NUR 230 EXAM 2 STUDY GUIDE 2026
COMPLETE QUESTIONS WITH CORRECT
DETAILED ANSWERS ||
100% GUARANTEED PASS
<RECENT VERSION>
1. A breastfeeding client is day 4 post Cesarean delivery. Current VS are temp.
99.8, RR 20, HR 88, and BP 118/60. What is the priority in this scenario?
A. Massage the fundus
B. Notify the physician
C. Reassess thr client's temp in 30 minutes
D. Assess the client's breasts for engorgement. - ANSWER ✔ D
2. During a postpartum assessment, a cluster of hemorrhoids are noted in a
G1P1 who delivered vaginally with a superficial perineal laceration. Which
of the following would be appropriate for the nurse to include in the
women's health teaching? SATA
A. The client should use a site bath three times a day for relief.
B. The client should apply a topical anesthetic as a relief measure.
C. The client should massage the hemorrhoids daily.
D. The client should be advised that the hemorrhoids will increase in size
and number with each subsequent pregnancy.
E. The client can use the side lying position to relieve pressure on the
hemorrhoids.
F. The client should use witch hazel pads to soothe the area. - ANSWER
✔ A, B, E, F
3. Which is the best intervention to help prevent development of postpartum
thrombophlebitis after an uncomplicated vaginal delivery?
A. Promote adequate oral fluid intake
, B. Promote early and frequent ambulation
C. Place sequential compression devices on all patients
D. Administer subcutaneous low molecular weight heparin - ANSWER
✔B
4. A G6 P4114 is 1/2 hour post spontaneous vaginal delivery of a 440 grams
baby. Initially, which complication should the nurse monitor considering this
patient scenario?
A. Maternal hypoglycemia
B. Maternal hyperglycemia
C. Maternal VTE
D. Maternal uterine atony - ANSWER ✔ D
5. Which of the five P's are essential for labor and birth?
1. Positivity
2. Psyche
3. Position
4. Power
5. Pressure - ANSWER ✔ Psyche, Position, and Power
6. The 5 P's essential for Labor and Birth - ANSWER ✔ 1.
passageway/passage: pelvis and cervix
7. 2. Passenger: fetal head, attitude, lie, and presentation
8. 3. Position: station, engagement, and position
9. 4. Powers: primary and secondary
6. Psyche: emotions, energy, support
10.What factors determine the size and type of maternal pelvis? - ANSWER ✔
Passage or Passageway
,11.What is the ability of the cervix to do during childbirth? - ANSWER ✔
Dilation and effacement
12.What must the vaginal canal and external opening of the vagina do during
childbirth? - ANSWER ✔ Distend
13.Based of the following pelvic and fetal assessment, which should BEST
indicate probable success for a vaginal delivery?
A. Anthropoid
B. Gynecoid
C. Platypelloid
D. Android - ANSWER ✔ B. Gynecoid
14.Which of the following pelvic types would MOST likely lead to cesarean
delivery?
A. Anthropoid
B. Gynecoid
C. Platypelloid
D. Android - ANSWER ✔ C. Platypelloid
15.Which of the following accurately describes the progression of A: cervical
dilation and B: cervical effacement?
1. -5 to +5; 0-10 cm
2. 0-10 cm; 0-100%
3. 0-100%; 0-10 cm
4. 0-100%' -5 to +5 - ANSWER ✔ 2. 0-10 cm; 0-100%
16.Which sign indicates that labor is beginning?
1. involuntary contractions
2. full cervical dilation
3. 100% cervical effacement
, 4. pain in pelvic joints - ANSWER ✔ 1. involuntary contractions
17.What is dilation in cervical changes? - ANSWER ✔ Dilation is the opening
of the cervix, measured from 0 cm (closed) to 10 cm (fully dilated).
18.What is effacement in cervical changes? - ANSWER ✔ Effacement is the
softening, thinning, and shortening of the cervix, measured from 0% (long
and thick) to 100% (fully effaced).
19.Which occurs faster during labor, dilation or effacement? - ANSWER ✔ The
cervix usually dilates faster than it effaces.
20.When caring for a nulliparous client in labor, the nurse knows that the
experience for a nulliparous client is different from that of a multiparous
client in what way?
The nulliparous client experiences less sensory pain during labor.
The nulliparous client experiences greater sensory pain during the second
stage of labor.
The nulliparous client experiences greater fatigue as a result of longer
duration of labor.
The nulliparous client experiences greater affective pain in the second stage
of labor. - ANSWER ✔ The nulliparous client experiences greater fatigue as
a result of longer duration of labor.
21.When assessing uterine activity, the nurse is aware of which consideration?
The examiner's hand should be placed on the fundus before, during, and
after contractions.
The frequency and duration of contractions are measured in seconds for
consistency.
Contraction intensity is given a judgement number of 1-7 by the nurse and
client together.
COMPLETE QUESTIONS WITH CORRECT
DETAILED ANSWERS ||
100% GUARANTEED PASS
<RECENT VERSION>
1. A breastfeeding client is day 4 post Cesarean delivery. Current VS are temp.
99.8, RR 20, HR 88, and BP 118/60. What is the priority in this scenario?
A. Massage the fundus
B. Notify the physician
C. Reassess thr client's temp in 30 minutes
D. Assess the client's breasts for engorgement. - ANSWER ✔ D
2. During a postpartum assessment, a cluster of hemorrhoids are noted in a
G1P1 who delivered vaginally with a superficial perineal laceration. Which
of the following would be appropriate for the nurse to include in the
women's health teaching? SATA
A. The client should use a site bath three times a day for relief.
B. The client should apply a topical anesthetic as a relief measure.
C. The client should massage the hemorrhoids daily.
D. The client should be advised that the hemorrhoids will increase in size
and number with each subsequent pregnancy.
E. The client can use the side lying position to relieve pressure on the
hemorrhoids.
F. The client should use witch hazel pads to soothe the area. - ANSWER
✔ A, B, E, F
3. Which is the best intervention to help prevent development of postpartum
thrombophlebitis after an uncomplicated vaginal delivery?
A. Promote adequate oral fluid intake
, B. Promote early and frequent ambulation
C. Place sequential compression devices on all patients
D. Administer subcutaneous low molecular weight heparin - ANSWER
✔B
4. A G6 P4114 is 1/2 hour post spontaneous vaginal delivery of a 440 grams
baby. Initially, which complication should the nurse monitor considering this
patient scenario?
A. Maternal hypoglycemia
B. Maternal hyperglycemia
C. Maternal VTE
D. Maternal uterine atony - ANSWER ✔ D
5. Which of the five P's are essential for labor and birth?
1. Positivity
2. Psyche
3. Position
4. Power
5. Pressure - ANSWER ✔ Psyche, Position, and Power
6. The 5 P's essential for Labor and Birth - ANSWER ✔ 1.
passageway/passage: pelvis and cervix
7. 2. Passenger: fetal head, attitude, lie, and presentation
8. 3. Position: station, engagement, and position
9. 4. Powers: primary and secondary
6. Psyche: emotions, energy, support
10.What factors determine the size and type of maternal pelvis? - ANSWER ✔
Passage or Passageway
,11.What is the ability of the cervix to do during childbirth? - ANSWER ✔
Dilation and effacement
12.What must the vaginal canal and external opening of the vagina do during
childbirth? - ANSWER ✔ Distend
13.Based of the following pelvic and fetal assessment, which should BEST
indicate probable success for a vaginal delivery?
A. Anthropoid
B. Gynecoid
C. Platypelloid
D. Android - ANSWER ✔ B. Gynecoid
14.Which of the following pelvic types would MOST likely lead to cesarean
delivery?
A. Anthropoid
B. Gynecoid
C. Platypelloid
D. Android - ANSWER ✔ C. Platypelloid
15.Which of the following accurately describes the progression of A: cervical
dilation and B: cervical effacement?
1. -5 to +5; 0-10 cm
2. 0-10 cm; 0-100%
3. 0-100%; 0-10 cm
4. 0-100%' -5 to +5 - ANSWER ✔ 2. 0-10 cm; 0-100%
16.Which sign indicates that labor is beginning?
1. involuntary contractions
2. full cervical dilation
3. 100% cervical effacement
, 4. pain in pelvic joints - ANSWER ✔ 1. involuntary contractions
17.What is dilation in cervical changes? - ANSWER ✔ Dilation is the opening
of the cervix, measured from 0 cm (closed) to 10 cm (fully dilated).
18.What is effacement in cervical changes? - ANSWER ✔ Effacement is the
softening, thinning, and shortening of the cervix, measured from 0% (long
and thick) to 100% (fully effaced).
19.Which occurs faster during labor, dilation or effacement? - ANSWER ✔ The
cervix usually dilates faster than it effaces.
20.When caring for a nulliparous client in labor, the nurse knows that the
experience for a nulliparous client is different from that of a multiparous
client in what way?
The nulliparous client experiences less sensory pain during labor.
The nulliparous client experiences greater sensory pain during the second
stage of labor.
The nulliparous client experiences greater fatigue as a result of longer
duration of labor.
The nulliparous client experiences greater affective pain in the second stage
of labor. - ANSWER ✔ The nulliparous client experiences greater fatigue as
a result of longer duration of labor.
21.When assessing uterine activity, the nurse is aware of which consideration?
The examiner's hand should be placed on the fundus before, during, and
after contractions.
The frequency and duration of contractions are measured in seconds for
consistency.
Contraction intensity is given a judgement number of 1-7 by the nurse and
client together.
