INTRAPARTUM EXAM 2 NCLEX QUESTIONS WITH COMPLETE
AND ACCURATE SOLUTIONS.
1) A nurse is caring for a laboring woman who is in transition. Which of the following
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
signs/symptoms would indicate that the woman is progressing into the second stage
_ _ _ _ _ _ _ _ _ _ _ _
of labor? Select all that apply
_ _ _ _ _
a. bulging perineum _
b. increased bloody show _ _
c. spontaneous rupture of the membranes _ _ _ _
d. uncontrollable urge to push _ _ _
e. inability to breath through contractions -- Correct Answer ✔✔ a, b, d
_ _ _ _ _ _ _ _ _ _ _
2) During a vaginal examination, the nurse palpates fetal buttocks that are facing the left
_ _ _ _ _ _ _ _ _ _ _ _ _ _
posterior and are 1 cm above the ischial spines. Which of the following is consistent
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
with this assessment?
_ _
a. LOA -1 station _ _
b. LSP -1 station
_ _
c. LMP +1 station
_ _
d. LSA +1 station -- Correct Answer ✔✔ b
_ _ _ _ _ _ _
3) The nurse enters a laboring client's room. The client is complaining of intense back
_ _ _ _ _ _ _ _ _ _ _ _ _ _
pain with each contraction. The nurse concludes that the fetus is likely in which of the
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
following positions?
_ _
a. mentum anterior _
b. sacrum posterior _
c. occiput posterior _
d. scapula anterior -- Correct Answer ✔✔ c
_ _ _ _ _ _
,4) When performing Leopold's maneuvers, the nurse notes that the fetus is in the left
_ _ _ _ _ _ _ _ _ _ _ _ _ _
occiput anterior position. Which is the best position for the nurse to place a
_ _ _ _ _ _ _ _ _ _ _ _ _ _
fetoscope to hear the fetal heartbeats.
_ _ _ _ _
a. left upper quadrant _ _
b. right upper quadrant _ _
c. left lower quadrant _ _
d. right lower quadrant -- Correct Answer ✔✔ c
_ _ _ _ _ _ _
5) On examination, it is noted that a full-term primipara in active labor is right
_ _ _ _ _ _ _ _ _ _ _ _ _ _
occipitoanterior (ROA), 7 cm dilated, and 3+ station. Which of the following should
_ _ _ _ _ _ _ _ _ _ _ _ _
the nurse report to the physician?
_ _ _ _ _
a. descent is progressing well _ _ _
b. fetal head is not yet engaged
_ _ _ _ _
c. vaginal delivery is imminent _ _ _
d. external rotation is complete -- Correct Answer ✔✔ a _ _ _ _ _ _ _ _
6) One hour ago, a multipara was examined with the following results: 8 cm, 50%
_ _ _ _ _ _ _ _ _ _ _ _ _ _
effaced, and +1 station. She is now pushing with contractions and the fetal head is
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
seen at the vaginal introitus. The nurse concludes that the client is now
_ _ _ _ _ _ _ _ _ _ _ _
a. 9 cm dilated, 70% effaced, and +2 station
_ _ _ _ _ _ _
b. 9 cm dilated, 80% effaced, and +3 station
_ _ _ _ _ _ _
c. 10 cm dilated, 90% effaced, and +4 station
_ _ _ _ _ _ _
d. 10 cm dilated, 100% effaced, and +5 station -- Correct Answer ✔✔ d
_ _ _ _ _ _ _ _ _ _ _ _
7) The nurse is caring for a nulliparous client who attended Lamaze childbirth education
_ _ _ _ _ _ _ _ _ _ _ _ _
classes. Which of the following techniques should the nurse include in her plan of
_ _ _ _ _ _ _ _ _ _ _ _ _ _
care? Select all that apply
_ _ _ _
a. hypotonic suggestion _
b. rhythmic chanting _
c. muscle relaxation _ _
d. pelvic rocking _
e. abdominal massage -- Correct Answer ✔✔ c, d, e _ _ _ _ _ _ _ _
, 8) Which of the following responses is the primary rationale for the inclusion of the
_ _ _ _ _ _ _ _ _ _ _ _ _ _
information taught in childbirth education classes?
_ _ _ _ _
a. mothers who are performing breathing exercises during labor refrain from
_ _ _ _ _ _ _ _ _ _
yelling
b. breathing and relaxation exercises are less exhausting than crying and
_ _ _ _ _ _ _ _ _ _
moaning
c. knowledge learned at childbirth education classes helps to break the fear-
_ _ _ _ _ _ _ _ _ _
tension-pain cycle _
d. childbirth education classes help to promote positive maternal-newborn
_ _ _ _ _ _ _ _
bonding -- Correct Answer ✔✔ c
_ _ _ _ _
9)
_ -- _
Correct Answer ✔✔ 4
_ _ _
AND ACCURATE SOLUTIONS.
1) A nurse is caring for a laboring woman who is in transition. Which of the following
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
signs/symptoms would indicate that the woman is progressing into the second stage
_ _ _ _ _ _ _ _ _ _ _ _
of labor? Select all that apply
_ _ _ _ _
a. bulging perineum _
b. increased bloody show _ _
c. spontaneous rupture of the membranes _ _ _ _
d. uncontrollable urge to push _ _ _
e. inability to breath through contractions -- Correct Answer ✔✔ a, b, d
_ _ _ _ _ _ _ _ _ _ _
2) During a vaginal examination, the nurse palpates fetal buttocks that are facing the left
_ _ _ _ _ _ _ _ _ _ _ _ _ _
posterior and are 1 cm above the ischial spines. Which of the following is consistent
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
with this assessment?
_ _
a. LOA -1 station _ _
b. LSP -1 station
_ _
c. LMP +1 station
_ _
d. LSA +1 station -- Correct Answer ✔✔ b
_ _ _ _ _ _ _
3) The nurse enters a laboring client's room. The client is complaining of intense back
_ _ _ _ _ _ _ _ _ _ _ _ _ _
pain with each contraction. The nurse concludes that the fetus is likely in which of the
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
following positions?
_ _
a. mentum anterior _
b. sacrum posterior _
c. occiput posterior _
d. scapula anterior -- Correct Answer ✔✔ c
_ _ _ _ _ _
,4) When performing Leopold's maneuvers, the nurse notes that the fetus is in the left
_ _ _ _ _ _ _ _ _ _ _ _ _ _
occiput anterior position. Which is the best position for the nurse to place a
_ _ _ _ _ _ _ _ _ _ _ _ _ _
fetoscope to hear the fetal heartbeats.
_ _ _ _ _
a. left upper quadrant _ _
b. right upper quadrant _ _
c. left lower quadrant _ _
d. right lower quadrant -- Correct Answer ✔✔ c
_ _ _ _ _ _ _
5) On examination, it is noted that a full-term primipara in active labor is right
_ _ _ _ _ _ _ _ _ _ _ _ _ _
occipitoanterior (ROA), 7 cm dilated, and 3+ station. Which of the following should
_ _ _ _ _ _ _ _ _ _ _ _ _
the nurse report to the physician?
_ _ _ _ _
a. descent is progressing well _ _ _
b. fetal head is not yet engaged
_ _ _ _ _
c. vaginal delivery is imminent _ _ _
d. external rotation is complete -- Correct Answer ✔✔ a _ _ _ _ _ _ _ _
6) One hour ago, a multipara was examined with the following results: 8 cm, 50%
_ _ _ _ _ _ _ _ _ _ _ _ _ _
effaced, and +1 station. She is now pushing with contractions and the fetal head is
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
seen at the vaginal introitus. The nurse concludes that the client is now
_ _ _ _ _ _ _ _ _ _ _ _
a. 9 cm dilated, 70% effaced, and +2 station
_ _ _ _ _ _ _
b. 9 cm dilated, 80% effaced, and +3 station
_ _ _ _ _ _ _
c. 10 cm dilated, 90% effaced, and +4 station
_ _ _ _ _ _ _
d. 10 cm dilated, 100% effaced, and +5 station -- Correct Answer ✔✔ d
_ _ _ _ _ _ _ _ _ _ _ _
7) The nurse is caring for a nulliparous client who attended Lamaze childbirth education
_ _ _ _ _ _ _ _ _ _ _ _ _
classes. Which of the following techniques should the nurse include in her plan of
_ _ _ _ _ _ _ _ _ _ _ _ _ _
care? Select all that apply
_ _ _ _
a. hypotonic suggestion _
b. rhythmic chanting _
c. muscle relaxation _ _
d. pelvic rocking _
e. abdominal massage -- Correct Answer ✔✔ c, d, e _ _ _ _ _ _ _ _
, 8) Which of the following responses is the primary rationale for the inclusion of the
_ _ _ _ _ _ _ _ _ _ _ _ _ _
information taught in childbirth education classes?
_ _ _ _ _
a. mothers who are performing breathing exercises during labor refrain from
_ _ _ _ _ _ _ _ _ _
yelling
b. breathing and relaxation exercises are less exhausting than crying and
_ _ _ _ _ _ _ _ _ _
moaning
c. knowledge learned at childbirth education classes helps to break the fear-
_ _ _ _ _ _ _ _ _ _
tension-pain cycle _
d. childbirth education classes help to promote positive maternal-newborn
_ _ _ _ _ _ _ _
bonding -- Correct Answer ✔✔ c
_ _ _ _ _
9)
_ -- _
Correct Answer ✔✔ 4
_ _ _
