NUR 254 EXAM 2 -MATERNAL NEWBORN AND
PEDIATRICS NURSING |ACTUAL QUESTIONS AND
VERIFIED ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
When determining the frequency of contractions, the nurse would measure which of the
following?
a. Start of one contraction to the start of next contraction
b. Beginning of one contraction to the end of the same contraction
c. Peak of one contraction to the peak of the next contraction
d. End of one contraction to the beginning of the next contraction
CORRECT ANSWER
A. Frequency is measured by the start of one contraction to the start of the next one.
Question 2
Which fetal lie is most conducive to a spontaneous vaginal birth?
a. Transverse
b. Longitudinal
C. Perpendicular
D. Oblique
CORRECT ANSWER
B. Longitudinal - places fetus in a vertical position
Question 3
1
,Which of the following observations would suggest that placental separation is occuring?
A. Uterus stops contracting altogether
B. Umbilical cord pulsations stop
C. Uterine shape changes to globular
D. Maternal blood pressure drops
CORRECT ANSWER
C. After the placenta separates from the uterine wall, the shape of the uterus changes
from discoid to globular.
Question 4
As the nurse is explaining the difference between true versus false labor to her childbirth
class, she states that the major difference between them is:
A. Discomfort level is greater with false labor
B. Progressive cervical changes occur in true labor
C. There is a feeling of nausea with false labor
D. There is more fetal movement with true labor
CORRECT ANSWER
B. Progressive cervical changes occur in true labor, not in false labor.
Question 5
The shortest but most intense phase of labor is the:
A. Latent phase
B. Active phase
C. Transition phase
D. Placental expulsion phase
CORRECT ANSWER
2
, C. Transition phase. Is when contractions are 1-2 min apart and the final dilation is taking
place.
Question 6
A laboring woman is admitted to the labor and birth suite at 6 cm dilation. She would be
in which phase of the first stage of labor?
A. Latent
B. Active
C. Transition
D. Early
CORRECT ANSWER
B. Active. In this stage the cervix dilates from 3-7cm with 40-80% effacement occurring.
Question 7
Which assessment would indicate that a woman is in true labor?
A. Membranes are ruptures and fluid is clear.
B. Presenting part is engaged and not floating
C. Cervix is 4 cm dilated, 90% effeced.
D. Contractions last 30 seconds every 5-10 min.
CORRECT ANSWER
D. True labor is characterized by contractions occurring at regular intervals that increase
in frequency, duration, and intensity
Question 8
Interventions that are underutilized in promoting a normal birth. Select all that apply.
3
PEDIATRICS NURSING |ACTUAL QUESTIONS AND
VERIFIED ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
When determining the frequency of contractions, the nurse would measure which of the
following?
a. Start of one contraction to the start of next contraction
b. Beginning of one contraction to the end of the same contraction
c. Peak of one contraction to the peak of the next contraction
d. End of one contraction to the beginning of the next contraction
CORRECT ANSWER
A. Frequency is measured by the start of one contraction to the start of the next one.
Question 2
Which fetal lie is most conducive to a spontaneous vaginal birth?
a. Transverse
b. Longitudinal
C. Perpendicular
D. Oblique
CORRECT ANSWER
B. Longitudinal - places fetus in a vertical position
Question 3
1
,Which of the following observations would suggest that placental separation is occuring?
A. Uterus stops contracting altogether
B. Umbilical cord pulsations stop
C. Uterine shape changes to globular
D. Maternal blood pressure drops
CORRECT ANSWER
C. After the placenta separates from the uterine wall, the shape of the uterus changes
from discoid to globular.
Question 4
As the nurse is explaining the difference between true versus false labor to her childbirth
class, she states that the major difference between them is:
A. Discomfort level is greater with false labor
B. Progressive cervical changes occur in true labor
C. There is a feeling of nausea with false labor
D. There is more fetal movement with true labor
CORRECT ANSWER
B. Progressive cervical changes occur in true labor, not in false labor.
Question 5
The shortest but most intense phase of labor is the:
A. Latent phase
B. Active phase
C. Transition phase
D. Placental expulsion phase
CORRECT ANSWER
2
, C. Transition phase. Is when contractions are 1-2 min apart and the final dilation is taking
place.
Question 6
A laboring woman is admitted to the labor and birth suite at 6 cm dilation. She would be
in which phase of the first stage of labor?
A. Latent
B. Active
C. Transition
D. Early
CORRECT ANSWER
B. Active. In this stage the cervix dilates from 3-7cm with 40-80% effacement occurring.
Question 7
Which assessment would indicate that a woman is in true labor?
A. Membranes are ruptures and fluid is clear.
B. Presenting part is engaged and not floating
C. Cervix is 4 cm dilated, 90% effeced.
D. Contractions last 30 seconds every 5-10 min.
CORRECT ANSWER
D. True labor is characterized by contractions occurring at regular intervals that increase
in frequency, duration, and intensity
Question 8
Interventions that are underutilized in promoting a normal birth. Select all that apply.
3
