NUR 230 EXAM 3 /NUR 230 MATERNAL ACTUAL EXAM 2 TEST
BANK 2026/2027 PRACTICE QUESTIONS AND STUDY GUIDE
COMPLETE ACCURATE EXAM REAL QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH DETAILED RATIONALES (RELIABLE
ANSWERS) CURRENTLY UPDATED VERSION 2026 EDITION
|GUARANTEED PASS A+ |FULL REVISED EXAM | JUST
RELEASED
1. What is the normal range for cervical dilation?
A) 0–100%
B) 0–10 cm
C) –5 to +5 cm
D) 0–5 cm
Correct Answer: B) 0–10 cm
Rationale: Cervical dilation refers to the opening of the cervix
measured in centimeters from 0 cm (closed) to 10 cm (fully dilated).
Cervical effacement is measured in percentages (0–100%).
2. Which pelvic type is considered the MOST favorable for vaginal
birth?
A) Anthropoid pelvis
B) Gynecoid pelvis
,C) Platypelloid pelvis
D) Android pelvis
Correct Answer: B) Gynecoid pelvis
Rationale: The gynecoid pelvis is the classic female pelvis and is
considered the most favorable for vaginal birth. It has a rounded
inlet, adequate capacity, and optimal dimensions. The android pelvis
is male-shaped (less favorable); platypelloid is the least favorable and
often leads to cesarean delivery.
3. Which pelvic type would MOST likely lead to cesarean delivery?
A) Anthropoid
B) Gynecoid
C) Platypelloid
D) Android
Correct Answer: C) Platypelloid
Rationale: The platypelloid pelvis is flat with a widened transverse
diameter and a shortened anteroposterior diameter, making vaginal
delivery difficult and often resulting in cesarean section.
,4. A nurse is assessing a client in active labor. The fetal heart tracing
shows recurrent variable decelerations. Which action should the
nurse take FIRST?
A) Increase IV fluids
B) Change maternal position
C) Administer oxygen
D) Notify the provider
Correct Answer: B) Change maternal position
Rationale: Variable decelerations are caused by cord compression.
The first intervention is to change the mother's position (typically to
left lateral) to relieve pressure on the cord.
5. A client is 9 cm dilated, 100% effaced, and at +1 station. She
reports an intense urge to push. What should the nurse do?
A) Encourage her to push with contractions
B) Have her pant and avoid pushing until fully dilated
C) Apply fundal pressure during contractions
D) Prepare for immediate delivery
Correct Answer: B) Have her pant and avoid pushing until fully
dilated
, Rationale: Pushing before complete dilation (10 cm) can cause
cervical edema, laceration, and prolonged labor. The nurse should
instruct the client to use breathing techniques to manage the urge.
6. A primigravida at 40 weeks is receiving oxytocin. Contractions are
lasting 110 seconds with 50 seconds between. What is the priority
action?
A) Increase oxytocin
B) Position on left side
C) Stop oxytocin infusion
D) Administer oxygen
Correct Answer: C) Stop oxytocin infusion
Rationale: Contractions lasting >90 seconds with <60 seconds rest
indicate tachysystole. Oxytocin must be stopped immediately to
prevent uterine rupture or fetal distress.
7. A client has a cervical exam finding of 6 cm, 80%, –1. Which
stage and phase of labor is this?
A) First stage, latent phase
B) First stage, active phase
C) First stage, transition phase
D) Second stage
BANK 2026/2027 PRACTICE QUESTIONS AND STUDY GUIDE
COMPLETE ACCURATE EXAM REAL QUESTIONS AND CORRECT
VERIFIED ANSWERS WITH DETAILED RATIONALES (RELIABLE
ANSWERS) CURRENTLY UPDATED VERSION 2026 EDITION
|GUARANTEED PASS A+ |FULL REVISED EXAM | JUST
RELEASED
1. What is the normal range for cervical dilation?
A) 0–100%
B) 0–10 cm
C) –5 to +5 cm
D) 0–5 cm
Correct Answer: B) 0–10 cm
Rationale: Cervical dilation refers to the opening of the cervix
measured in centimeters from 0 cm (closed) to 10 cm (fully dilated).
Cervical effacement is measured in percentages (0–100%).
2. Which pelvic type is considered the MOST favorable for vaginal
birth?
A) Anthropoid pelvis
B) Gynecoid pelvis
,C) Platypelloid pelvis
D) Android pelvis
Correct Answer: B) Gynecoid pelvis
Rationale: The gynecoid pelvis is the classic female pelvis and is
considered the most favorable for vaginal birth. It has a rounded
inlet, adequate capacity, and optimal dimensions. The android pelvis
is male-shaped (less favorable); platypelloid is the least favorable and
often leads to cesarean delivery.
3. Which pelvic type would MOST likely lead to cesarean delivery?
A) Anthropoid
B) Gynecoid
C) Platypelloid
D) Android
Correct Answer: C) Platypelloid
Rationale: The platypelloid pelvis is flat with a widened transverse
diameter and a shortened anteroposterior diameter, making vaginal
delivery difficult and often resulting in cesarean section.
,4. A nurse is assessing a client in active labor. The fetal heart tracing
shows recurrent variable decelerations. Which action should the
nurse take FIRST?
A) Increase IV fluids
B) Change maternal position
C) Administer oxygen
D) Notify the provider
Correct Answer: B) Change maternal position
Rationale: Variable decelerations are caused by cord compression.
The first intervention is to change the mother's position (typically to
left lateral) to relieve pressure on the cord.
5. A client is 9 cm dilated, 100% effaced, and at +1 station. She
reports an intense urge to push. What should the nurse do?
A) Encourage her to push with contractions
B) Have her pant and avoid pushing until fully dilated
C) Apply fundal pressure during contractions
D) Prepare for immediate delivery
Correct Answer: B) Have her pant and avoid pushing until fully
dilated
, Rationale: Pushing before complete dilation (10 cm) can cause
cervical edema, laceration, and prolonged labor. The nurse should
instruct the client to use breathing techniques to manage the urge.
6. A primigravida at 40 weeks is receiving oxytocin. Contractions are
lasting 110 seconds with 50 seconds between. What is the priority
action?
A) Increase oxytocin
B) Position on left side
C) Stop oxytocin infusion
D) Administer oxygen
Correct Answer: C) Stop oxytocin infusion
Rationale: Contractions lasting >90 seconds with <60 seconds rest
indicate tachysystole. Oxytocin must be stopped immediately to
prevent uterine rupture or fetal distress.
7. A client has a cervical exam finding of 6 cm, 80%, –1. Which
stage and phase of labor is this?
A) First stage, latent phase
B) First stage, active phase
C) First stage, transition phase
D) Second stage
