NSG432 Final Exam Comprehensive Questions (Frequently
Tested) and Complete Solutions Graded A+– GCU.
A nurse is performing a vaginal exam on a client in labor and finds the fetal
presentation 1 cm above the ischial spines. How should the nurse document the
fetal station? a) 0
b) -1
c) +1
d) -2
b) -1
Upon examining a laboring client's cervix, the nurse notes the assessment as 7, 80,
-3. How does the nurse interpret this assessment?
a) Cervix dilated 7 cm, 50% effaced, fetus 3 cm below the ischial spines.
b) Cervix dilated 7 cm, 80% effaced, presenting 3 cm above the ischial spines.
c) Cervix dilated 7 cm, 80% effaced, presenting part at the level of the ischial
spines.
d) Cervix dilated 5 cm, 80% effaced, presenting 3 cm above the ischial spines.
b) Cervix dilated 7 cm, 80% effaced, presenting 3 cm above the ischial spines.
The nurse recognizes that uterine activity during labor requires additional
assessment and possible intervention when the nurse's assessment reveals which of
the following?
a) Contractions lasting 60 seconds, 5 minutes apart.
b) Contractions lasting longer than 90 seconds with less than 30 seconds of resting.
,c) Contractions lasting 45 seconds, 5 times within a 10-minute period.
d) Contractions lasting 70 seconds, 4 times within a 10-minute period.
b) Contractions lasting longer than 90 seconds with less than 30 seconds of resting.
A client comes to the prenatal clinic for fetal monitoring, and the nurse notes fetal
tachycardia. Which of the following could be a possible cause? a) Maternal
hypothermia
b) Fetal bradycardia
c) Maternal hyperthermia
d) Fetal sleep cycle
c) Maternal hyperthermia
A 28-year-old woman has now reached the second stage of labor. What is the
optimal position for her at this point? a) Lying on her back with legs raised
b) Standing
c) Squatting
d) Sitting in a reclined position
c) Squatting
The prenatal ultrasound reveals the sacrum of the fetus as the presenting part. How
is the fetal position described? a) Vertex
b) Transverse
c) Breech
d) Cephalic
c) Breech
, A client in labor begins complaining of intense pain in her lower back. What
nonpharmacological measure would provide the best relief? a) Breathing
exercises
b) Epidural anesthesia
c) Counter-sacral pressure
d) Changing positions frequently
c) Counter-sacral pressure
Which of the following signs indicates that the second stage of labor has begun? a)
Contractions are 5 minutes apart.
b) The cervix is fully dilated.
c) The water breaks.
d) Fetal descent into the pelvis.
b) The cervix is fully dilated.
Tested) and Complete Solutions Graded A+– GCU.
A nurse is performing a vaginal exam on a client in labor and finds the fetal
presentation 1 cm above the ischial spines. How should the nurse document the
fetal station? a) 0
b) -1
c) +1
d) -2
b) -1
Upon examining a laboring client's cervix, the nurse notes the assessment as 7, 80,
-3. How does the nurse interpret this assessment?
a) Cervix dilated 7 cm, 50% effaced, fetus 3 cm below the ischial spines.
b) Cervix dilated 7 cm, 80% effaced, presenting 3 cm above the ischial spines.
c) Cervix dilated 7 cm, 80% effaced, presenting part at the level of the ischial
spines.
d) Cervix dilated 5 cm, 80% effaced, presenting 3 cm above the ischial spines.
b) Cervix dilated 7 cm, 80% effaced, presenting 3 cm above the ischial spines.
The nurse recognizes that uterine activity during labor requires additional
assessment and possible intervention when the nurse's assessment reveals which of
the following?
a) Contractions lasting 60 seconds, 5 minutes apart.
b) Contractions lasting longer than 90 seconds with less than 30 seconds of resting.
,c) Contractions lasting 45 seconds, 5 times within a 10-minute period.
d) Contractions lasting 70 seconds, 4 times within a 10-minute period.
b) Contractions lasting longer than 90 seconds with less than 30 seconds of resting.
A client comes to the prenatal clinic for fetal monitoring, and the nurse notes fetal
tachycardia. Which of the following could be a possible cause? a) Maternal
hypothermia
b) Fetal bradycardia
c) Maternal hyperthermia
d) Fetal sleep cycle
c) Maternal hyperthermia
A 28-year-old woman has now reached the second stage of labor. What is the
optimal position for her at this point? a) Lying on her back with legs raised
b) Standing
c) Squatting
d) Sitting in a reclined position
c) Squatting
The prenatal ultrasound reveals the sacrum of the fetus as the presenting part. How
is the fetal position described? a) Vertex
b) Transverse
c) Breech
d) Cephalic
c) Breech
, A client in labor begins complaining of intense pain in her lower back. What
nonpharmacological measure would provide the best relief? a) Breathing
exercises
b) Epidural anesthesia
c) Counter-sacral pressure
d) Changing positions frequently
c) Counter-sacral pressure
Which of the following signs indicates that the second stage of labor has begun? a)
Contractions are 5 minutes apart.
b) The cervix is fully dilated.
c) The water breaks.
d) Fetal descent into the pelvis.
b) The cervix is fully dilated.
