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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.
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