Practice Quiz

Nurse Midwife Exam Prep - Question List

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6. A client is given oxytocin for the induction of labor. The nurse midwife should monitor the client for which of the following side effects of oxytocin?
  1. Vomiting
  2. Increased urine outflow
  3. Hypertension
  4. Bradycardia
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7. A nurse midwife is monitoring a client who is in labor. Assessment findings reveal that the fetus is in LOA position. The nurse midwife notes that the presenting part of the fetus is at 0 station. This finding indicates that:
  1. The presenting part is at the perineum, and the fetal head is crowning.
  2. The presenting part is at the level of the ischial spines, and the fetal head is engaged.
  3. The presenting part is above the level of the ischial spines, and the fetal head is floating.
  4. The presenting part has descended to within the pelvic inlet.
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8. A nurse midwife is monitoring a client who was admitted to the labor and delivery unit about 5 hours ago. The nurse midwife notes a cervical dilatation of 5 cm. The contractions occurring every 5 minutes usually last between 50 and 55 seconds. The client is in which phase of labor?
  1. Latent phase
  2. Active phase
  3. Transition phase
  4. Second stage of labor
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9. A nurse midwife is monitoring a client with a cervical dilatation of 3 cm. The nurse midwife determines that the client has contractions occurring every 3 minutes. Each contraction lasts for 50 seconds. The fetal heart rate is determined at 100 beats per minute. Which of the following is the priority action of the midwife?
  1. Encourage the client to push with every contraction and to rest in between contractions.
  2. Administer oxygen via face mask.
  3. Document the findings as normal.
  4. Encourage frequent change of position.
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10. A nurse midwife is reviewing the fetal heart rate monitor tracing obtained from a G2P1 client who is in labor. The nurse midwife notes decelerations at unpredictable times in relation to contractions. The nurse midwife suspects which of the following conditions?
  1. Cephalopelvic disproportion
  2. Good fetal-well being
  3. Uteroplacental insufficiency
  4. Cord compression
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