Question: The order states to give methergine 0.1 mg IM stat. The methergine vial available has 0.2 mg per mL. How much will the nurse administer?
Answer Choices: A. 0.25
B. 0.5
C. 1.0
D. 2.0
Answer: B. 0.5
Question: The laboring woman has an order for nalbuphine hydrochloride 20 mg IM. Nalbuphine Hydrochloride 10 mg per mL is available, How many mL would the nurse administer?
Answer Choices: A. 1 mL
B. 2 mL
C. 3 mL
D. 4 mL
Answer: B. 2
Question: The order states to give carboprost 0.25 mg IM stat. The carboprost vial available has 250 micrograms per mL. How much will the nurse administer?
Answer Choices: A. 0.5 mL
B. 1 mL
C. 2 mL
D. 4 mL
Answer: A. 1 mL
(Note: 0.25 mg = 250 mcg; since the vial has 250 mcg per mL, administer 1 mL.)
Question: Which of the following assisted reproductive therapies would be most appropriate for a couple who has been unable to become pregnant because the woman’s fallopian tubes are noted on X-ray to be completely blocked?
Answer Choices: A. In Vitro Fertilization procedure
B. Gamete intrafallopian transfer procedure
C. Zygote intrafallopian transfer procedure
D. Therapeutic insemination procedure
Answer: A. In Vitro Fertilization procedure
Question: A male infant, born to a mother who was taking medications to treat opioid use disorder during pregnancy is noted to be to be agitated and vomits small amounts after feeding at times. Which of the following actions should the nurse include in the plan of care? Select all that Apply
Answer Choices: A. Provide small and frequent feedings when he indicates hunger
B. Wake him every two hours to assess and score his cry and activity
C. Encourage the mother to participate in the care of the infant
D. Keep the infant in a well-lighted area of the nursery for observation
E. Reduce environmental stimuli when the infant is sleeping
Answer: A. Provide small and frequent feedings when he indicates hunger
C. Encourage the mother to participate in the care of the infant
E. Reduce environmental stimuli when the infant is sleeping
Question: Which of the following would the nurse identify as most indicative that a pregnant woman is experiencing preterm labor?
Answer Choices: A. Cervix is thin and dilated 3cm
B. Irregular contractions are occurring
C. A white vaginal discharge is noted
D. Cervix is soft in consistency
Answer: A. Cervix is thin and dilated 3cm
Question: A woman whose pregnancy has been confirmed reports that the first day of her last menstrual period (LMP) was December 20. What is the Estimated Date of Delivery (EDD) for this woman?
Answer Choices: A. September 27
B. October 27
C. November 27
D. December 27
Answer: A. September 27
*(Using Naegele’s rule: LMP + 1 year – 3 months + 7 days.)
December 20 + 1 year = December 20,
3 months = September 20,
7 days = September 27.)*
Question: Which of the following are EARLY signs of infant hunger? Select All that Apply
Answer Choices: A. Restlessness in an infant who has been sleeping
B. Grasping when a finger is placed on the palm
C. Small movements of the lips and tongue
D. Strong crying when passing meconium
E. Slight head turning and rooting movements
Answer: A. Restlessness in an infant who has been sleeping
B. Grasping when a finger is placed on the palm
C. Small movements of the lips and tongue
E. Slight head turning and rooting movements
Question: The order states: add Pitocin 20 units to 1000 mL of D5W and start the infusion at 4 mU/min. What rate would the nurse set on the pump?
Answer Choices: A. 6 mL/hr
B. 12 mL/hr
C. 24 mL/hr
D. 48 mL/hr
Answer: B. 12
Question: List the reason to administer Betamethasone to a woman in preterm labor at 27 weeks who is receiving medications to stop the labor contractions.
Answer Choices: A. To accelerate fetal lung maturity and reduce the risk of respiratory distress syndrome in the preterm infant.
B. To induce labor contractions more effectively.
C. To decrease maternal blood pressure.
D. To prevent postpartum hemorrhage.
Answer: A. To accelerate fetal lung maturity and reduce the risk of respiratory distress syndrome in the preterm infant.
Question: Which of the following women in the Labor and Delivery unit who just delivered their newborns would be most at risk for developing postpartum hemorrhage? Select All that Apply
Answer Choices: A. A woman with polyhydramnios who delivered by cesarean
B. A woman who delivered a 3 pound neonate at 32 weeks vaginally
C. A woman who delivered a 7 pound, 2 ounce neonate vaginally
D. A woman who delivered vaginally with prolonged placental separation
E. A woman with a vaginal vacuum delivery after a very long labor
Answer: A. A woman with polyhydramnios who delivered by cesarean
C. A woman who delivered a 7 pound, 2 ounce neonate vaginally
D. A woman who delivered vaginally with prolonged placental separation
E. A woman with a vaginal vacuum delivery after a very long labor
Question: Use this FHR monitor recording to answer the question: Identify the baseline fetal heart rate (FHR) in this strip below (can be stated as a range).
Answer Choices: A. 120-160 bpm
B. 100-120 bpm
C. 160-180 bpm
D. Cannot determine without the FHR monitor recording
Answer: D. Cannot determine without the FHR monitor recording.
Question: A woman in labor has an IV of Pitocin 10 units in 1000 mL of Ringers Lactate infusing through a port closest to the patient on the mainline IV. The rate of the Pitocin infusion is 18 mL/hr (3 mU/min) with an infusion pump. The order states to increase the Pitocin infusion 1 mU/minute. What would the nurse increase the hourly rate to on the infusion pump?
Answer Choices: A. 18 mL/hr
B. 19 mL/hr
C. 24 mL/hr
D. 25 mL/hr
Answer: D. 24
Question: The order states to add Magnesium Sulfate 40 grams to 1000mL of Normal Saline and infuse 1 gram per hour. What hourly rate will the nurse set on the IV pump?
Answer Choices: A. 10 mL/hr
B. 25 mL/hr
C. 40 mL/hr
D. 100 mL/hr
Answer: B. 25
Question: The IV bag on hand has 4 grams of Magnesium Sulfate in a 100 mL of Normal Saline. The order states to infuse this amount in 30 minutes. What hourly rate will the nurse set on the pump?
Answer Choices: A. 100 mL/hr
B. 200 mL/hr
C. 400 mL/hr
D. 800 mL/hr
Answer: B. 200
Question: The order states to give 1200 mg of clindamycin IVPB every 12 hours. The clindamycin vial available contains 2 grams per 10 mL. How many mL will the nurse draw from the vial for one dose?
Answer Choices: A. 3 mL
B. 6 mL
C. 10 mL
D. 12 mL
Answer: B. 6
(1200 mg = 1.2 grams. The vial has 2 grams per 10 mL. So, (1.2 g / 2 g) * 10 mL = 6 mL.)