NUR 418 EXAM 2 STUDY GUIDE QUESTIONS WITH COMPLETE ANSWERS.
When assessing a laboring woman's blood pressure, the nurse should:
a. Inflate the cuff at the beginning of a contraction.
b. Check the blood pressure between two contractions.
c. Expect a slight elevation of the blood pressure.
d. Position the woman on her back with her knees bent. - (ANSWER)B
The most appropriate time for the nurse to assist a laboring woman to push is:
a. During the interval between contractions.
b. During first-stage labor.
c. During second-stage labor.
d. Whenever she feels the need. - (ANSWER)C
The abbreviation LOA means that the fetal occiput is:
a. On the examiner's left and in the front ofthe pelvis.
b. In the left front part of the mother's pelvis.
c. Anterior to the fetal breech.
d. Lower than the fetal breech. - (ANSWER)B
Choose the most reliable evidence that true labor has begun.
a. Regular contractions that occur every 15 minutes
b. Change in the amount of cervical thinning
c. Increased ease of breathing with frequent urination
d. A sudden urge to do household tasks - (ANSWER)B
The nurse should note how long the interval between contractions lasts because:
a. Maternal cells restore their glucose levels during the interval.
b. A very short interval requires earlier administration of analgesia.
0. Most exchange of fetal oxygen and waste products occurs at that time.
d. The interval becomes longer as cervical dilation increases. - (ANSWER)C
,NUR 418 EXAM 2 STUDY GUIDE QUESTIONS WITH COMPLETE ANSWERS.
What is the primary benefit ofthe stress of labor to the newborn?
a. It stimulates breathing and elimination of lung fluid.
b. It increases alertness and enhances parent-infant bonding.
c. It speeds peristalsis to eliminate meconium quickly.
d. It enhances tolerance ofmicroorganisms from others. - (ANSWER)A
A station of +1 means that the:
a. Maternal cervix is open 1 cm.
b. Mother's ischial spines project into her pelvis 1 cm.
0. Fetus is unlikely to be born vaginally because the pelvis is small.
d. Fetal presenting part is 1 cm below the mother's ischial spines. - (ANSWER)D
During active labor, the nurse notes the fetal heart rate shows variable decelerations. What is the
nurse's first action?
A. Apply oxygen via nonrebreather mask
B. Reposition the mother to her side
C. Increase the oxytocin infusion
D. Notify the provider immediately - (ANSWER)Correct Answer: B
Rationale: Variable decelerations indicate cord compression; repositioning relieves pressure before
other interventions.
A woman's membranes rupture spontaneously. What is the nurse's priority assessment?
A. Maternal temperature
B. Fetal heart rate
C. Uterine contraction pattern
D. Cervical dilation - (ANSWER)Correct Answer: B
Rationale: FHR is assessed first to detect possible cord prolapse after rupture of membranes.
, NUR 418 EXAM 2 STUDY GUIDE QUESTIONS WITH COMPLETE ANSWERS.
Which maternal response is expected during the transition phase of labor?
A. Relaxation and euphoria
B. Desire to push
C. Irritability and nausea
D. Calm and cooperative behavior - (ANSWER)C
Which finding requires immediate intervention after rupture of membranes?
A. Clear fluid with mild odor
B. Moderate contractions every 4 minutes
C. Fetal heart rate of 90 bpm
D. Maternal report of urge to push - (ANSWER)C
Which fetal heart rate pattern is considered reassuring?
A. Baseline 130 bpm with moderate variability
B. Baseline 100 bpm with minimal variability
C. Baseline 160 bpm with absent variability
D. Baseline 170 bpm with late decelerations - (ANSWER)Correct Answer: ARationale: Moderate
variability and normal baseline (110-160 bpm) indicate adequate oxygenation.
The nurse caring for a client attempting a VBAC (vaginal birth after cesarean) should monitor for which
complication?
A. Precipitous labor
B. Uterine rupture
C. Placenta previa
D. Fetal macrosomia - (ANSWER)Correct Answer: B Rationale: VBAC increases risk for uterine rupture,
especially at previous incision sites.
During admission to L&D, which assessment finding requires provider notification?
A. Blood pressure 130/80 mmHg
B. Temperature 99.2°F (37.3°C)
When assessing a laboring woman's blood pressure, the nurse should:
a. Inflate the cuff at the beginning of a contraction.
b. Check the blood pressure between two contractions.
c. Expect a slight elevation of the blood pressure.
d. Position the woman on her back with her knees bent. - (ANSWER)B
The most appropriate time for the nurse to assist a laboring woman to push is:
a. During the interval between contractions.
b. During first-stage labor.
c. During second-stage labor.
d. Whenever she feels the need. - (ANSWER)C
The abbreviation LOA means that the fetal occiput is:
a. On the examiner's left and in the front ofthe pelvis.
b. In the left front part of the mother's pelvis.
c. Anterior to the fetal breech.
d. Lower than the fetal breech. - (ANSWER)B
Choose the most reliable evidence that true labor has begun.
a. Regular contractions that occur every 15 minutes
b. Change in the amount of cervical thinning
c. Increased ease of breathing with frequent urination
d. A sudden urge to do household tasks - (ANSWER)B
The nurse should note how long the interval between contractions lasts because:
a. Maternal cells restore their glucose levels during the interval.
b. A very short interval requires earlier administration of analgesia.
0. Most exchange of fetal oxygen and waste products occurs at that time.
d. The interval becomes longer as cervical dilation increases. - (ANSWER)C
,NUR 418 EXAM 2 STUDY GUIDE QUESTIONS WITH COMPLETE ANSWERS.
What is the primary benefit ofthe stress of labor to the newborn?
a. It stimulates breathing and elimination of lung fluid.
b. It increases alertness and enhances parent-infant bonding.
c. It speeds peristalsis to eliminate meconium quickly.
d. It enhances tolerance ofmicroorganisms from others. - (ANSWER)A
A station of +1 means that the:
a. Maternal cervix is open 1 cm.
b. Mother's ischial spines project into her pelvis 1 cm.
0. Fetus is unlikely to be born vaginally because the pelvis is small.
d. Fetal presenting part is 1 cm below the mother's ischial spines. - (ANSWER)D
During active labor, the nurse notes the fetal heart rate shows variable decelerations. What is the
nurse's first action?
A. Apply oxygen via nonrebreather mask
B. Reposition the mother to her side
C. Increase the oxytocin infusion
D. Notify the provider immediately - (ANSWER)Correct Answer: B
Rationale: Variable decelerations indicate cord compression; repositioning relieves pressure before
other interventions.
A woman's membranes rupture spontaneously. What is the nurse's priority assessment?
A. Maternal temperature
B. Fetal heart rate
C. Uterine contraction pattern
D. Cervical dilation - (ANSWER)Correct Answer: B
Rationale: FHR is assessed first to detect possible cord prolapse after rupture of membranes.
, NUR 418 EXAM 2 STUDY GUIDE QUESTIONS WITH COMPLETE ANSWERS.
Which maternal response is expected during the transition phase of labor?
A. Relaxation and euphoria
B. Desire to push
C. Irritability and nausea
D. Calm and cooperative behavior - (ANSWER)C
Which finding requires immediate intervention after rupture of membranes?
A. Clear fluid with mild odor
B. Moderate contractions every 4 minutes
C. Fetal heart rate of 90 bpm
D. Maternal report of urge to push - (ANSWER)C
Which fetal heart rate pattern is considered reassuring?
A. Baseline 130 bpm with moderate variability
B. Baseline 100 bpm with minimal variability
C. Baseline 160 bpm with absent variability
D. Baseline 170 bpm with late decelerations - (ANSWER)Correct Answer: ARationale: Moderate
variability and normal baseline (110-160 bpm) indicate adequate oxygenation.
The nurse caring for a client attempting a VBAC (vaginal birth after cesarean) should monitor for which
complication?
A. Precipitous labor
B. Uterine rupture
C. Placenta previa
D. Fetal macrosomia - (ANSWER)Correct Answer: B Rationale: VBAC increases risk for uterine rupture,
especially at previous incision sites.
During admission to L&D, which assessment finding requires provider notification?
A. Blood pressure 130/80 mmHg
B. Temperature 99.2°F (37.3°C)
