NORTHERN VIRGINIA COMMUNITY COLLEGE (NOVA)
NSG 210 EXAM 1 2025.2026 LATEST MATERNAL-NEWBORN
FOCUS QUESTION AND ANSWER SOLVED BY EXPERT
TUTORS GRADED A+
The heath care provider has prescribed prostaglandin gel to be administered vaginally to a
newly admitted mother. Which finding indicates that the client has had a therapeutic
response to the medication?
1. Resting period of 2 minutes between contractions
2. Decrease nausea and vomiting
3. Softening of the cervix and beginning of effacement
4. Leaking of clear amniotic fluid in small amounts
Answer 3
Prostaglandin gel may be used for cervical ripening before the induction of labor with oxytocin.
It is usually administered by catheter or suppository or by vaginal insertion. Two or three doses
are usually needed to begin the softening process.
A primigravida client in the second stage of labor feels the urge to push. The client has had no
analgesia or anesthesia. Anatomically, which would be the best position for the client to
assume?
1. Dorsal recumbent
2. Lithotomy
3. Hands and knees
4. Squatting
Answer 4
Anatomically, the best position for the client to assume is the squatting position because this
enhances pelvic diameters and allows gravity to assist in the expulsion stage of labor. This
position also provides for natural pressure anesthesia as the fetal presenting part presses on
the stretched perineum.
,A 24-year-old primigravid client who gives birth to a viable term neonate is in the third stage
of labor. Which sign would indicate to the nurse that the placenta is about to be delivered?
1. The cord lengthens outside the vagina
2. There is a decrease in vaginal bleeding
3. The uterus cannot be palpated
4. The uterus changes to discoid shape
Answer 1
The most reliable sign the placenta has detached from the uterine wall is lengthening of the
cord outside the vagina. Other signs include a sudden gush of (not decrease) vaginal blood.
After a lengthy labor process a primigravid client gives birth to a healthy newborn boy with a
moderate amount of skull molding. What information would the nurse include when
explaining to the patient about the condition?
1. It is typically seen with breech births
2. It usually last a few days before resolving
3. It is typically when the brow is the presenting part
4. Surgical intervention may be necessary to relieve the pressure
Answer 2
Molding occurs with vaginal births and is commonly seen in newborns. This is especially true
with primigravid clients experiencing a lengthy labor process. Parents need to be reassured that
is not permanent and that it typically last a day or tow before resolving.
The nurse is performing a vaginal examination on a client in labor. The nurse finds the fetal
presenting part 1 cm above the ischial spines. How should the nurse document the fetal
position?
1. -1
2. +1
3. Engaged
4. Floating
Answer 1
If presenting part is above the ischial spines 1 cm, the station is -1. If the presenting part is 1 cm
below the ischial spines, the station is +1. Engaged and floating are not descriptive of station.
, A multigravida client is admitted at 4-cm dilated and is requesting pain medication. The nurse
gives the client an opioid medication. Within 5 minutes, the client tells the nurse she feels like
she needs to have a bowel movement. What should the nurse do first?
1. Have naloxone available in the birthing room
2. Complete a vaginal exam
3. Prepare for birth
4. Document the client's relief due to pain medication
Answer 2
The feeling of needing to have a bowel movement is commonly caused by pressure on
receptors low in the perineum when the fetal head is creating pressure on them. This feeling
usually indicates advances in fetal station and that the client may be close to birth. The nurse
should respond initially by completing a vaginal exam to validate current effacement, dilation
and station.
Assessment of a primigravid client reveals cervical dilation at 8 cm and complete effacement.
The client has severe back pain during this phase of labor. The nurse explains that the client's
severe back pain is most likely caused by the fetal occiput being in which position.
1. Breech
2. Transverse
3. Posterior
4. Anterior
Answer 3
When the client has severe back pain during labor, the fetus is most likely in an
occipitoposterior position. This means that the fetal head presses against the client's sacrum,
causing marked discomfort during contractions.
Assessment of a primigravid client in active labor who has had no analgesia or anesthesia
reveals complete cervical effacement, dilation of 8 cm, and the fetus at 0 station. The nurse
should expect the client to exhibit which behavior during this phase of active labor?
1. Excitement
2. Loss of control
3. Numbness of the legs
4. Feelings of relief
NSG 210 EXAM 1 2025.2026 LATEST MATERNAL-NEWBORN
FOCUS QUESTION AND ANSWER SOLVED BY EXPERT
TUTORS GRADED A+
The heath care provider has prescribed prostaglandin gel to be administered vaginally to a
newly admitted mother. Which finding indicates that the client has had a therapeutic
response to the medication?
1. Resting period of 2 minutes between contractions
2. Decrease nausea and vomiting
3. Softening of the cervix and beginning of effacement
4. Leaking of clear amniotic fluid in small amounts
Answer 3
Prostaglandin gel may be used for cervical ripening before the induction of labor with oxytocin.
It is usually administered by catheter or suppository or by vaginal insertion. Two or three doses
are usually needed to begin the softening process.
A primigravida client in the second stage of labor feels the urge to push. The client has had no
analgesia or anesthesia. Anatomically, which would be the best position for the client to
assume?
1. Dorsal recumbent
2. Lithotomy
3. Hands and knees
4. Squatting
Answer 4
Anatomically, the best position for the client to assume is the squatting position because this
enhances pelvic diameters and allows gravity to assist in the expulsion stage of labor. This
position also provides for natural pressure anesthesia as the fetal presenting part presses on
the stretched perineum.
,A 24-year-old primigravid client who gives birth to a viable term neonate is in the third stage
of labor. Which sign would indicate to the nurse that the placenta is about to be delivered?
1. The cord lengthens outside the vagina
2. There is a decrease in vaginal bleeding
3. The uterus cannot be palpated
4. The uterus changes to discoid shape
Answer 1
The most reliable sign the placenta has detached from the uterine wall is lengthening of the
cord outside the vagina. Other signs include a sudden gush of (not decrease) vaginal blood.
After a lengthy labor process a primigravid client gives birth to a healthy newborn boy with a
moderate amount of skull molding. What information would the nurse include when
explaining to the patient about the condition?
1. It is typically seen with breech births
2. It usually last a few days before resolving
3. It is typically when the brow is the presenting part
4. Surgical intervention may be necessary to relieve the pressure
Answer 2
Molding occurs with vaginal births and is commonly seen in newborns. This is especially true
with primigravid clients experiencing a lengthy labor process. Parents need to be reassured that
is not permanent and that it typically last a day or tow before resolving.
The nurse is performing a vaginal examination on a client in labor. The nurse finds the fetal
presenting part 1 cm above the ischial spines. How should the nurse document the fetal
position?
1. -1
2. +1
3. Engaged
4. Floating
Answer 1
If presenting part is above the ischial spines 1 cm, the station is -1. If the presenting part is 1 cm
below the ischial spines, the station is +1. Engaged and floating are not descriptive of station.
, A multigravida client is admitted at 4-cm dilated and is requesting pain medication. The nurse
gives the client an opioid medication. Within 5 minutes, the client tells the nurse she feels like
she needs to have a bowel movement. What should the nurse do first?
1. Have naloxone available in the birthing room
2. Complete a vaginal exam
3. Prepare for birth
4. Document the client's relief due to pain medication
Answer 2
The feeling of needing to have a bowel movement is commonly caused by pressure on
receptors low in the perineum when the fetal head is creating pressure on them. This feeling
usually indicates advances in fetal station and that the client may be close to birth. The nurse
should respond initially by completing a vaginal exam to validate current effacement, dilation
and station.
Assessment of a primigravid client reveals cervical dilation at 8 cm and complete effacement.
The client has severe back pain during this phase of labor. The nurse explains that the client's
severe back pain is most likely caused by the fetal occiput being in which position.
1. Breech
2. Transverse
3. Posterior
4. Anterior
Answer 3
When the client has severe back pain during labor, the fetus is most likely in an
occipitoposterior position. This means that the fetal head presses against the client's sacrum,
causing marked discomfort during contractions.
Assessment of a primigravid client in active labor who has had no analgesia or anesthesia
reveals complete cervical effacement, dilation of 8 cm, and the fetus at 0 station. The nurse
should expect the client to exhibit which behavior during this phase of active labor?
1. Excitement
2. Loss of control
3. Numbness of the legs
4. Feelings of relief
