Mother-Baby Study Guide

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Sample questions from Mother-Baby Study Guide

This material has 24 questions with answers and rationales. Here are the first 5.

1. 1.A client at 33 weeks reports painless bright-red vaginal bleeding. The fetal heart rate is 145/min, and maternal vital signs are currently stable. Which action should the nurse avoid until the bleeding source is evaluated?

   • A.B. Establishing intravenous access
   • B.D. Assessing the amount of bleeding
   • C.A. Applying an external fetal monitor
   • D.C. Performing a digital cervical examination

   Rationale: C is correct because placenta previa must be considered, and digital examination can provoke severe bleeding. A is appropriate for fetal assessment. B supports readiness if hemorrhage develops. D helps establish severity and trends but should not delay stabilization when needed.

2. 2.A client receiving magnesium sulfate has a respiratory rate of 9/min, absent patellar reflexes, and urine output of 15 mL during the past hour. What is the nurse's priority action?

   • A.B. Increase the infusion because seizure risk is rising
   • B.A. Stop the infusion and initiate urgent assessment and respiratory support
   • C.D. Administer the scheduled antihypertensive before addressing the findings
   • D.C. Encourage oral fluids and reassess in two hours

   Rationale: A is correct because respiratory depression and absent reflexes indicate possible magnesium toxicity, with oliguria increasing risk. Stop magnesium, summon help, support breathing, and prepare calcium gluconate as ordered. B worsens toxicity. C delays emergency treatment. D does not address the immediate respiratory threat.

3. 3.A laboring client receiving oxytocin has recurrent late decelerations and six contractions per 10 minutes averaged over 30 minutes. Which action should the nurse take first?

   • A.B. Stop the oxytocin infusion
   • B.A. Increase oxytocin to shorten labor
   • C.C. Encourage sustained pushing
   • D.D. Document the pattern as expected head compression

   Rationale: B is correct because tachysystole with recurrent late decelerations indicates compromised oxygen delivery, and stopping oxytocin removes a reversible contributor. A worsens stimulation. C is inappropriate without complete dilation and does not correct the cause. D describes early, not late, decelerations and delays intervention.

4. 4.Thirty minutes after vaginal birth, a client has heavy bleeding, a boggy fundus, and a heart rate of 120/min. Which intervention directly addresses the most likely cause while help is summoned?

   • A.A. Applying a warm pack to the perineum
   • B.B. Encouraging the client to sleep
   • C.C. Massaging the uterine fundus
   • D.D. Waiting for a hemoglobin result

   Answer and rationale are in the full material.

5. 5.The nurse reviews medications for a client with postpartum hemorrhage and a history of asthma. Which prescription should the nurse question?

   • A.B. Tranexamic acid
   • B.D. Carboprost
   • C.C. Misoprostol
   • D.A. Oxytocin

   Answer and rationale are in the full material.