Hondros NUR 205 Exam 3 | 2026/2027 Edition | 50 Questions |
Original Evaluation with Verified Correct Answers
Hondros College of Nursing NUR 205 Maternal-Newborn Assessment | Expert-Verified Q&A | Certification-
Ready Format
Introduction
This 2026/2027 Hondros NUR 205 Exam 3 Evaluation focuses on maternal-newborn nursing domains that
require safe, evidence-based, and compassionate clinical care: intrapartum nursing assessment, labor stages, fetal
monitoring, obstetric emergencies, postpartum maternal assessment, postpartum complications, newborn
transition, newborn assessment, medication safety, pain control, and family-centered education. The questions
integrate current maternal-newborn clinical standards with foundational nursing judgment so learners can
identify priority assessments, implement timely interventions, communicate changes clearly, protect newborn
adaptation, support the postpartum family, and promote safe outcomes across labor, birth, recovery, and early
newborn care. Each item is original, curriculum-aligned, and expert-verified for accurate Evaluation readiness
without using proprietary institutional assessment items.
Content Area Overview
Content Area Questions (Total 50) Key Topics Weight
Labor assessment, fetal
heart rate patterns,
Intrapartum Care, Labor uterine activity, rupture
Stages, and Fetal 13 of 50 of membranes, second- 25%
Monitoring stage care, placental
delivery, emergency
priorities
Fundus, lochia,
hemorrhage, infection,
Postpartum Maternal perineal assessment,
Assessment and 12 of 50 urinary retention, 25%
Complications thromboembolism,
postpartum hypertension,
maternal adjustment
Thermoregulation, Apgar
elements, respiratory
transition, glucose
Newborn Transition,
13 of 50 stability, routine 25%
Assessment, and Care
prophylaxis, feeding,
jaundice, cord and
circumcision care
Epidural care, opioid
Pharmacological safety, oxytocin,
Management and Pain 7 of 50 uterotonics, magnesium 15%
Control sulfate, corticosteroids,
medication teaching
Informed consent,
culturally responsive
Family-Centered Care,
care, safety teaching,
Education, and Ethical 5 of 50 10%
private screening, teach-
Care
back, identification
security
, Examination Questions
Domain: Intrapartum Care, Labor Stages, and Fetal Monitoring
1. Which finding best supports that a client is in true labor rather than false labor?
A. Contractions decrease with ambulation and hydration
B. Cervical dilation and effacement progress over time
C. Discomfort remains limited to the lower abdomen
D. Contractions remain irregular and mild
Correct Answer: B
Rationale: True labor is defined by progressive cervical change with contractions that become more regular,
stronger, and closer together. False labor may be uncomfortable but does not produce ongoing dilation and
effacement.
2. A laboring client is fully dilated at 10 cm and has an urge to push. Which stage of labor is
beginning?
A. First stage
B. Second stage
C. Third stage
D. Fourth stage
Correct Answer: B
Rationale: The second stage begins with complete cervical dilation and ends with birth of the newborn.
Nursing care focuses on fetal status, maternal pushing efforts, positioning, and preparation for birth.
3. Which assessment has the highest priority immediately after spontaneous rupture of
membranes?
A. Maternal temperature only
B. Fetal heart rate pattern
C. Client's preferred newborn name
D. Time of last oral intake
Correct Answer: B
Rationale: Fetal heart rate is assessed promptly after rupture of membranes because cord compression or
prolapse can occur. Maternal temperature is important later because prolonged rupture increases infection
risk, but fetal status is the immediate priority.
4. A fetal tracing shows recurrent late decelerations. Which nursing intervention is the priority?
A. Encourage the client to ambulate in the hallway
B. Reposition the client to a lateral position and increase uteroplacental perfusion measures
C. Document the pattern as expected and continue routine care
D. Ask the client to begin closed-glottis pushing
Correct Answer: B
Rationale: Late decelerations suggest uteroplacental insufficiency and require intrauterine resuscitation.
Repositioning, reducing uterine stimulation, IV fluid bolus as ordered, oxygen when indicated by facility
protocol, and prompt provider notification are appropriate.
5. Variable decelerations on the fetal monitor are most commonly associated with which
condition?
A. Umbilical cord compression
B. Maternal fever only
C. Fetal sleep cycle only
D. Placental separation after birth
Correct Answer: A
Rationale: Variable decelerations are abrupt decreases in fetal heart rate typically linked to umbilical cord
compression. Repositioning, amnioinfusion when ordered, and evaluation for cord prolapse may be needed
depending on severity and clinical context.
6. A client receiving oxytocin has contractions every 60 seconds with minimal resting tone
between contractions. What is the nurse's priority action?
A. Increase the oxytocin rate to shorten labor
B. Stop or reduce oxytocin according to protocol and notify the provider
C. Encourage immediate oral fluids only
D. Place the client supine and continue monitoring
Original Evaluation with Verified Correct Answers
Hondros College of Nursing NUR 205 Maternal-Newborn Assessment | Expert-Verified Q&A | Certification-
Ready Format
Introduction
This 2026/2027 Hondros NUR 205 Exam 3 Evaluation focuses on maternal-newborn nursing domains that
require safe, evidence-based, and compassionate clinical care: intrapartum nursing assessment, labor stages, fetal
monitoring, obstetric emergencies, postpartum maternal assessment, postpartum complications, newborn
transition, newborn assessment, medication safety, pain control, and family-centered education. The questions
integrate current maternal-newborn clinical standards with foundational nursing judgment so learners can
identify priority assessments, implement timely interventions, communicate changes clearly, protect newborn
adaptation, support the postpartum family, and promote safe outcomes across labor, birth, recovery, and early
newborn care. Each item is original, curriculum-aligned, and expert-verified for accurate Evaluation readiness
without using proprietary institutional assessment items.
Content Area Overview
Content Area Questions (Total 50) Key Topics Weight
Labor assessment, fetal
heart rate patterns,
Intrapartum Care, Labor uterine activity, rupture
Stages, and Fetal 13 of 50 of membranes, second- 25%
Monitoring stage care, placental
delivery, emergency
priorities
Fundus, lochia,
hemorrhage, infection,
Postpartum Maternal perineal assessment,
Assessment and 12 of 50 urinary retention, 25%
Complications thromboembolism,
postpartum hypertension,
maternal adjustment
Thermoregulation, Apgar
elements, respiratory
transition, glucose
Newborn Transition,
13 of 50 stability, routine 25%
Assessment, and Care
prophylaxis, feeding,
jaundice, cord and
circumcision care
Epidural care, opioid
Pharmacological safety, oxytocin,
Management and Pain 7 of 50 uterotonics, magnesium 15%
Control sulfate, corticosteroids,
medication teaching
Informed consent,
culturally responsive
Family-Centered Care,
care, safety teaching,
Education, and Ethical 5 of 50 10%
private screening, teach-
Care
back, identification
security
, Examination Questions
Domain: Intrapartum Care, Labor Stages, and Fetal Monitoring
1. Which finding best supports that a client is in true labor rather than false labor?
A. Contractions decrease with ambulation and hydration
B. Cervical dilation and effacement progress over time
C. Discomfort remains limited to the lower abdomen
D. Contractions remain irregular and mild
Correct Answer: B
Rationale: True labor is defined by progressive cervical change with contractions that become more regular,
stronger, and closer together. False labor may be uncomfortable but does not produce ongoing dilation and
effacement.
2. A laboring client is fully dilated at 10 cm and has an urge to push. Which stage of labor is
beginning?
A. First stage
B. Second stage
C. Third stage
D. Fourth stage
Correct Answer: B
Rationale: The second stage begins with complete cervical dilation and ends with birth of the newborn.
Nursing care focuses on fetal status, maternal pushing efforts, positioning, and preparation for birth.
3. Which assessment has the highest priority immediately after spontaneous rupture of
membranes?
A. Maternal temperature only
B. Fetal heart rate pattern
C. Client's preferred newborn name
D. Time of last oral intake
Correct Answer: B
Rationale: Fetal heart rate is assessed promptly after rupture of membranes because cord compression or
prolapse can occur. Maternal temperature is important later because prolonged rupture increases infection
risk, but fetal status is the immediate priority.
4. A fetal tracing shows recurrent late decelerations. Which nursing intervention is the priority?
A. Encourage the client to ambulate in the hallway
B. Reposition the client to a lateral position and increase uteroplacental perfusion measures
C. Document the pattern as expected and continue routine care
D. Ask the client to begin closed-glottis pushing
Correct Answer: B
Rationale: Late decelerations suggest uteroplacental insufficiency and require intrauterine resuscitation.
Repositioning, reducing uterine stimulation, IV fluid bolus as ordered, oxygen when indicated by facility
protocol, and prompt provider notification are appropriate.
5. Variable decelerations on the fetal monitor are most commonly associated with which
condition?
A. Umbilical cord compression
B. Maternal fever only
C. Fetal sleep cycle only
D. Placental separation after birth
Correct Answer: A
Rationale: Variable decelerations are abrupt decreases in fetal heart rate typically linked to umbilical cord
compression. Repositioning, amnioinfusion when ordered, and evaluation for cord prolapse may be needed
depending on severity and clinical context.
6. A client receiving oxytocin has contractions every 60 seconds with minimal resting tone
between contractions. What is the nurse's priority action?
A. Increase the oxytocin rate to shorten labor
B. Stop or reduce oxytocin according to protocol and notify the provider
C. Encourage immediate oral fluids only
D. Place the client supine and continue monitoring
