NSG222/NSG 222 Family
Nursing
WILKES UNIVERSITY
NSG222/NSG 222 Exam 2
Questions & Answers Plus
Detailed Rationales
Latest 2026 | PDF
THIS EXAM CONTAINS:
✓100% Pass
✓Multiple Choice ( A-D)
✓Detailed Rationales For Each Question
✓Correct Answers For Each Question
✓250 Qs & Answers
,SECTION 1: Labor and Birth Process (Questions 1-20)
Question 1
A primigravida at 39 weeks gestation calls the clinic and reports
irregular contractions that are felt primarily in the abdomen and
groin, gradually spreading downward before relaxing. What
should the nurse tell this patient?
A. "You are in active labor and should come to the hospital
immediately."
B. "These are Braxton Hicks contractions; rest and drink fluids."
C. "You need to go to the emergency room right away."
D. "These contractions indicate placental abruption."
Answer: B. "These are Braxton Hicks contractions; rest and
drink fluids."
Rationale: Braxton Hicks contractions are typically felt as a
tightening or pulling sensation of the top of the uterus, occurring
primarily in the abdomen and groin, and gradually spread
downward before relaxing. In contrast, true labor contractions
are more commonly felt in the back and radiate to the abdomen.
Braxton Hicks contractions are irregular, do not increase in
intensity, and often subside with rest, hydration, and position
changes.
Question 2
A nurse is performing Leopold maneuvers on a patient at 38
,weeks gestation. During the first maneuver, the nurse palpates a
firm, round mass in the fundus. What does this finding indicate?
A. The fetus is in a breech presentation
B. The fetus is in a cephalic presentation
C. The fetus is in a transverse lie
D. The fetus is engaged in the pelvis
Answer: A. The fetus is in a breech presentation
Rationale: Leopold maneuvers are a method for determining the
presentation, position, and lie of the fetus through four specific
steps. The first maneuver identifies which fetal part (head or
buttocks) is located in the fundus (top of the uterus). A firm,
round mass in the fundus indicates the fetal head is at the top,
meaning the presenting part is the buttocks (breech
presentation). A soft, irregular mass would indicate the buttocks
in the fundus and a cephalic presentation.
Question 3
During the second Leopold maneuver, the nurse palpates a
smooth, firm, continuous structure on the mother's left side.
Where should the nurse place the Doppler to auscultate fetal
heart tones?
A. On the mother's right side
B. On the mother's left side
C. In the midline of the abdomen
D. Above the umbilicus
Answer: B. On the mother's left side
, Rationale: The second Leopold maneuver identifies on which
maternal side the fetal back is located. Fetal heart tones are best
auscultated through the back of the fetus. Therefore, if the fetal
back is palpated on the left side, the Doppler should be placed on
the left side to obtain the clearest fetal heart tones.
Question 4
A laboring patient's membranes rupture spontaneously. The
nurse notes the amniotic fluid is green-tinged. What is the priority
nursing action?
A. Continue monitoring as this is a normal finding
B. Prepare for immediate cesarean section
C. Notify the healthcare provider and prepare for possible
meconium aspiration
D. Administer oxygen to the mother
Answer: C. Notify the healthcare provider and prepare for
possible meconium aspiration
Rationale: Green amniotic fluid indicates the fetus has passed
meconium, which can occur secondary to transient hypoxia,
prolonged pregnancy, cord compression, intrauterine growth
restriction (IUGR), maternal hypertension, diabetes, or
chorioamnionitis. Meconium-stained amniotic fluid due to fetal
hypoxia requires immediate attention to prevent meconium
aspiration syndrome, which can lead to respiratory distress. The
healthcare provider should be notified, and preparations should
be made for suctioning after the head is born before the infant
takes a breath.
Nursing
WILKES UNIVERSITY
NSG222/NSG 222 Exam 2
Questions & Answers Plus
Detailed Rationales
Latest 2026 | PDF
THIS EXAM CONTAINS:
✓100% Pass
✓Multiple Choice ( A-D)
✓Detailed Rationales For Each Question
✓Correct Answers For Each Question
✓250 Qs & Answers
,SECTION 1: Labor and Birth Process (Questions 1-20)
Question 1
A primigravida at 39 weeks gestation calls the clinic and reports
irregular contractions that are felt primarily in the abdomen and
groin, gradually spreading downward before relaxing. What
should the nurse tell this patient?
A. "You are in active labor and should come to the hospital
immediately."
B. "These are Braxton Hicks contractions; rest and drink fluids."
C. "You need to go to the emergency room right away."
D. "These contractions indicate placental abruption."
Answer: B. "These are Braxton Hicks contractions; rest and
drink fluids."
Rationale: Braxton Hicks contractions are typically felt as a
tightening or pulling sensation of the top of the uterus, occurring
primarily in the abdomen and groin, and gradually spread
downward before relaxing. In contrast, true labor contractions
are more commonly felt in the back and radiate to the abdomen.
Braxton Hicks contractions are irregular, do not increase in
intensity, and often subside with rest, hydration, and position
changes.
Question 2
A nurse is performing Leopold maneuvers on a patient at 38
,weeks gestation. During the first maneuver, the nurse palpates a
firm, round mass in the fundus. What does this finding indicate?
A. The fetus is in a breech presentation
B. The fetus is in a cephalic presentation
C. The fetus is in a transverse lie
D. The fetus is engaged in the pelvis
Answer: A. The fetus is in a breech presentation
Rationale: Leopold maneuvers are a method for determining the
presentation, position, and lie of the fetus through four specific
steps. The first maneuver identifies which fetal part (head or
buttocks) is located in the fundus (top of the uterus). A firm,
round mass in the fundus indicates the fetal head is at the top,
meaning the presenting part is the buttocks (breech
presentation). A soft, irregular mass would indicate the buttocks
in the fundus and a cephalic presentation.
Question 3
During the second Leopold maneuver, the nurse palpates a
smooth, firm, continuous structure on the mother's left side.
Where should the nurse place the Doppler to auscultate fetal
heart tones?
A. On the mother's right side
B. On the mother's left side
C. In the midline of the abdomen
D. Above the umbilicus
Answer: B. On the mother's left side
, Rationale: The second Leopold maneuver identifies on which
maternal side the fetal back is located. Fetal heart tones are best
auscultated through the back of the fetus. Therefore, if the fetal
back is palpated on the left side, the Doppler should be placed on
the left side to obtain the clearest fetal heart tones.
Question 4
A laboring patient's membranes rupture spontaneously. The
nurse notes the amniotic fluid is green-tinged. What is the priority
nursing action?
A. Continue monitoring as this is a normal finding
B. Prepare for immediate cesarean section
C. Notify the healthcare provider and prepare for possible
meconium aspiration
D. Administer oxygen to the mother
Answer: C. Notify the healthcare provider and prepare for
possible meconium aspiration
Rationale: Green amniotic fluid indicates the fetus has passed
meconium, which can occur secondary to transient hypoxia,
prolonged pregnancy, cord compression, intrauterine growth
restriction (IUGR), maternal hypertension, diabetes, or
chorioamnionitis. Meconium-stained amniotic fluid due to fetal
hypoxia requires immediate attention to prevent meconium
aspiration syndrome, which can lead to respiratory distress. The
healthcare provider should be notified, and preparations should
be made for suctioning after the head is born before the infant
takes a breath.
