NSG 3500 Exam 2 – Comprehensive Study Guide and Practice Questions

This document provides a complete set of study materials for NSG 3500 Exam 2, covering the stages of labor, fetal monitoring, maternal-fetal complications, pain management, and obstetric interventions. It includes 44 multiple-choice questions with correct answers marked, as well as additional case-based and short-answer questions with solutions. Designed for nursing students, this resource serves as both a review guide and a practice test to strengthen knowledge in maternal-newborn nursing and prepare for clinical exams. NSG 3500 EXAM 2 – COMPREHENSIVE STUDY GUIDE AND PRACTICE QUESTIONS 1. What is the longest stage of labor? A. Second B. Third C. First D. Fourth ________________________________________ 2. A woman must be how effaced and dilated to begin pushing? A. 50% effaced and 5cm dilated B. Fully effaced and 8cm dilated C. Fully effaced and 10cm dilated D. 75% effaced and 9cm dilated ________________________________________ 3. Sick role behavior includes either: A. Exercising or sleeping B. Being stoic or showing pain C. Complaining or ignoring symptoms D. Talking or withdrawing ________________________________________ 4. Collaboration with the healthcare team is important. Who is especially important during labor for pain management? A. Midwife B. Doula C. Anesthesiologist D. OB Tech ________________________________________ 5. Where is the typical point of auscultation for fetal heart rate (FHR)? A. Over the fetal abdomen B. Depends on fetal position but usually on fetal back C. Over the maternal heart D. Over the maternal sacrum ________________________________________ 6. Why should vaginal exams during labor be limited? A. They are uncomfortable B. They may cause bleeding C. They introduce bacteria D. They increase contractions ________________________________________ 7. Continuous electronic fetal monitoring (EFM) is indicated for which of the following patients? Select all that apply. A. History of stillbirth B. Multiple gestation C. Preeclampsia D. Low-risk pregnancy ________________________________________ 8. What is required to use internal fetal monitoring? A. Mother must be asleep B. Full bladder C. Ruptured membranes and full dilation D. No prior uterine surgery ________________________________________ 9. Intermittent auscultation of the FHR is most appropriate for: A. High-risk pregnancies B. Emergency situations C. Low-risk births with no risk factors D. Scheduled cesareans ________________________________________ 10. How often should FHR be checked intermittently in the latent phase? A. Every 15 minutes B. Every 60 minutes C. Every 30 minutes D. Every 5 minutes ________________________________________ 11. How often should FHR be checked intermittently in the active phase? A. Every 60 minutes B. Every 30 minutes C. Every 15 minutes D. Every 10 minutes ________________________________________ 12. How often should FHR be checked intermittently during the second stage of labor? A. Every 15 minutes B. Every 10 minutes C. Every 30 minutes D. Every 5 minutes ________________________________________ 13. What are the recommended continuous FHR evaluation intervals? A. Latent: q15min, Active: q30min, Pushing: q5min B. Latent: q60min, Active: q15min, Pushing: q10min C. Latent: q30min , Active: q15min , Pushing: q5min