NSG 3500 Exam 2 Maternal Health
Nursing Actual Exam 2026/2027 –
100% Verified | Detailed Rationales
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1. What is the longest stage of labor?
A. Second
B. Third
C. First
D. Fourth
Corroct answer: C. First
Rationale: The first stage of labor, from the onset of regular
contractions to full cervical dilation (10 cm), is typically the longest
stage, especially for first-time mothers .
2. A woman must be how effaced and dilated to begin
pushing?
A. 50% effaced and 5 cm dilated
B. Fully effaced and 8 cm dilated
C. Fully effaced and 10 cm dilated
D. 75% effaced and 9 cm dilated
Corroct answer: C. Fully effaced and 10 cm dilated
Rationale: The second stage of labor begins when the cervix is
,fully dilated (10 cm) and 100% effaced, allowing the mother to
begin pushing .
3. Where is the typical point of auscultation for fetal heart
rate (FHR)?
A. Over the fetal abdomen
B. Depends on fetal position but usually on fetal back
C. Over the maternal heart
D. Over the maternal sacrum
Corroct answer: B. Depends on fetal position but usually on fetal
back
Rationale: The fetal heart is best heard through the fetus's back,
which is the point of maximal impulse (PMI) .
4. Why should vaginal exams during labor be limited?
A. They are uncomfortable
B. They may cause bleeding
C. They introduce bacteria
D. They increase contractions
Corroct answer: C. They introduce bacteria
Rationale: Limiting vaginal exams reduces the risk of introducing
bacteria and causing an infection to the mother and fetus .
5. Continuous electronic fetal monitoring (EFM) is indicated
for which of the following patients? Select all that apply.
A. History of stillbirth
B. Multiple gestation
C. Preeclampsia
D. Low-risk pregnancy
,Corroct answer: A, B, C
Rationale: Continuous EFM is indicated for high-risk conditions
including a history of stillbirth, multiple gestation, and
preeclampsia. Low-risk pregnancies may be monitored
intermittently .
6. What is required to use internal fetal monitoring?
A. Mother must be asleep
B. Full bladder
C. Ruptured membranes and full dilation
D. No prior uterine surgery
Corroct answer: C. Ruptured membranes and full dilation
Rationale: Internal fetal monitoring requires the membranes to
be ruptured and the cervix to be dilated enough (typically 2-3 cm)
to place the electrode on the fetal scalp .
7. Intermittent auscultation of the FHR is most appropriate
for:
A. High-risk pregnancies
B. Emergency situations
C. Low-risk births with no risk factors
D. Scheduled cesareans
Corroct answer: C. Low-risk births with no risk factors
Rationale: Intermittent auscultation is the standard for
monitoring low-risk, uncomplicated labors .
8. How often should FHR be checked intermittently in the
latent phase?
A. Every 15 minutes
B. Every 60 minutes
, C. Every 30 minutes
D. Every 5 minutes
Corroct answer: C. Every 30 minutes
Rationale: In the latent phase of the first stage, FHR is typically
checked every 30 minutes during the active phase .
9. How often should FHR be checked intermittently in the
active phase?
A. Every 60 minutes
B. Every 30 minutes
C. Every 15 minutes
D. Every 10 minutes
Corroct answer: C. Every 15 minutes
Rationale: The frequency of FHR checks increases in the active
phase to every 15 minutes .
10. How often should FHR be checked intermittently during
the second stage of labor?
A. Every 15 minutes
B. Every 10 minutes
C. Every 30 minutes
D. Every 5 minutes
Corroct answer: D. Every 5 minutes
Rationale: During the second stage (pushing), the frequency of
FHR checks increases to every 5 minutes .
11. What is the difference between induction and
augmentation of labor?
A. Induction starts labor; augmentation helps progress labor that
has already begun
Nursing Actual Exam 2026/2027 –
100% Verified | Detailed Rationales
– Pass Guaranteed – A+ Graded
Instant download
1. What is the longest stage of labor?
A. Second
B. Third
C. First
D. Fourth
Corroct answer: C. First
Rationale: The first stage of labor, from the onset of regular
contractions to full cervical dilation (10 cm), is typically the longest
stage, especially for first-time mothers .
2. A woman must be how effaced and dilated to begin
pushing?
A. 50% effaced and 5 cm dilated
B. Fully effaced and 8 cm dilated
C. Fully effaced and 10 cm dilated
D. 75% effaced and 9 cm dilated
Corroct answer: C. Fully effaced and 10 cm dilated
Rationale: The second stage of labor begins when the cervix is
,fully dilated (10 cm) and 100% effaced, allowing the mother to
begin pushing .
3. Where is the typical point of auscultation for fetal heart
rate (FHR)?
A. Over the fetal abdomen
B. Depends on fetal position but usually on fetal back
C. Over the maternal heart
D. Over the maternal sacrum
Corroct answer: B. Depends on fetal position but usually on fetal
back
Rationale: The fetal heart is best heard through the fetus's back,
which is the point of maximal impulse (PMI) .
4. Why should vaginal exams during labor be limited?
A. They are uncomfortable
B. They may cause bleeding
C. They introduce bacteria
D. They increase contractions
Corroct answer: C. They introduce bacteria
Rationale: Limiting vaginal exams reduces the risk of introducing
bacteria and causing an infection to the mother and fetus .
5. Continuous electronic fetal monitoring (EFM) is indicated
for which of the following patients? Select all that apply.
A. History of stillbirth
B. Multiple gestation
C. Preeclampsia
D. Low-risk pregnancy
,Corroct answer: A, B, C
Rationale: Continuous EFM is indicated for high-risk conditions
including a history of stillbirth, multiple gestation, and
preeclampsia. Low-risk pregnancies may be monitored
intermittently .
6. What is required to use internal fetal monitoring?
A. Mother must be asleep
B. Full bladder
C. Ruptured membranes and full dilation
D. No prior uterine surgery
Corroct answer: C. Ruptured membranes and full dilation
Rationale: Internal fetal monitoring requires the membranes to
be ruptured and the cervix to be dilated enough (typically 2-3 cm)
to place the electrode on the fetal scalp .
7. Intermittent auscultation of the FHR is most appropriate
for:
A. High-risk pregnancies
B. Emergency situations
C. Low-risk births with no risk factors
D. Scheduled cesareans
Corroct answer: C. Low-risk births with no risk factors
Rationale: Intermittent auscultation is the standard for
monitoring low-risk, uncomplicated labors .
8. How often should FHR be checked intermittently in the
latent phase?
A. Every 15 minutes
B. Every 60 minutes
, C. Every 30 minutes
D. Every 5 minutes
Corroct answer: C. Every 30 minutes
Rationale: In the latent phase of the first stage, FHR is typically
checked every 30 minutes during the active phase .
9. How often should FHR be checked intermittently in the
active phase?
A. Every 60 minutes
B. Every 30 minutes
C. Every 15 minutes
D. Every 10 minutes
Corroct answer: C. Every 15 minutes
Rationale: The frequency of FHR checks increases in the active
phase to every 15 minutes .
10. How often should FHR be checked intermittently during
the second stage of labor?
A. Every 15 minutes
B. Every 10 minutes
C. Every 30 minutes
D. Every 5 minutes
Corroct answer: D. Every 5 minutes
Rationale: During the second stage (pushing), the frequency of
FHR checks increases to every 5 minutes .
11. What is the difference between induction and
augmentation of labor?
A. Induction starts labor; augmentation helps progress labor that
has already begun
