1
NSG550 / NSG 550 EXAM 2 (LATEST2025
UPDATE): DIAGNOSTIC REASONING FOR NURSE
PRACTITIONERS | QUESTIONS AND VERIFIED
ANSWERS | GRADE A+ - WILKES
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
2
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 non pharmacological
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.
What type of anesthesia is a spinal epidural classified as?
a) Local
b) General
c) Regional
d) Topical
c) Regional
Methotrexate is recommended as part of the treatment plan for which obstetric
complication?
a) Gestational diabetes
b) Unruptured ectopic pregnancy
c) Severe preeclampsia
d) Placental abruption
3
b) Unruptured ectopic pregnancy
A biophysical profile (BPP) cannot determine which of the following?
a) Fetal tone
b) Amniotic fluid volume
c) Fetal weight
d) Fetal breathing movements
c) Fetal weight
A woman in preterm labor at 30 weeks of gestation receives two 12-mg doses of
betamethasone intramuscularly. The purpose of this pharmacologic treatment is
to:
a) Stimulate fetal surfactant production.
b) Reduce maternal and fetal tachycardia associated with ritodrine
administration.
c) Suppress uterine contractions.
d) Maintain adequate maternal respiratory effort and ventilation during
magnesium sulfate therapy.
a) Stimulate fetal surfactant production
During fetal anemia, what might the nurse hear on fetal heart monitoring?
a) Tachycardia
b) Bradycardia
c) Regular rhythm
d) Sinusoidal rhythm
d) Sinusoidal rhythm
What do primary powers during labor do?
a) Promote maternal comfort and relaxation.
b) Involve voluntary pushing during the second stage of labor.
c) Involve dilation and effacement of the cervix.
d) Control the maternal heart rate and blood pressure.
c) Involve dilation and effacement of the cervix.
The alpha-fetoprotein (AFP) test is primarily used to detect which of the
NSG550 / NSG 550 EXAM 2 (LATEST2025
UPDATE): DIAGNOSTIC REASONING FOR NURSE
PRACTITIONERS | QUESTIONS AND VERIFIED
ANSWERS | GRADE A+ - WILKES
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
2
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 non pharmacological
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.
What type of anesthesia is a spinal epidural classified as?
a) Local
b) General
c) Regional
d) Topical
c) Regional
Methotrexate is recommended as part of the treatment plan for which obstetric
complication?
a) Gestational diabetes
b) Unruptured ectopic pregnancy
c) Severe preeclampsia
d) Placental abruption
3
b) Unruptured ectopic pregnancy
A biophysical profile (BPP) cannot determine which of the following?
a) Fetal tone
b) Amniotic fluid volume
c) Fetal weight
d) Fetal breathing movements
c) Fetal weight
A woman in preterm labor at 30 weeks of gestation receives two 12-mg doses of
betamethasone intramuscularly. The purpose of this pharmacologic treatment is
to:
a) Stimulate fetal surfactant production.
b) Reduce maternal and fetal tachycardia associated with ritodrine
administration.
c) Suppress uterine contractions.
d) Maintain adequate maternal respiratory effort and ventilation during
magnesium sulfate therapy.
a) Stimulate fetal surfactant production
During fetal anemia, what might the nurse hear on fetal heart monitoring?
a) Tachycardia
b) Bradycardia
c) Regular rhythm
d) Sinusoidal rhythm
d) Sinusoidal rhythm
What do primary powers during labor do?
a) Promote maternal comfort and relaxation.
b) Involve voluntary pushing during the second stage of labor.
c) Involve dilation and effacement of the cervix.
d) Control the maternal heart rate and blood pressure.
c) Involve dilation and effacement of the cervix.
The alpha-fetoprotein (AFP) test is primarily used to detect which of the
