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Indiana University OB-Maternal Exam 3

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Exam Details !

Title : Indiana University OB-Maternal Exam 3

Type : Nursing

Category : RN Nursing Exams

Subcategory : GENERAL Exams

Domain : Maternal & Newborn (General RN)

Fragment : N/A

Module : RN-NURSING

Exam Status : active

Rating : 95.00%

Attempts Allowed : 15

Exam Year : 2025

Duration : 120 minutes

Total Questions : 10

Passing Score : 90%

Difficulty : Intermediate

Instructions : Answer all questions carefully and within the allocated time, using current best practices and critical thinking.

Description : This test features high-yield, NCLEX-style Maternal & Newborn questions tailored for RN students.

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No.

1 :
A client in her first trimester of pregnancy is scheduled for an ultrasound. Which of the following would not be a reason for an ultrasound at this stage?

Determine fetal position.

Detect multiple gestations.

Detect maternal abnormalities.

Confirm pregnancy.

Hint : 🔍Think about which information is only useful later in pregnancy progression.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

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2 :
A pregnant client, who is 35 weeks along, comes in for weekly fetal heart monitoring. After 20 minutes on the monitor, the fetal heart rate tracing shows three accelerations measuring 15 beats by 15 seconds. How should the nurse report this finding to the provider?

Positive contraction stress test (CST).

Reactive nonstress test (NST).

Negative contraction stress test (CST).

Non-reactive nonstress test (NST).

Hint : 📈Look for the term used when fetal heart tracings show normal accelerations.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

3 :
A pregnant client is undergoing a nipple-stimulated contraction stress test (CST). She is experiencing contractions every three minutes. The fetal heart rate (FHR) baseline is approximately 120 beats/min with no decelerations. How should the nurse document this test?

Satisfactory.

Unsatisfactory.

Negative.

Positive.

Hint : 📝The safest outcome in a contraction stress test is described as negative.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

Rationale for Incorrect Options to be Available Soon

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4 :
A couple is struggling with infertility and wants to know how to maintain their emotional balance. Which response from the nurse would be most appropriate?

“Joining a support group can be beneficial. I can provide some recommendations.”

“Share your situation with friends and family so they can provide support.”

“Start adoption proceedings immediately as it can be challenging to adopt an infant.”

“Speak only with other friends who are dealing with infertility as they can provide the most help.”

Hint : 🤝Think about the option that promotes healthy coping strategies in a structured environment.

Correct Answers:

No Correct Answers Available !

Rationale :

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5 :
A 24-year-old woman arrives at the clinic to confirm her pregnancy. She has a body mass index (BMI) of 17, admits to occasional cocaine use and alcohol consumption, and has a blood pressure of 108/70 mm Hg. Her family history includes diabetes mellitus and cancer, including a sister who recently gave birth to an infant with a neural tube defect (NTD). Which factors place her in a high-risk category?

Drug/alcohol use, age, and family history.

Blood pressure, age, and BMI.

Family history, BMI, and drug/alcohol abuse.

Age, BMI, and family history.

Hint : 🧪Focus on factors that can directly impair fetal growth and development.

Correct Answers:

No Correct Answers Available !

Rationale :

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Distractor Analysis :

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6 :
During the oliguric phase of acute renal failure, which of the following occurs?

Urine output (UO) completely stops.

Urine output (UO) is less than 400 mL/24 hours.

Urine output (UO) is not measured.

Urine output (UO) is greater than 500 mL/24 hours.

Hint : 📉Remember that oliguria means significantly reduced urine output.

Correct Answers:

No Correct Answers Available !

Rationale :

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Distractor Analysis :

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7 :
A client, who is 39 weeks pregnant, has been admitted to the hospital for induction. The doctor has prescribed misoprostol (Cytotec). Which statement by the client indicates a need for further education?

“I can receive the Cytotec as long as my water hasn’t broken yet.”

“I can walk the hallways to speed up labor once my Cytotec is placed.”

“My baby’s heart rate and my contraction pattern will be monitored.”

“I may experience nausea and vomiting after my Cytotec is placed.”

Hint : 🚫Consider when a prostaglandin should not be given to avoid hyperstimulation risks.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

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8 :
A pregnant client is undergoing a quad screen test and inquires about the possible results. Which of the following responses is most appropriate?

The test examines fetal DNA to determine the fetus’s gender.

The test uses fetal tissue to examine the fetus’s genetic makeup for potential anomalies.

The test examines maternal alpha-fetoprotein to assess maternal liver function.

The test examines maternal alpha-fetoprotein to determine if the levels are high or low, indicating specific disorders.

Hint : 🧾Think about a screening blood test in pregnancy that measures multiple markers.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

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9 :
A pregnant client is at the prenatal clinic for a fetal nuchal translucency test. What does the nurse understand about this test?

It’s a screening test for trisomy 21.

It’s a diagnostic test for neural tube defects.

It’s only available in the second trimester.

It’s considered normal when greater than 3mm.

Hint : 👁️Think of the test that measures fluid at the back of the fetal neck for chromosome screening.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

Distractor Analysis :

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10 :
In addition to oxytocin (Pitocin) administration, what other methods can induce labor?

Prostaglandins

Episiotomy

None of the answers are correct

Amnioinfusion

Hint : 💡Think about the drug class that helps with cervical ripening and labor stimulation.

Correct Answers:

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Rationale :

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Ans

Indiana University OB-Maternal Exam 3

No.

1 : A client in her first trimester of pregnancy is scheduled for an ultrasound. Which of the following would not be a reason for an ultrasound at this stage?

2 : A pregnant client, who is 35 weeks along, comes in for weekly fetal heart monitoring. After 20 minutes on the monitor, the fetal heart rate tracing shows three accelerations measuring 15 beats by 15 seconds. How should the nurse report this finding to the provider?

3 : A pregnant client is undergoing a nipple-stimulated contraction stress test (CST). She is experiencing contractions every three minutes. The fetal heart rate (FHR) baseline is approximately 120 beats/min with no decelerations. How should the nurse document this test?

4 : A couple is struggling with infertility and wants to know how to maintain their emotional balance. Which response from the nurse would be most appropriate?

6 : During the oliguric phase of acute renal failure, which of the following occurs?

7 : A client, who is 39 weeks pregnant, has been admitted to the hospital for induction. The doctor has prescribed misoprostol (Cytotec). Which statement by the client indicates a need for further education?

8 : A pregnant client is undergoing a quad screen test and inquires about the possible results. Which of the following responses is most appropriate?

9 : A pregnant client is at the prenatal clinic for a fetal nuchal translucency test. What does the nurse understand about this test?

10 : In addition to oxytocin (Pitocin) administration, what other methods can induce labor?

1 :
A client in her first trimester of pregnancy is scheduled for an ultrasound. Which of the following would not be a reason for an ultrasound at this stage?

2 :
A pregnant client, who is 35 weeks along, comes in for weekly fetal heart monitoring. After 20 minutes on the monitor, the fetal heart rate tracing shows three accelerations measuring 15 beats by 15 seconds. How should the nurse report this finding to the provider?

3 :
A pregnant client is undergoing a nipple-stimulated contraction stress test (CST). She is experiencing contractions every three minutes. The fetal heart rate (FHR) baseline is approximately 120 beats/min with no decelerations. How should the nurse document this test?

4 :
A couple is struggling with infertility and wants to know how to maintain their emotional balance. Which response from the nurse would be most appropriate?

6 :
During the oliguric phase of acute renal failure, which of the following occurs?

7 :
A client, who is 39 weeks pregnant, has been admitted to the hospital for induction. The doctor has prescribed misoprostol (Cytotec). Which statement by the client indicates a need for further education?

8 :
A pregnant client is undergoing a quad screen test and inquires about the possible results. Which of the following responses is most appropriate?

9 :
A pregnant client is at the prenatal clinic for a fetal nuchal translucency test. What does the nurse understand about this test?

10 :
In addition to oxytocin (Pitocin) administration, what other methods can induce labor?