Skip to ContentGo to accessibility page
OpenStax Logo
Maternal Newborn Nursing

Competency-Based Assessments

Maternal Newborn NursingCompetency-Based Assessments

Competency-Based Assessments

1 .
A patient in active labor experiences a persistent arrest of descent. How should a nurse explain the pelvic causes of dystocia in this case, and what nursing strategies might a nurse employ to manage dystocia related to pelvic factors?
2 .
A laboring patient presents with a persistent occiput posterior position. How should a nurse explain the fetal causes of dystocia in this situation, and what nursing interventions might be beneficial in managing dystocia related to fetal factors?
3 .
A patient in active labor shows signs of slowed progress. How should a nurse explain the reasons for augmenting labor, and what nursing actions could be employed to facilitate the augmentation process?
4 .
A patient experiences variable decelerations in fetal heart rate patterns, and the health-care provider orders amnioinfusion. How would you explain the reasons for amnioinfusion, and what nursing actions should be implemented during and after the procedure?
5 .
A pregnant patient has a preexisting endocrine condition like diabetes. How should a nurse explain the pathophysiology of endocrine conditions that can place the birth at risk, and what nursing strategies might be employed to manage and optimize outcomes in such cases?
6 .
A pregnant patient has a preexisting musculoskeletal condition, such as scoliosis. How should a nurse explain the pathophysiology of musculoskeletal conditions that can place the birth at risk, and what nursing considerations should be taken into account for managing labor and delivery in such cases?
7 .
A laboring patient is experiencing prolonged second stage labor. How would you recognize the need for forceps assistance, and what obstetric indications would justify the use of forceps during birth? Additionally, what nursing considerations should be taken into account?
8 .
A laboring person is being prepared for an operative vaginal birth. What nursing care considerations should be discussed with the patient and the health-care team? How can a nurse provide support to the patient during this process?
9 .
A delivery is complicated by shoulder dystocia. What maneuvers can be employed to resolve shoulder dystocia, and how do you prioritize them? Discuss the potential complications of shoulder dystocia and how nursing actions contribute to minimizing risks.
10 .
Describe prolapsed cord, the nursing actions in response to prolapsed cord, and the potential complications associated with this obstetric emergency.
11 .
A patient is suspected of having uterine rupture. How can nursing actions contribute to the early detection and management of uterine rupture? Discuss the potential complications associated with uterine rupture and the role of the nurse in minimizing risks.
PreviousNext
Order a print copy
Citation/Attribution
Reuse and redistribution of this content in digital or print format:
  • This book may not be used in the training of large language models or otherwise be ingested into large language models or generative AI offerings without OpenStax's prior written permission.
  • This book uses the Creative Commons Attribution-NonCommercial-ShareAlike License, which means that you can reuse and modify the material only for noncommercial purposes, must attribute OpenStax, and must distribute any derivative works under the same license.
  • Any commercial printing of this textbook, including using a local or custom printer, must be approved by OpenStax, and proper citation provided.
  • OpenStax-copyrighted images, activities, assessments, and similar components of this book are subject to the same licensing – CC-BY-NC-SA. They can be used for noncommercial purposes with attribution. Commercial use requires permission.
  • Permission requests: Anyone who intends to incorporate this content (including text, images, and other components) into large language models, use it in AI offerings, use it commercially (including in print), and/or has questions about another use case is welcome to complete our reuse request form.
Attribution information
  • If you are redistributing all or part of this book in a noncommercial print format, then you must include on every physical page the following attribution:

    Access for free at https://openstax.org/books/maternal-newborn-nursing/pages/1-introduction

  • If you are redistributing all or part of this book in a noncommercial digital format, then for every page that includes OpenStax content, you must license the derivative work under the same CC-BY-NC-SA license as the original, and include on every digital page view the following attribution:

    Access for free at https://openstax.org/books/maternal-newborn-nursing/pages/1-introduction

Citation information

The information below includes the information needed to generate citations in most major styles (APA, MLA, etc.); you must reformat and organize the information as needed to fit the requirements of the style. Use the information below to generate a citation. We recommend using a citation tool such as this one.

© Jul 23, 2026 OpenStax. Textbook content produced by OpenStax is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike License. The OpenStax name, OpenStax logo, OpenStax book covers, OpenStax CNX name, and OpenStax CNX logo, and Rice University name, and Rice University logo trademarks, or wordmarks are not subject to the Creative Commons license and may not be reproduced without the prior and express written consent of Rice University.