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Labor & Delivery Competency Test
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1.  After acquiring a unit of blood for a client from the blood bank, a nurse plans to look for
which of the following members of the health care team to assist  in checking the unit of
blood before the client’s transfusion?
2.  After obtaining a unit of blood from the blood bank and properly checking the blood bag
with another nurse, the nurse assesses which of the following items before the transfusion
begins?
3.  A nurse must prepare the flow rate at how many drops per minute if a physician orders
3000 mL of NS to infuse over 24 hours and the drop factor is 15 drops per 1mL?
4.  A physician orders Regular insulin, 8 units per hour by continuous IV infusion.  The
pharmacy prepares the medication and the delivers an IV bag labeled 100 units of Regular
insulin in 100 mL NS.  An infusion pump is to be used to administer the medication.  The
nurse must set the infusion pump at how many milliliters per hour to deliver 8 units per hour?
5.  After being asked by a client about the purpose of the placenta, the nurse responds most
appropriately by telling the client that the placenta:
6.  A nurse caring for a client during the prenatal period is told by the client that she wants to
know the sex of the fetus as soon as it can be determined.  The nurse responds to the client,
knowing that the sex of the fetus can be visually recognizable as early as week:
7. A nurse uses a fetoscope to prepare to assess a fetal heart beat.  The nurse knows that
using a fetoscope the fetal heart beat can first be heard at getational week:
8.  A nurse determines, during a prenatal visit, that the fetal heart rate is normal if which of the
following is noted:
9.  A nurse measures the fundal height in centimeters during an assessment of a pregnant
client at 28 weeks of gestation.  The nurse expects the fundal height to be which of the
following?
10.  During an evaluation of a postpartum hepatitis B-positive client, a nurse determines
which maternal action best exemplifies the client’s knowledge of potential disease
transmission to the infant?
11.  A primigravada receives magnesium sulfate for the treatment of pregnancy-induced
hypertension.  The nurse caring for the client performs an assessment every 30 minutes.  
Which assessment finding would be of most concern to the nurse?
12.  A nurse caring for a client in labor documents what to indicate the client has started the
second stage of labor?
13.  A nurse watching a client in active labor notes that the client is having contractions every
3 minutes that last 45 seconds and the fetal heart rate between contractions is 100 beats
per minute.  Which of the following nursing actions is most appropriate?
14.  While monitoring a client in labor, a nurse presumes umbilical cord compression if
which of the following is documented on the external monitor tracing during a contraction?
15.  While watching a client with dysfunctional labor for signs of fetal or maternal
compromise, which of the following would alert the nurse to a compromise?
16.  While preparing to care for a client with hypertonic uterine dysfunction, the nurse is
informed that the client is experiencing uncoordinated contractions that are erratic in their
occurrence, length, and intensity.  The priority nursing intervention in caring for the client is to:
17.  A maternity nurse is caring for a client with abruptio placenta and is watching the client
for disseminated intravascular coagulopathy (DIC).  Which evaluation finding is least likely to
be associated with DIC?
18. A postpartum nurse is preparing to care for a woman who has just delivered a healthy
newborn infant.  In the immediate postpartum period the nurse plans to take the woman’s
vital signs:
19. Epidural analgesia is dispensed to a woman for pain relief following a cesarean birth.  
The nurse assigned to care for the woman is sure that which medication is readily available
if respiratory depression occurs?
20.  Rho (D) immune globulin (RDIG) (anti-Rho(D) gamma globulin) is prescribed for a
woman following delivery of a newborn infant.  The nurse provides information to the woman
about the purpose of the medication.  The nurse concludes that the woman understands the
function of the medication if the woman states that RDIG will protect her next baby from
which of the following?
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Labor & Delivery Competency Test
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