation. The mother may need further teaching when she says:
a. It may be caused by a weak abdominal musculature.
b. The increased in the volume of amniotic fluid may contribute to such
presentation.
c. Exercising frequently may lead to a shoulder presentation.
d. The fetus is premature.
6. The mother verbalized that something “popped out” of her vagina. The nurse
inspects it and sees a prolapsed umbilical cord. Nursing interventions in this
condition are aimed toward:
a. Relieving pressure on the cord, thereby relieving compression and the
resulting fetal anoxia
b. Relieving pressure on the vagina, thereby relieving compression and
the resulting fetal anoxia
c. Both A & B
d. None of the above

7. A mother is experiencing prolapsed of the umbilical cord. The following may

be possible diagnoses for the mother EXCEPT:
a. Deficient Knowledge
b. Fear
c. Impaired Gas Exchange
d. Anxiety

8. The following are P’s are usually associated with complications during labor
and birth EXCEPT:
a. Passageway
b. Passenger
c. Power
d. Psych

9. Supine hypotension syndrome happens when there is impaired venous return

that results from pressure of the gravid uterus on the vena cava. This occurs
when clients are placed on what position:
a. Supine
b. Lateral
c. Sims
d. None of the above

10.Term for difficult labor:

a. Anoxia
b. Dsytonia
c. Dystocia
d. Dysreflexia

11.Nurse Lessa is caring for a multigravid client at 34 weeks gestation diagnosed

with preterm labor. The client has delivered two stillborn infants at 30 weeks
gestation. The client is scheduled for a sonogram before an amniocentesis.
Which of the following would be a priority nursing diagnosis for the client?
a. Acute pain r/t abnormal uterine contractions
b. Anxiety r/t diagnostic tests for fetal well-being
c. Ineffective coping related to hospitalization
d. Deficient knowledge r/t consequences of preterm birth

12.Dysfunctional labor may be caused by which of the following?

a. Excessive or too early analgesia administration
b. Exhausted mother
 c. Overdistention of the uterus
d. All of the above

13.The client’s uterine contractions are hypotonic. The nurse’s top priority with
hypotonic contractions during the intrapartal period is:
a. Pain relief
b. Psychological support
c. Monitoring the lochia for possible bleeding
d. Infection control

14. For a woman experiencing hypotonic contractions, what should be done

initially?
a. Obtain an ultrasonic result
b. Infusion of oxytocin
c. Administration of analgesia
d. Amniotomy

15.The most important nursing consideration in a postpartal woman with a

hypotonic contraction is:
a. Assessment for infection
b. Assessment for bleeding
c. Assessment for FHR
d. Assessment for woman’s coping mechanism

16.Nurse Melody is assigned to care for a client with hypotonic uterine

dysfunction and signs of a slowing labor. The nurse is reviewing the
physician’s orders and would expect to note which of the following prescribed
treatments for this condition?
a. Increased hydration
b. Administration of a tocolytics medication
c. Medication that will provide sedation
d. Oxytocin (Pitocin) infusion

17.Nurse Sanny has developed a plan of care for a client experiencing dystocia
and includes several nursing interventions in the plan of care. The nurse
prioritizes the plan of care and selects which intervention as the highest
priority?
a. Monitoring the fetal heart rate
b. Keeping the significant other informed of the progress of the labor
c. Changing the client’s position frequently
d. Providing comfort measures

18.Nurse Lovely is in a labor room assisting with the vaginal delivery of a

newborn infant. The nurse would monitor the client closely for the risk of
uterine rupture if which of the following occurred?
a. Schultz presentation
b. Forceps delivery
c. Weak bearing-down efforts
d. Hypotonic presentation
19.After a precipitous delivery, Nurse Kimi notes that the new mother is passive
and only touches her newborn infant briefly with her fingertips. The nurse
should do which of the following to help the woman process what has
happened?
a. Support the mother in her reaction to the newborn infant
b. Encourage the mother to breast-feed soon after birth
c. Document a complete account of the mother’s reaction on the birth
record.
d. Tell the mother that it is important to hold the newborn infant

20.Nurse Demi is performing an initial assessment on a client who has just been
told that a pregnancy test is positive. Which assessment finding would
indicate that the client is at risk for preterm labor?
a. The client is 20-year-old Primigravida of average weight and height
b. The client’s hemoglobin level is 13.5g/dL
c. The client has history of cardiac disease
d. The client is 35-year-old Primigravida