NUR230 EXAM IV THE CHILDBEARING
PRACTICE TEST 2026 QUESTION BANK AND
CORRECT ANSWERS REVIEW
◉ Signs of placental separation. Answer: - globular uterus rises in
abdomen
- gush or trickle of blood
- increase protrusion of umbilical cord
- Delivery of placenta: "dirty" Duncan, "shiny" shultz
◉ What is the fourth stage of labor. Answer: Physiologic
readjustment
◉ What are common sensations experienced during the fourth stage
of labor?. Answer: Thirsty and hungry
◉ What is a common physical response that occurs 1-2 hours after
birth?. Answer: Shaking due to CNS response after strenuous labor
◉ What can cause shaking after birth?. Answer: Fluid and heat loss;
warm blankets can help relax muscles
,◉ What is the typical condition of the bladder during the fourth
stage of labor?. Answer: The bladder is often hypotonic
◉ What should the position of the uterus be after birth?. Answer:
The uterus should remain contracted and be midline of the
abdomen, between the symphysis pubis and umbilicus
◉ What would be concerning in the 4th stage of labor?. Answer:
uterus is soft and relaxed
◉ Which nursing intervention is MOST important when providing
care for a pregnant client in the first stage of labor?
A. determine fetal station
B. obtain an order for epidural anesthesia
C. encourage client to change positions frequently
D. encourage client to hold her breath and tighten muscles. Answer:
C. encourage client to change positions frequently
◉ A client with a SVE of 6/80/-1 is in which stage and phase of
labor?. Answer: 1st stage, active phase
◉ On examination the nurse notes the cervix is 6cm/100%/0, what
is the interpretation of the clients labor?. Answer: the client is in
active labor and the baby is engaged
,◉ A laboring primigravida complains of increasing rectal pressure
and an urge to push. A vaginal exam reveals 9cm, 80%, and +1
station. The nurse concludes. Answer: The client should NOT push
with contractions
◉ Many task are accomplished during the third stage of labor. Select
all of the following TRUE statement
A. the placenta delivers
B. perineal tears or lacerations are usually repaired during this stage
C. consist of the latent, active, and transition phases
D. Fundal massage is preformed at the end of the third stage
E. begins with pushing and ends with delivery of the baby. Answer:
A. the placenta delivers
D. fundal massage is preformed at the end of the third stage
◉ At which stage of labor would the nurse expect the placenta to be
expelled?. Answer: Third stage
◉ Which of the following are benefits of kangaroo care? SATA
A. helps regulate baby's temperature and HR
B. stimulates production of breastmilk
C. promotes attachment
, D, decreases maternal oxytocin release. Answer: A. helps regulate
baby's temperature and HR
B. stimulates production of breastmilk
C. promotes attachment
◉ Which of the following is a part of the standard maternal
assessment for a healthy mom in the fourth stage of labor following
a vaginal delivery? SATA
A. vaginal bleeding
B. vital signs
C. Bladder assessment
D. Fundal (uterine assessment)
E. perineal assessment. Answer: All of the above
◉ What are the five P's of labor and birth?. Answer: passage,
passenger, position, powers, psyche
◉ What are the four pelvis types?. Answer: Gynecoid: most
commonly seen, best for vaginal birth
Android: not as common as gynecoid but still pretty common, can
still have good success in vaginal birth
Anthropoid: less common, can have some complications
Platypelloid: also known as a flat pelvis; most likely to have to have
c-section
PRACTICE TEST 2026 QUESTION BANK AND
CORRECT ANSWERS REVIEW
◉ Signs of placental separation. Answer: - globular uterus rises in
abdomen
- gush or trickle of blood
- increase protrusion of umbilical cord
- Delivery of placenta: "dirty" Duncan, "shiny" shultz
◉ What is the fourth stage of labor. Answer: Physiologic
readjustment
◉ What are common sensations experienced during the fourth stage
of labor?. Answer: Thirsty and hungry
◉ What is a common physical response that occurs 1-2 hours after
birth?. Answer: Shaking due to CNS response after strenuous labor
◉ What can cause shaking after birth?. Answer: Fluid and heat loss;
warm blankets can help relax muscles
,◉ What is the typical condition of the bladder during the fourth
stage of labor?. Answer: The bladder is often hypotonic
◉ What should the position of the uterus be after birth?. Answer:
The uterus should remain contracted and be midline of the
abdomen, between the symphysis pubis and umbilicus
◉ What would be concerning in the 4th stage of labor?. Answer:
uterus is soft and relaxed
◉ Which nursing intervention is MOST important when providing
care for a pregnant client in the first stage of labor?
A. determine fetal station
B. obtain an order for epidural anesthesia
C. encourage client to change positions frequently
D. encourage client to hold her breath and tighten muscles. Answer:
C. encourage client to change positions frequently
◉ A client with a SVE of 6/80/-1 is in which stage and phase of
labor?. Answer: 1st stage, active phase
◉ On examination the nurse notes the cervix is 6cm/100%/0, what
is the interpretation of the clients labor?. Answer: the client is in
active labor and the baby is engaged
,◉ A laboring primigravida complains of increasing rectal pressure
and an urge to push. A vaginal exam reveals 9cm, 80%, and +1
station. The nurse concludes. Answer: The client should NOT push
with contractions
◉ Many task are accomplished during the third stage of labor. Select
all of the following TRUE statement
A. the placenta delivers
B. perineal tears or lacerations are usually repaired during this stage
C. consist of the latent, active, and transition phases
D. Fundal massage is preformed at the end of the third stage
E. begins with pushing and ends with delivery of the baby. Answer:
A. the placenta delivers
D. fundal massage is preformed at the end of the third stage
◉ At which stage of labor would the nurse expect the placenta to be
expelled?. Answer: Third stage
◉ Which of the following are benefits of kangaroo care? SATA
A. helps regulate baby's temperature and HR
B. stimulates production of breastmilk
C. promotes attachment
, D, decreases maternal oxytocin release. Answer: A. helps regulate
baby's temperature and HR
B. stimulates production of breastmilk
C. promotes attachment
◉ Which of the following is a part of the standard maternal
assessment for a healthy mom in the fourth stage of labor following
a vaginal delivery? SATA
A. vaginal bleeding
B. vital signs
C. Bladder assessment
D. Fundal (uterine assessment)
E. perineal assessment. Answer: All of the above
◉ What are the five P's of labor and birth?. Answer: passage,
passenger, position, powers, psyche
◉ What are the four pelvis types?. Answer: Gynecoid: most
commonly seen, best for vaginal birth
Android: not as common as gynecoid but still pretty common, can
still have good success in vaginal birth
Anthropoid: less common, can have some complications
Platypelloid: also known as a flat pelvis; most likely to have to have
c-section
