NURN 218 Exam 1 Practice
Questions With Complete
Solutions
Urinary frequency is more common in which trimester? - Answer 1st trimester
The pregnant patient reports uterine contractions every 8 minutes, that are mild in
intensity. Her cervical exam is 4 cm dilation/80% effaced/-2 station. Which conclusion
should the nurse make based on this information?
a) The patient is in the latent phase of labor
b) The patient is experiencing false labor
c) The patient is experiencing the active phase of labor
d) The patient is experiencing lightening - Answer a) The patient is in the latent phase of
labor
While caring for a G3P2 term client in labor, FHR assessment via an external fetal
monitor reveals the following: Baseline rate 124, moderate variability, accelerations and
early decelerations. You interpret this finding as:
a) Category 1 tracing, reassuring
b) Category 3 tracing; nonreassuring
c) Cord compression
d) Fetal hypoxia - Answer a) Category 1 tracing, reassuring
A nurse caring for a client who is in active labor with no complications should perform
FHR assessments how often?
a) Every 15 minutes
b) Every 20 minutes
c) Every 30 minutes
d) Every 60 minutes - Answer c) Every 30 minutes
The most favorable pelvic types for a vaginal delivery are android and platypelloid
, a) True
b) False - Answer b) False - the most favorable are gynecoid and anthropoid
During a cervical examination of a laboring client, the station was documented as a
"+1". Choose the statement below that explains this notation.
a) The cervix id dilated 1 cm in diameter
b) The mother is entering the first stage of labor
c) The fetal presenting part is 1 cm above the ischial spines of the maternal pelvis
d) The fetal presenting part is 1 cm below the ischial spines of the maternal pelvis -
Answer d) The fetal presenting part is 1 cm below the ischial spines of the maternal
pelvis
Leopold's maneuvers are performed to determine:
a) Fetal position and presentation
b) Cervical readiness for induction
c) Maternal maneuvers during labor
d) Where the incision will be for a cesarean birth - Answer a) Fetal position and
presentation
A cephalic presentation refers to which of the following?
a) The fetal sacrum is the presenting part
b) The fetal head is the presenting part
c) The fetal shoulder is the presenting part
d) The fetal feet are the presenting part - Answer b) The fetal head is the presenting part
The nursing care priority during the fourth stage of labor is:
a) Frequent monitoring of uterine activity and FHR
b) Administering Pitocin as soon as the placenta is delivered
c) Coaching and assisting the mother with positioning during the birth
d) Frequent fundal assessments to prevent hemorrhage - Answer d) Frequent fundal
assessments to prevent hemorrhage
The frequency of a contraction is measured from the end of one contraction to the
beginning of the next
Questions With Complete
Solutions
Urinary frequency is more common in which trimester? - Answer 1st trimester
The pregnant patient reports uterine contractions every 8 minutes, that are mild in
intensity. Her cervical exam is 4 cm dilation/80% effaced/-2 station. Which conclusion
should the nurse make based on this information?
a) The patient is in the latent phase of labor
b) The patient is experiencing false labor
c) The patient is experiencing the active phase of labor
d) The patient is experiencing lightening - Answer a) The patient is in the latent phase of
labor
While caring for a G3P2 term client in labor, FHR assessment via an external fetal
monitor reveals the following: Baseline rate 124, moderate variability, accelerations and
early decelerations. You interpret this finding as:
a) Category 1 tracing, reassuring
b) Category 3 tracing; nonreassuring
c) Cord compression
d) Fetal hypoxia - Answer a) Category 1 tracing, reassuring
A nurse caring for a client who is in active labor with no complications should perform
FHR assessments how often?
a) Every 15 minutes
b) Every 20 minutes
c) Every 30 minutes
d) Every 60 minutes - Answer c) Every 30 minutes
The most favorable pelvic types for a vaginal delivery are android and platypelloid
, a) True
b) False - Answer b) False - the most favorable are gynecoid and anthropoid
During a cervical examination of a laboring client, the station was documented as a
"+1". Choose the statement below that explains this notation.
a) The cervix id dilated 1 cm in diameter
b) The mother is entering the first stage of labor
c) The fetal presenting part is 1 cm above the ischial spines of the maternal pelvis
d) The fetal presenting part is 1 cm below the ischial spines of the maternal pelvis -
Answer d) The fetal presenting part is 1 cm below the ischial spines of the maternal
pelvis
Leopold's maneuvers are performed to determine:
a) Fetal position and presentation
b) Cervical readiness for induction
c) Maternal maneuvers during labor
d) Where the incision will be for a cesarean birth - Answer a) Fetal position and
presentation
A cephalic presentation refers to which of the following?
a) The fetal sacrum is the presenting part
b) The fetal head is the presenting part
c) The fetal shoulder is the presenting part
d) The fetal feet are the presenting part - Answer b) The fetal head is the presenting part
The nursing care priority during the fourth stage of labor is:
a) Frequent monitoring of uterine activity and FHR
b) Administering Pitocin as soon as the placenta is delivered
c) Coaching and assisting the mother with positioning during the birth
d) Frequent fundal assessments to prevent hemorrhage - Answer d) Frequent fundal
assessments to prevent hemorrhage
The frequency of a contraction is measured from the end of one contraction to the
beginning of the next
