NUR2513 EXAM 2 STUDY GUIDE QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2025
1. What is the normal fetal heart rate range during labor?
a) 80–120 bpm
b) 110–160 bpm
c) 160–200 bpm
d) 100–140 bpm
b) 110–160 bpm
The normal fetal heart rate typically ranges from 110 to 160 beats per minute.
2. What is the primary purpose of administering oxytocin during labor?
a) To reduce pain
b) To induce or augment labor contractions
c) To relax the uterus
d) To prevent hemorrhage after delivery
b) To induce or augment labor contractions
Oxytocin stimulates uterine contractions to either start labor or strengthen
weak contractions.
3. Which stage of labor is characterized by complete cervical dilation and ends
with delivery of the baby?
a) First stage
, b) Second stage
c) Third stage
d) Fourth stage
b) Second stage
The second stage of labor begins with full cervical dilation and ends with the
birth of the baby.
4. What is the priority nursing intervention immediately after delivery of the
placenta?
a) Administer pain medication
b) Assess uterine tone and bleeding
c) Begin breastfeeding
d) Monitor fetal heart rate
b) Assess uterine tone and bleeding
Assessing uterine tone ensures the uterus is contracting properly to prevent
hemorrhage.
5. Which sign indicates potential placental abruption?
a) Painless vaginal bleeding
b) Bright red vaginal bleeding with no pain
c) Sudden onset of severe abdominal pain with dark vaginal bleeding
d) Gradual increase in contractions
c) Sudden onset of severe abdominal pain with dark vaginal bleeding
Placental abruption usually causes sudden pain and dark bleeding due to
premature separation of the placenta.
, 6. During a non-stress test (NST), what indicates fetal well-being?
a) No fetal heart rate accelerations
b) At least two accelerations of 15 bpm lasting 15 seconds within 20
minutes
c) Decreased fetal movement
d) A steady baseline fetal heart rate of 90 bpm
b) At least two accelerations of 15 bpm lasting 15 seconds within 20 minutes
This reactive NST pattern reflects adequate fetal oxygenation and neurological
function.
7. What is the expected fundal height at 28 weeks gestation?
a) 20 cm
b) 24 cm
c) 28 cm
d) 32 cm
c) 28 cm
Fundal height in centimeters usually corresponds to the number of weeks
gestation between 18 and 30 weeks.
8. Which condition is characterized by hypertension, proteinuria, and edema
after 20 weeks gestation?
a) Gestational diabetes
b) Ectopic pregnancy
c) Preeclampsia
d) Placenta previa
, c) Preeclampsia
Preeclampsia involves high blood pressure and proteinuria after 20 weeks, with
possible edema.
9. What medication is typically given to prevent neonatal hemorrhagic
disease?
a) Vitamin C
b) Vitamin D
c) Vitamin K
d) Iron supplement
c) Vitamin K
Vitamin K is administered to newborns to promote clotting and prevent
hemorrhagic disease.
10. What is the most common site for intramuscular injections in infants?
a) Deltoid
b) Vastus lateralis
c) Gluteus maximus
d) Dorsogluteal
b) Vastus lateralis
The vastus lateralis is the preferred IM site for infants due to muscle
development and safety.
11. Which reflex is assessed by stroking the infant’s cheek and observing head
turning toward the stimulus?
a) Moro reflex
b) Rooting reflex
ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2025
1. What is the normal fetal heart rate range during labor?
a) 80–120 bpm
b) 110–160 bpm
c) 160–200 bpm
d) 100–140 bpm
b) 110–160 bpm
The normal fetal heart rate typically ranges from 110 to 160 beats per minute.
2. What is the primary purpose of administering oxytocin during labor?
a) To reduce pain
b) To induce or augment labor contractions
c) To relax the uterus
d) To prevent hemorrhage after delivery
b) To induce or augment labor contractions
Oxytocin stimulates uterine contractions to either start labor or strengthen
weak contractions.
3. Which stage of labor is characterized by complete cervical dilation and ends
with delivery of the baby?
a) First stage
, b) Second stage
c) Third stage
d) Fourth stage
b) Second stage
The second stage of labor begins with full cervical dilation and ends with the
birth of the baby.
4. What is the priority nursing intervention immediately after delivery of the
placenta?
a) Administer pain medication
b) Assess uterine tone and bleeding
c) Begin breastfeeding
d) Monitor fetal heart rate
b) Assess uterine tone and bleeding
Assessing uterine tone ensures the uterus is contracting properly to prevent
hemorrhage.
5. Which sign indicates potential placental abruption?
a) Painless vaginal bleeding
b) Bright red vaginal bleeding with no pain
c) Sudden onset of severe abdominal pain with dark vaginal bleeding
d) Gradual increase in contractions
c) Sudden onset of severe abdominal pain with dark vaginal bleeding
Placental abruption usually causes sudden pain and dark bleeding due to
premature separation of the placenta.
, 6. During a non-stress test (NST), what indicates fetal well-being?
a) No fetal heart rate accelerations
b) At least two accelerations of 15 bpm lasting 15 seconds within 20
minutes
c) Decreased fetal movement
d) A steady baseline fetal heart rate of 90 bpm
b) At least two accelerations of 15 bpm lasting 15 seconds within 20 minutes
This reactive NST pattern reflects adequate fetal oxygenation and neurological
function.
7. What is the expected fundal height at 28 weeks gestation?
a) 20 cm
b) 24 cm
c) 28 cm
d) 32 cm
c) 28 cm
Fundal height in centimeters usually corresponds to the number of weeks
gestation between 18 and 30 weeks.
8. Which condition is characterized by hypertension, proteinuria, and edema
after 20 weeks gestation?
a) Gestational diabetes
b) Ectopic pregnancy
c) Preeclampsia
d) Placenta previa
, c) Preeclampsia
Preeclampsia involves high blood pressure and proteinuria after 20 weeks, with
possible edema.
9. What medication is typically given to prevent neonatal hemorrhagic
disease?
a) Vitamin C
b) Vitamin D
c) Vitamin K
d) Iron supplement
c) Vitamin K
Vitamin K is administered to newborns to promote clotting and prevent
hemorrhagic disease.
10. What is the most common site for intramuscular injections in infants?
a) Deltoid
b) Vastus lateralis
c) Gluteus maximus
d) Dorsogluteal
b) Vastus lateralis
The vastus lateralis is the preferred IM site for infants due to muscle
development and safety.
11. Which reflex is assessed by stroking the infant’s cheek and observing head
turning toward the stimulus?
a) Moro reflex
b) Rooting reflex
