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NURS 4341 Maternal Newborn Proctored Exam Practice Questions - Set 4

Practice NURS 4341 Maternal Newborn Proctored Exam Practice Questions. Review each answer with explanations when available.

Nursing Test BankNURS 4341 Maternal Newborn Proctored Exam Practice Questions - Set 458 questions12 question preview
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Question 1 of 12Single-Select Multiple Choice

A patient at 4 cm dilation asks for an epidural.

Which factor does the nurse understand is a contraindication for an epidural for this patient?

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Question 2 of 12Single-Select Multiple Choice

In the first 20 minutes after a client has received an epidural for labor, the nurse should be alert for which complication?

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Question 3 of 12Calculation / Fill-in-the-Blank (Numeric)

A patient is to receive 8 mcg/min of Pitocin.

There is 1000 mL Lactated Ringers with 30 units of Pitocin.

How many mL/hr should you set the pump? Instructions: Round to the nearest TENTHS place.

Enter numeric answer only.

Enter the numeric answer.

  • ?
    Your Answer
    mL/hr
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Question 4 of 12Single-Select Multiple Choice

A pregnant woman at 29 weeks of gestation presents to the emergency room with epigastric pain, RUQ pain, and headache.

History: 39 years old, NKDA, G4T1P1A1L2.

VS BP: 158/98 HR: 92 RR: 20 Temp: 98.0. Labs show elevated liver enzymes, normal RBCs, and platelet count of 90,000.

Her urine shows 2+ protein.

What is the primary goal of care for this patient?

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Question 5 of 12Multiple-Select / Select All That Apply (SATA)

Which three potential complications and three parameters to monitor are relevant based on the patient scenario presented in the case study?

(Select All that Apply.)

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Question 6 of 12Single-Select Multiple Choice

The nurse tells the patient that once the pudendal block is working she will have which of the following effects?

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Question 7 of 12Single-Select Multiple Choice

A labor and delivery nurse is caring for a low-risk pregnant client in active labor who plans on an unmedicated birth.

The nurse recognizes the importance of appropriate positioning to facilitate labor progress.

Which maternal position is most likely to enhance fetal descent and engagement during labor?

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Question 8 of 12Single-Select Multiple Choice

A woman at 39 weeks gestation with a history of preeclampsia is admitted to the labor and delivery unit.

She suddenly experiences increased contraction frequency of every 1 to 2 minutes with non-relaxed resting tone, dark red vaginal bleeding, and a tense, painful abdomen.

The nurse suspects the onset of which complication?

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Question 9 of 12Single-Select Multiple Choice

After delivery of the fetal head, shoulder dystocia is called by the provider.

The nurse calls for extra nursing support and after about a minute of McRobert's maneuver and suprapubic pressure, the fetus is still not delivered.

What should the next preferred course of action be?

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Question 10 of 12Single-Select Multiple Choice

A nurse reviews the medications ordered for a client at 25 weeks that was transported from a tertiary hospital.

Which of the following medications is NOT an indicated tocolytic to promote cessation of contractions?

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Question 11 of 12Single-Select Multiple Choice

A 27-year-old woman is being induced at 38 + 2 weeks for preeclampsia.

Her most recent exam reveals that she is 8/75/0. The nurse notices that the patient has just started having late decelerations.

The most appropriate action for the nurse is:

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Question 12 of 12Single-Select Multiple Choice

A primigravida woman in labor is experiencing contractions every 9 minutes that palpate mild to moderate in intensity.

Spontaneous rupture of membranes (SROM) occurred 8 hours ago, and her last cervical check was 30 minutes ago.

The patient was 5 cm. Assessment reveals an estimated fetal weight of 7 pounds.

Which medication should the nurse expect to administer?

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