NRS 3026 EXAM 1 OAKLAND UNIVERSITY
2026.2027 100% VERIFIED QUESTIONS
AND ANSWERS GUARANTEED PASS
Which maternal condition should be considered a contraindication for the application of internal
monitoring devices?
a. Unruptured membranes
b. Cervix dilated to 4 cm
c. Fetus has known heart defect
d. Maternal HIV
a
The nurse is instructing a nursing student on the application of fetal monitoring devices. Which
method of assessing the fetal heart rate requires the use of a gel?
a. Doppler
b. Fetoscope
c. Scalp electrode
d. Tocodynamometer
a
Proper placement of the tocotransducer for electronic fetal monitoring is:
a. Inside the uterus.
b. On the fetal scalp.
c. Over the uterine fundus.
d. Over the mother's lower abdomen.
c
Which clinical finding can be determined only by electronic fetal monitoring?
a. Variability
b. Tachycardia
c. Bradycardia
d. Fetal response to contractions
a
,Which method of intrapartum fetal monitoring is the most appropriate when a woman has a history
of hypertension during pregnancy?
a. Continuous auscultation with a fetoscope
b. Continuous electronic fetal monitoring
c. Intermittent assessment with a Doppler transducer
d. Intermittent electronic fetal monitoring for 15 minutes each hour
b
Why is continuous electronic fetal monitoring generally used when oxytocin is administered?
a. Fetal chemoreceptors are stimulated.
b. The mother may become hypotensive.
c. Maternal fluid volume deficit may occur.
d. Uteroplacental exchange may be compromised.
d
The nurse is concerned that a patient's uterine activity is too intense and that her obesity is
preventing accurate assessment of the actual intrauterine pressure. Based on this information, which
action should the nurse take?
a. Reposition the tocotransducer.
b. Reposition the Doppler transducer.
c. Obtain an order from the health care provider for a spiral electrode.
d. Obtain an order from the health care provider for an intrauterine pressure catheter.
d
If the position of a fetus in a cephalic presentation is right occiput anterior, the nurse should assess
the fetal heart rate in which quadrant of the maternal abdomen?
a. Right upper
b. Left upper
c. Right lower
d. Left lower
c
,In which situation would a baseline fetal heart rate of 160 to 170 bpm be considered a normal
finding?
a. The fetus is at 30 weeks of gestation.
b. The mother has a history of fast labors.
c. The mother has been given an epidural block.
d. The mother has mild preeclampsia but is not in labor.
a
When the deceleration pattern of the fetal heart rate mirrors the uterine contraction, which nursing
action is indicated?
a. Reposition the patient.
b. Apply a fetal scalp electrode.
c. Record this normal pattern.
d. Administer oxygen by nasal cannula.
c
When the mother's membranes rupture during active labor, the fetal heart rate should be observed
for the occurrence of which periodic pattern?
a. Early decelerations
b. Variable decelerations
c. Nonperiodic accelerations
d. Increase in baseline variability
b
To facilitate adequate urinary elimination during the postpartum period, the nurse should incorporate
which intervention into the plan of care?
a. Have the patient drink carbonated beverages to promote urinary excretion
b. Tell the patient that because of postpartum diuresis there is less risk to develop dehydration
c. Limit fluid intake to prevent polyuria
d. Teach the patient to perform pelvic floor exercises to combat potential stress incontinence
d
, When assessing the A of the acronym REEDA, the nurse should evaluate the:
a. skin color.
b. degree of edema.
c. edges of the episiotomy.
c. episiotomy for discharge.
c
If the rubella vaccine is indicated for a postpartum patient, which instructions should be provided?
a. No specific instructions
b. Drinking plenty of fluids to prevent fever
c. Recommendation to stop breastfeeding for 24 hours after the injection
d. Explanation of the risks of becoming pregnant within 28 days following injection
d
Which assessment finding 24 hours after vaginal birth would indicate a need for further intervention?
a. Pain level 5 on a scale of 0 to 10
b. Saturated pad over a 2-hour period
c. Urinary output of 500 mL in one voiding
d. Uterine fundus 2 cm above the umbilicus
d
The nurse is providing care to a patient who delivered a 3525-g infant 14 hours ago. The nurse
palpates the fundus of the uterus as firm and at the umbilicus. What is the nurse's priority related to
this finding?
a. Inform the health care provider
b. Encourage the patient to urinate
c. Massage the uterus to expel clots.
d. Document the finding in the patient's chart.
d
2026.2027 100% VERIFIED QUESTIONS
AND ANSWERS GUARANTEED PASS
Which maternal condition should be considered a contraindication for the application of internal
monitoring devices?
a. Unruptured membranes
b. Cervix dilated to 4 cm
c. Fetus has known heart defect
d. Maternal HIV
a
The nurse is instructing a nursing student on the application of fetal monitoring devices. Which
method of assessing the fetal heart rate requires the use of a gel?
a. Doppler
b. Fetoscope
c. Scalp electrode
d. Tocodynamometer
a
Proper placement of the tocotransducer for electronic fetal monitoring is:
a. Inside the uterus.
b. On the fetal scalp.
c. Over the uterine fundus.
d. Over the mother's lower abdomen.
c
Which clinical finding can be determined only by electronic fetal monitoring?
a. Variability
b. Tachycardia
c. Bradycardia
d. Fetal response to contractions
a
,Which method of intrapartum fetal monitoring is the most appropriate when a woman has a history
of hypertension during pregnancy?
a. Continuous auscultation with a fetoscope
b. Continuous electronic fetal monitoring
c. Intermittent assessment with a Doppler transducer
d. Intermittent electronic fetal monitoring for 15 minutes each hour
b
Why is continuous electronic fetal monitoring generally used when oxytocin is administered?
a. Fetal chemoreceptors are stimulated.
b. The mother may become hypotensive.
c. Maternal fluid volume deficit may occur.
d. Uteroplacental exchange may be compromised.
d
The nurse is concerned that a patient's uterine activity is too intense and that her obesity is
preventing accurate assessment of the actual intrauterine pressure. Based on this information, which
action should the nurse take?
a. Reposition the tocotransducer.
b. Reposition the Doppler transducer.
c. Obtain an order from the health care provider for a spiral electrode.
d. Obtain an order from the health care provider for an intrauterine pressure catheter.
d
If the position of a fetus in a cephalic presentation is right occiput anterior, the nurse should assess
the fetal heart rate in which quadrant of the maternal abdomen?
a. Right upper
b. Left upper
c. Right lower
d. Left lower
c
,In which situation would a baseline fetal heart rate of 160 to 170 bpm be considered a normal
finding?
a. The fetus is at 30 weeks of gestation.
b. The mother has a history of fast labors.
c. The mother has been given an epidural block.
d. The mother has mild preeclampsia but is not in labor.
a
When the deceleration pattern of the fetal heart rate mirrors the uterine contraction, which nursing
action is indicated?
a. Reposition the patient.
b. Apply a fetal scalp electrode.
c. Record this normal pattern.
d. Administer oxygen by nasal cannula.
c
When the mother's membranes rupture during active labor, the fetal heart rate should be observed
for the occurrence of which periodic pattern?
a. Early decelerations
b. Variable decelerations
c. Nonperiodic accelerations
d. Increase in baseline variability
b
To facilitate adequate urinary elimination during the postpartum period, the nurse should incorporate
which intervention into the plan of care?
a. Have the patient drink carbonated beverages to promote urinary excretion
b. Tell the patient that because of postpartum diuresis there is less risk to develop dehydration
c. Limit fluid intake to prevent polyuria
d. Teach the patient to perform pelvic floor exercises to combat potential stress incontinence
d
, When assessing the A of the acronym REEDA, the nurse should evaluate the:
a. skin color.
b. degree of edema.
c. edges of the episiotomy.
c. episiotomy for discharge.
c
If the rubella vaccine is indicated for a postpartum patient, which instructions should be provided?
a. No specific instructions
b. Drinking plenty of fluids to prevent fever
c. Recommendation to stop breastfeeding for 24 hours after the injection
d. Explanation of the risks of becoming pregnant within 28 days following injection
d
Which assessment finding 24 hours after vaginal birth would indicate a need for further intervention?
a. Pain level 5 on a scale of 0 to 10
b. Saturated pad over a 2-hour period
c. Urinary output of 500 mL in one voiding
d. Uterine fundus 2 cm above the umbilicus
d
The nurse is providing care to a patient who delivered a 3525-g infant 14 hours ago. The nurse
palpates the fundus of the uterus as firm and at the umbilicus. What is the nurse's priority related to
this finding?
a. Inform the health care provider
b. Encourage the patient to urinate
c. Massage the uterus to expel clots.
d. Document the finding in the patient's chart.
d
