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WorksheetsMaternity and Newborn Care Quiz
Total questions: 50
Worksheet time: 25mins
A nurse documents that a patient is a G3P2.
Three pregnancies, two births after 20 weeks
Three pregnancies, three births after 20 weeks
Two pregnancies, two births after 20 weeks
Two pregnancies, one birth after 20 weeks
A patient’s LMP was January 10, 2025. Using Nägele’s Rule, what is her EDD?
October 10, 2025
October 17, 2025
October 24, 2025
October 31, 2025
A woman hires a doula. What is the doula’s primary role?
Provide medical care
Offer emotional and physical labor support
Deliver the baby
Administer medications
The nurse is caring for a woman being followed by a perinatologist. Which best describes this provider’s expertise?
General obstetrics
Pediatric care
High-risk obstetrics specialist
Neonatal care
A pregnant woman lives in a rural area and delivers at a Level II hospital. What does this indicate?
Can manage only healthy neonates
Can manage moderately ill neonates
Can manage critically ill neonates
Can perform surgeries
The nurse admits a client in preterm labor at 34 weeks. Which term best describes this gestation?
Term
Post-term
Preterm
Full-term
The nurse uses a Doptone to assess fetal heart tones. Which action is correct?
Apply conductive gel before use
Use without gel
Place directly on the abdomen
Use only in the third trimester
Which fetal heart rate pattern is considered normal at term?
90–110 bpm
110–160 bpm
160–180 bpm
180–200 bpm
A nurse sees early decelerations on a fetal monitor strip. What is the best interpretation?
Umbilical cord compression
Head compression during contraction
Fetal distress
Placental insufficiency
A fetal scalp electrode is applied during labor. What does this measure?
Fetal heart rate
Fetal electrocardiogram directly
Maternal heart rate
Uterine contractions
Which test uses Pitocin to evaluate fetal tolerance to contractions?
Non-stress test
Biophysical profile
Contraction stress test
Amniocentesis
A woman’s “bag of waters” ruptures on its own at home. How should this be documented?
AROM
SROM
PROM
PPROM
The nurse notes PROM in a 30-week pregnant patient. What is the main risk?
Preterm labor
Fetal infection
Maternal infection
Placental abruption
A laboring patient is 5 cm dilated, 80% effaced, and -1 station. How should the nurse interpret these findings?
False labor
True labor progressing normally
Labor not progressing
Cervical insufficiency
The nurse explains that effacement refers to:
Dilation of the cervix
Thinning of the cervix
Descent of the baby
Position of the baby
The fetal head is at the level of the ischial spines. The nurse records this as:
-1 station
0 station
+1 station
+2 station
A client with placenta previa presents to triage. What symptom is expected?
Severe abdominal pain
Painless, bright red bleeding
High blood pressure
Contractions
Which finding is most characteristic of placental abruption?
Painless bleeding
Hard, board-like abdomen and distress
Low blood pressure
Increased fetal movement
During the third stage of labor, the nurse’s priority is to monitor for:
Fetal distress
Maternal blood pressure
Maternal hemorrhage
Uterine contractions
Which complication results from uterine atony?
Infection
Hemorrhage
Preterm labor
Placental abruption
A fetus in a complete breech position presents how?
Buttocks first
Head first
Feet first
Shoulder first
Which cesarean incision carries the highest risk for uterine rupture in subsequent pregnancies?
Low transverse
Classic vertical
Low vertical
High transverse
A newborn’s Apgar score at 1 minute is 4. What does this indicate?
Normal condition
Mild distress
Severe distress, needs immediate intervention
Ready for discharge
A nurse observes swelling on a newborn’s scalp that resolves in 24 hours. What is this finding?
Cephalohematoma
Caput succedaneum
Subgaleal hemorrhage
Molding
A woman in labor has been pushing for 3 hours with little descent. The provider diagnoses “failure to progress.” What does this mean?
Cervical dilation is complete
Baby is in distress
No further cervical dilation or descent
Labor is progressing normally
A nurse identifies a fetal heart rate of 130 bpm at term. What does this indicate?
Bradycardia
Tachycardia
Normal range
Fetal distress
The provider orders an IUPC. What will this measure?
Fetal heart rate
Contraction intensity
Maternal blood pressure
Amniotic fluid index
A woman has a prolapsed umbilical cord. What should the nurse do first?
Administer oxygen
Place client in knee-chest position
Call the provider
Monitor fetal heart rate
The nurse notes BOW intact. What does this mean?
Bag of waters ruptured
Bag of waters still intact
Bag of waters leaking
Bag of waters absent
The provider performs AROM. Which finding should the nurse expect?
Fluid gush
No fluid
Blood
Meconium
Which situation requires sterile glove precautions after membrane rupture?
Vaginal exam
Catheter insertion
Perineal care
All of the above
The nurse charts “patient 2 cm dilated and 60% effaced.” Interpretation?
Early labor
Active labor
Transition phase
Second stage
The fetal station is +2. What does this mean?
Above ischial spines
At ischial spines
Below ischial spines
At pelvic inlet
A placenta previa client begins bleeding. The nurse should avoid which action?
Administering oxygen
Monitoring vital signs
Perform vaginal exam
Starting IV fluids
Which maternal finding suggests placental abruption?
Painless bleeding
Board-hard abdomen
Low blood pressure
Increased fetal movement
What is the priority after placenta delivery?
Fundal massage
Administering oxytocin
Monitoring vital signs
Checking for tears
Uterine atony is most likely to occur during which period?
First stage
Second stage
Third stage
Fourth stage
Which presentation poses risk for cord prolapse?
Vertex
Breech
Transverse or footling
Occiput posterior
The term “VBAC” indicates a woman planning to:
Have a cesarean delivery
Have vaginal delivery after C-section
Avoid labor induction
Use epidural anesthesia
During a “crash C-section,” priority nursing action is:
Monitor fetal heart rate
Start IV and prepare for rapid anesthesia
Call the provider
Administer oxygen
The nurse notes the C-section incision is horizontal and low. Interpretation?
Classic vertical
Low transverse “bikini cut”
High transverse
Low vertical
A newborn scores 8 on Apgar at 1 minute. What should the nurse do?
Provide immediate resuscitation
Monitor closely
Provide routine care
Prepare for NICU transfer
A newborn with “cone head” swelling on scalp has:
Cephalohematoma
Caput succedaneum
Subgaleal hemorrhage
Molding
Which fetal heart pattern is benign and caused by head compression?
Late decelerations
Variable decelerations
Early decelerations
Sinusoidal pattern
“Failure to progress” most commonly relates to:
Loss of uterine power
Fetal distress
Cervical insufficiency
Placental abruption
A woman with SGA infant likely experienced:
Gestational diabetes
Hypertension or placental insufficiency
Infection
Multiple gestation
Which reflex change signals magnesium toxicity?
Hyperactive DTR
Absent DTR
Clonus
Babinski sign
Clonus is seen in which condition?
Preeclampsia
Eclampsia
Gestational diabetes
Placenta previa
Hemorrhage is diagnosed after C-section if blood loss exceeds:
500 mL
750 mL
1000 mL
1250 mL
“Laboring down” allows the woman to:
Rest while uterus moves baby lower
Push actively
Receive pain relief
Monitor fetal heart rate
