1. During the first stage of labor, which fetal heart rate pattern would

require immediate intervention?

 A. Accelerations with fetal movement

 B. Early decelerations with contractions

 C. Variable decelerations with contractions

 D. Late decelerations with contractions

 Answer: D. Late decelerations with contractions indicate uteroplacental

insufficiency and require immediate intervention.

2. A primigravida at 39 weeks gestation is admitted with spontaneous

rupture of membranes and contractions every 5 minutes. What is the

priority nursing action?

 A. Start an IV infusion

 B. Perform a sterile vaginal exam

 C. Monitor fetal heart rate patterns

 D. Administer pain medication

 Answer: C. Monitoring fetal heart rate patterns is crucial after rupture of

membranes to assess for cord prolapse or other complications.

3. Which medication is commonly used to induce labor and strengthen

contractions?

 A. Misoprostol

 B. Magnesium sulfate

 C. Oxytocin

 D. Nifedipine

 Answer: C. Oxytocin is commonly used to induce labor and enhance

contractions.

4. A woman in active labor complains of a severe headache and blurred

vision. Her blood pressure is 160/110 mmHg. What is the most likely

diagnosis?

 A. Gestational diabetes

 B. Preeclampsia

 C. Chronic hypertension

 D. Migraine

 Answer: B. These symptoms are indicative of preeclampsia, which

requires immediate management.