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Labor and Delivery Nursing: Uterine Contraction, Fetal Monitoring, and Postpartum Care, Exams of Nursing

Harrisburg Area Community College (HACC) - LancasterNursing

A comprehensive review of essential concepts in labor and delivery nursing, focusing on uterine contractions, fetal monitoring, and postpartum care. It covers topics such as the primary power involved in labor, proper techniques for monitoring uterine contractions, common urinary symptoms in pregnant women, and nursing interventions for various postpartum conditions. It also includes questions related to newborn examination, cord care, and cardiopulmonary resuscitation.

Typology: Exams

2023/2024

Available from 04/13/2024

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UPDATED NURSING EXAM QUESTIONS WITH ANSWERS
2024/2025
LECTURE – NCM 21107
78/100
1.
It is defined as “the nursing specialty that deals with the care of women
throughout their pregnancy and childbirth, and the care of their newborn
children.”
A.
Gynecologic
nursing
B.
Maternal-child nurses
C.
Maternal-child nursing
D.
Maternal and child health care
2.
It involves the care of the woman and family throughout pregnancy and
childbirth, and the health promotion and illness care for the children and families.
A.
Gynecologic
nursing
B.
Maternal & child nurses
C.
Maternal-child nursing
D.
Maternal and child health care
3.
A trained nurse who specializes in the health and development of children from birth
to school age.
A.
Pediatric
Nursing
B.
Maternal & Child Nursing
C.
Maternal & Child Health Care
D.
Maternal & Child Health Nurse
4.
The following are the goals of Maternal and Child Health, EXCEPT:
A.
To prevent fertility.
B.
To learns the art of child care.
C.
To have normal delivery and bears healthy child.
D.
To ensure that every expectant and nursing mother maintains good health.
5.
The following are the targets for Maternal and child health (MCH), EXCEPT:
A.
adolescents
B.
children, school age population
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UPDATED NURSING EXAM QUESTIONS WITH ANSWERS

LECTURE – NCM 21107

  1. It is defined as “the nursing specialty that deals with the care of women throughout their pregnancy and childbirth, and the care of their newborn children.” A. Gynecologic nursing B. Maternal-child nurses C. Maternal-child nursing D. Maternal and child health care
  2. It involves the care of the woman and family throughout pregnancy and childbirth, and the health promotion and illness care for the children and families. A. Gynecologic nursing B. Maternal & child nurses C. Maternal-child nursing D. Maternal and child health care
  3. A trained nurse who specializes in the health and development of children from birth to school age. A. Pediatric Nursing B. Maternal & Child Nursing C. Maternal & Child Health Care D. Maternal & Child Health Nurse
  4. The following are the goals of Maternal and Child Health, EXCEPT: A. To prevent fertility. B. To learns the art of child care. C. To have normal delivery and bears healthy child. D. To ensure that every expectant and nursing mother maintains good health.
  5. The following are the targets for Maternal and child health (MCH), EXCEPT: A. adolescents B. children, school age population

C. all women in their reproductive age groups, ie., 15-49 years of age

C. Article XIII section 11 D. Article XIII section 15

  1. Which of the following statements is not true about reproductive system?. A. The reproductive system is a body system aiding reproduction B. The reproductive system becomes active all throughout the life cycle. C. The reproductive system is the combination of bodily organs and tissues used in the process of producing offspring. D. The reproductive system of the male and female have some basic similarities and some specialized differences.
  2. During ovulation phase the menstrual cycle, ovulation is initiated by the secretion of which of the following hormone? A. Estrogen B. Follicle Stimulating Hormones C. Luteinizing Hormones D. Progesterone
  3. The clinical instructor explains certain obstetrical terms to the sophomore nursing students in the OB Ward. Which of the following statement are CORRECT?
  4. Nidation happens in the upper 1/3 of the uterus.
  5. The union of the ovum and the sperm is conception which happens in the ampulla of the fallopian tube.
  6. Gametogenesis is the development of mature male gamete called egg cell.
  7. Oogenesis is the development of mature female gamete. A. 1, 2, 3 and 4 B. 1, 2 and 4 C. 1, 3 and 4 D. 2, 3 and 4
  8. The following are the meaning of “Before birth”, EXCEPT: A. Antenatal B. Antepartum C. Neonatal

D. Prenatal

  1. Which of the following refers to the single cell that reproduces itself after conception?. A. Blastocyst B. Chromosome C. Trophoblast D. Zygote
  2. The developing human organism from about 2 weeks after fertilization through the second month. A. Embryo B. Fetus C. Neonate D. Zygote
  3. The large amount of progesterone is secreted during the secretory phase of the menstrual cycle is responsible for: A. Onset of ovulation B. The regulation of menstruation C. The incidence of capillary fragility D. Sustaining the thick endometrium of the uterus
  4. To differentiate as a female, the hormonal stimulation of the embryo that must occur involves which of the following?. A. Increase in maternal estrogen secretion B. Decrease in maternal androgen secretion C. Secretion of androgen by the fetal gonad D. Secretion of estrogen by the fetal gonad

D. Leuteinizing hormones

  1. The role of Human Chorionic Gonadotrophin Hormones HCG in the prenatal development is to prevent the disintegration of the corpus luteum of the ovary and thereby maintain progesterone production that is critical for a pregnancy in humans. (1 Point) A. False B. True C. Maybe D. Sometimes
  2. In response to an expectant couple’s questions, the nurse is explaining various hormones and their functions during pregnancy. Which of the following should the nurse include in the discussion?. A. Estrogen maintains the growth of the endometrial lining of the uterus. B. Human placental lactogen maintains the development of the uterine lining. C. Progesterone contributes to mammary gland development and uterine growth. D. Human chorionic Gonadotropin ensures continued production of progesterone and estrogen.
  3. The Level II Nursing Instructor discusses early fetal growth to 2A1 nursing students one of whom is Ms. Legazpi who asks by the instructor about the purpose of the placenta. The most appropriate response of Ms. Legazpi is based on the knowledge that the placenta: A. Promotes symmetrical growth of the fetus.7’ B. Allows fetal movement and maintains fetal temperature. C. Prevents antibodies and viruses from passing the fetus. D. Provides an exchange of nutrients and waste products between the mother and the fetus.
  4. Which of the following functions would the nurse expect to be unrelated to the placenta?.

A. production of maternal antibodies

C. The estrogen level is much lower than progesterone level D. The estrogen level is much higher than the progesterone level

  1. Another question was raised by the clinical instructor regarding anatomy of the reproductive system. The non-pregnant state of the uterus is lined by the:. Single choice. (1 Point) A. Decidua capsularis B. Decidua vera C. Endometrium D. Myometrium
  2. A student nurse identifies which of the following portion of the fallopian tube is the site of sterilization?. A. ampulla B. infundibulum C. interstitial segment D. isthmus
  3. When assessing the adequacy of sperm for conception to occur, which of the following is the most useful criterion?. A. Sperm count B. Sperm maturity C. Sperm motility C. Semen volume
  4. Which structure is responsible for supplying the fetus with nutrients and removing waste?. A. Amniotic fluid B. Ductus arteriosus C. Placenta

D. Yolk sac

  1. Which structures carries deoxygenated blood from the fetus to the placenta?. A. Ductus venosus B. Foramen ovale C. Umbilical arteries D. Umbilical veins
  2. It is the occurrence of a first menstrual period in the female adolescent. A. Maturation B. Menarche C. Menstruation D. Metorrhagia
  3. It refers to irregular menstruation A. Dysmenorrhea B. Dysphagia C. Dyspnea D. Metorrhagia
  4. Where is the female gamete produced?. A. Endometrium B. Fallopian tube C. Graafian follicle D. Seminiferous tubules
  5. What is the endometrium called after implantation of the blastocyst?. A. Blastocyst B. Blastomere

C. frequency D. incontinence

  1. The fetus is most likely to be damaged by pregnant woman’s ingestion of drugs during which of the following periods?. A. 1st trimester B. 2nd trimester C. 3rd trimester D. 4th trimester
  2. The developing cells are called a fetus from which of the periods of pregnancy?. A. Time of the fetal heart is heard B. 8th weeks to the time of the birth C. Implantation of the fertilized ovum D. End of the 2nd week to the onset of labor
  3. A client who is 5 weeks pregnant reports nausea and vomiting. The nurse reassures the client that these symptoms probably will subside by?. A. 5 to 8 weeks gestation B. 9 to 12 weeks gestation C. 14 to 17 weeks gestation D. 18 to 22 weeks gestation
  4. Which of the following terms correspond with the phrase: a woman that is pregnant?. A. Gravida B. Parity C. Spermatogonia D. Zona pellucida
  1. When teaching a group of adolescents about variations in the length of the menstrual cycle, the nurse understands that the underlying mechanism is due to variations in which of the following phases?. A. Ischemic phase B. Menstrual phase C. Proliferative phase D. Secretory phase
  2. When performing a pelvic examination, the nurse observes a red swollen area on the right side of the vaginal orifice. The nurse would document this as enlargement of which of the following?. A. Bartholin’s gland B. Clitoris C. Parotid gland D. Skene’s gland
  3. Cervical softening and uterine souffle are classified as which of the following?. A. Diagnostic signs B. Positive signs C. Presumptive signs D. Probable signs
  4. The following are manifested by a woman as the Presumptive signs of pregnancy, EXCEPT: A. Ammenorrhea B. Braxton hick’s contractions C .Morning sickness D. Urinary frequency

A. Chloasma B. Linea Niagra C. Striae gravidarum D. Vitiligo

  1. The following are discomfort of Gastrointestinal Tract relaxation during pregnancy
  2. Morning sickness
  3. Flatulence
  4. Constipation
  5. Hemorrhoids. A. 1,2, B. 1,3, 4 C. 2,3, D. 1,2,3,
  6. Which of the following would the nurse identify as a presumptive sign of pregnancy?. A. Hegar’s sign B. Nausea and vomiting C. Skin pigmentation changes D. Positive serum pregnancy test
  7. Which of the following sign's may indicate pregnancy?. A. Chadwick's sign B. Kock's sign C. Turner's sign D. Virchow's sign
  8. Goodell’s sign is one of the Probable signs of pregnancy, which means:. Single choice. (1 Point)

A. Softening of the cervix B. Irregular, painless contractions of the uterus. C. The mucous membranes of the cervix, vagina and vulva become bluish. D. Softening of the lower uterine segment that can be felt during vaginal examination.

  1. During a pelvic exam the nurse notes a purple-blue tinge of the cervix. The nurse documents this as which of the following?. A. Braxton-Hicks sign B. Chadwick’s sign C. Goodell’s sign D. McDonald’s sign
  2. Pregnancy is a state characterized by Virchow’s Triad, which of the following is NOT included in Virchow’s Triad?. Single choice. (1 Point) A. Hypercoagulability B. Venous stasis and turbulence C. Endothelial injury and dysfunction D. retroperitoneal hemorrhage behind the peritoneum
  3. Which of the following is NOT an associated change during the ante-partum period?. A. Goodell's sign B. Increased urination frequency C. Decreased basal metabolic rate D. Increased respiratory requirements
  4. Which of the following is NOT appropriately matched with the term: Braxton Hicks contractions?. A. Edema

D. Fetal movement felt by mother

  1. Nurse Abigail explains in her health teaching classes that Folic Acid is especially needed during pregnancy for: A. Bone growth B. Cell growth C. DNA production D. Cell growth and RBC formation and DNA production
  2. Iron supplements are recommended during pregnancy because:. A. Iron food source is limited B. RDA for iron doubles during pregnancy C. RDA for iron decreasing during pregnancy D. Iron content in food is easily destroyed in the preparation
  3. The recommended weight gain during pregnancy is usually:. A. Total of 10-15 pounds: 0.5 pound – 1 pound in first trimester, and 1 pound per week in the last two trimesters. B. Total of 15-25 pounds: 0.5 pound – 1 pound in first trimester, and 1 pound per week in the last two trimesters. C. Total of 25-35 pounds: 3-4 pounds in first trimester, and 1 pound per week in the last two trimesters. D. Total of 35-40 pounds: 3-4 pounds in first trimester, and 1 pound per week in the last two trimesters.
  4. A primigravida at 16 weeks gestation tells the nurse that she’s having a hard time quitting smoking while pregnant. The nurse should encourage the patient to quit smoking because smoking during pregnancy is associated with: A. Placenta previa B. Low birth weight infants

C. Early decelerations during labor D. Large for gestational age infants

  1. The uterus has already risen out of the pelvis and is experiencing farther into the abdominal area at about the:. A. 8th week of pregnancy B. 10th week of pregnancy C. 12th week of pregnancy D. 18th week of pregnancy
  2. When preparing to listen to the fetal heart rate at 12 weeks’ gestation, the nurse would use which of the following?. A. Stethoscope placed midline at the umbilicus B. Doppler placed midline at the suprapubic region C. External electronic fetal monitor placed at the umbilicus D. Fetoscope placed midway between the umbilicus and the xiphoid process
  3. The pre-natal development, growth is most rapid in which of the following period?. A. First trimester B. Implantation period C. Second trimester D. Third trimester
  4. Which of the following best describes preterm labor?. Single choice. (1 Point) A. Labor that begins after 15 weeks gestation and before 37 weeks gestation B. Labor that begins after 20 weeks gestation and before 37 weeks gestation C. Labor that begins after 24 weeks gestation and before 28 weeks gestation D. Labor that begins after 28 weeks gestation and before 40 weeks gestation