Week 12 Practice Questions

Question 1

When interpreting a fetal non-stress test (NST), which finding indicates a reactive or
reassuring result?
a. The fetal heart rate (FHR) decreases with fetal movement.
b. The FHR increases by 15 beats per minute or more, lasting at least 15 seconds, in
response to fetal movement.
c. The FHR remains stable, with no acceleration or deceleration.
d. The FHR decreases by 10 beats per minute in response to uterine contractions

Answer 1

B

Question 2

The nurse is reviewing the biophysical results of several patients. Which of the following
biophysical results is the most concerning?
a. A result of 10
b. A result of 8
c. A result 7
d. A result of 5

Answer 2

D

Question 3

Which of the following are the expected (or normal) findings of continuous fetal heart
rate monitoring?
a. Fetal heart rate of 104 with absent variability and late decelerations
b. Fetal heart rate of 156 beats per minute with moderate variability and no
decelerations
c. Fetal heart rate of 163 beats per minute with absent variability and recurrent
variable decelerations
d. Fetal heart rate of 166 beats per minute with absent variability and recurrent late
decelerations

Answer 3

B

Question 4

Which of the following will the nurse implement when there are absent or minimal
variations noted on fetal heart rate monitoring? Select all that apply.
a. Position the mother on their back
b. Position the mother in a side lying position
c. Increase IV fluid rate
d. Decrease IV fluid rate
e. Apply Oxygen

Answer 4

B, C and E

Question 5

Which of the following are indications for continuous electronic fetal heart rate
monitoring? Select all that apply.
a. Oxytocin
b. Epidural
c. Presence of meconium
d. Maternal
e. Maternal hypertension

Answer 5

A, B, C, and E

Question 6

A patient with severe preeclampsia may exhibit which of the following symptoms?
a. Severe headache, visual disturbances, and epigastric pain
b. Hypoglycemia, edema, and bradycardia
c. Polyuria, blurred vision, and abdominal pain
d. Hypotension, hypothermia, and cyanosis

Answer 6

A

Question 7

A patient with preeclampsia is receiving magnesium sulfate. Which of the following
assessments most likely indicates magnesium toxicity?
a. Blood glucose levels and respiratory rate
b. Skin turgor and mucous membranes
c. Blood pressure and body temperature
d. Urinary output and deep tendon reflexes

Answer 7

D

Question 8

A pregnant patient on magnesium sulfate infusion has a respiratory rate of 10 breaths per
minute, decreased deep tendon reflexes, and a urinary output of 20 mL/hour. What is the
nurse’s priority action?
a. Increase the magnesium sulfate infusion rate
b. Discontinue the infusion and administer calcium gluconate
c. Reposition the patient to her left side
d. Notify the healthcare provider and monitor closely

Answer 8

B

Question 9

A nurse discovers a prolapsed umbilical cord in a laboring patient. What is the nurse’s
first action?
a. Prepare for an emergency cesarean delivery
b. Apply a sterile saline dressing over the cord
c. Reposition the patient to relieve cord compression
d. Increase the IV fluids to stabilize maternal blood pressure

Answer 9

C

Question 10

A patient is experiencing a postpartum hemorrhage. Which of the following will the
nurse implement first?
a. Administer oxygen at 2 L/min by nasal cannula
b. Perform fundal massage
c. Start a second large-bore IV line
d. Call for an emergency blood transfusion

Answer 10

B