Page 1 of 45
“MATERNAL CHILD NURSING CARE
UNCOMPLICATED LABOR & DELIVERY 2026
”LATEST EXAM 2026 – 2027 SOLVED
QUESTIONS & ANSWERS VERIFIED 100%
GRADED A+ (LATEST VERSION) WELL REVISED
100% GUARANTEE PASS
Maternal Child Nursing Care Uncomplicated Labor & Delivery
The nurse is teaching a patient, who is pregnant for the first time, about the
signals that indicate the beginning of labor. Which sign will the nurse mention
as a signal for the beginning of labor?
1
Involuntary contractions
2
Pain in the pelvic joints
3
100% effacement of the cervix
4
Full dilation of the cervix
1. Involuntary contractions
The nurse knows that the second stage of labor has begun when:
1
the amniotic membranes rupture.
2
full cervical dilation has occurred.
3
the woman experiences an urge to bear down.
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4
the presenting part is below the ischial spines.
2
The second stage of labor begins with full cervical dilation. During the descent phase
of the second stage of labor, the woman may experience an increase in the urge to
bear down. Rupture of membranes has no significance in determining the stage of
labor. Many women may have an urge to bear down when the presenting part is
below the level of the ischial spines. This can occur during the first stage of labor, as
early as 5 cm of dilation.
What are the factors that enable the baby to initiate respiration immediately
after birth?
1
Fetal respiratory movements increase during labor.
2
Fetal lung fluid is cleared from the air passage.
3
Arterial carbon dioxide pressure is decreased.
4
Arterial pH and bicarbonate level is increased.
2
Fetal lung fluid is cleared from the air passage as the infant passes through the birth
canal during labor and vaginal birth. There is a decrease in fetal respiratory
movements during labor. Arterial carbon dioxide pressure (Pco2) increases. There is
a decrease in arterial pH and bicarbonate levels.
The nurse is assessing a patient in labor. The nurse documents the progress
in the effacement of the cervix and little increase in descent. Which phase of
labor is the patient in?
1
Latent phase
2
Active phase
3
Transition phase
4
Descent phase
1
The patient is in the latent phase of the first stage of labor. In this phase, there is
more progress in the effacement of the cervix and little increase in the descent of the
fetus. In the active and transition phases, there is more rapid dilation of the cervix
and increased rate of descent of the presenting part of the fetus. The descent phase,
or active pushing phase, occurs in the second stage of labor. In this phase, the
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patient has a strong urge to bear down as the presenting part of the fetus descends
and presses on the stretch receptors of the pelvic floor.
The nurse palpates the fontanels and sutures to determine the fetal
presentation. What is the feature of the anterior fontanel?
1
It is diamond shaped in appearance.
2
It measures about 1 cm by 2 cm.
3
It closes after 6 to 8 weeks of birth.
4
It lies near the occipital bone.
1
The anterior fontanel is diamond shaped and measures about 3 cm by 2 cm. It
closes by 18 months after birth. It lies at the junction of the sagittal, coronal, and
frontal sutures. The posterior fontanel is triangular in shape and measures about 1
cm by 2 cm. It closes 6 to 8 weeks after birth. It lies at the junction of the sutures of
the two parietal bones and the occipital bone.
The nurse is caring for a multiparous patient. In which stage can the nurse
expect the fetal head to be engaged in the pelvic inlet?
1
About 2 weeks before term
2
Before the start of active labor
3
When labor stage I begins
4
After labor is established
4
In a multiparous patient, the abdominal musculature is relaxed. The fetal head often
remains freely movable above the pelvic brim and becomes engaged in the pelvic
inlet only after labor is established. In a nulliparous patient, the uterus sinks
downward and forward about 2 weeks before term, when the presenting part of the
fetus descends into the true pelvis. The fetal head is engaged in the pelvic inlet
before the onset of active labor. The abdominal muscles are firm in a nulliparous
pregnancy and direct the presenting part into the pelvis. The first stage of labor lasts
from the onset of regular uterine contractions to full dilation of the cervix.
On completion of a vaginal examination on a laboring woman, the nurse
records: 50%, 6 cm, -1. What is a correct interpretation of the data?
1
The fetal presenting part is 1 cm above the ischial spines.
2
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Effacement is 4 cm from completion.
3
Dilation is 50% completed.
4
The fetus has achieved passage through the ischial spines.
1
Station of -1 indicates that the fetal presenting part is above the ischial spines and
has not yet passed through the pelvic inlet. Progress of effacement is referred to by
percentages, with 100% indicating full effacement and dilation by centimeters, with
10 cm indicating full dilation. Progress of effacement is referred to by percentages,
with 100% indicating full effacement and dilation by centimeters, with 10 cm
indicating full dilation. Passage through the ischial spines with internal rotation would
be indicated by a plus station such as +1.
The nurse assisting a laboring patient is aware that the birth of the fetus is
imminent. What is the station of the presenting part?
1. -1
2. +1
3. +3
4. +5
4
Station is the relationship of the presenting fetal part to an imaginary line drawn
between the maternal ischial spines. The placement of the presenting part is
measured in centimeters above or below the ischial spines. Birth is imminent when
the presenting part is at +4 to +5 cm. When the lowermost portion of the presenting
part is 1 cm above the spine, it is noted as minus (-)1. When the presenting part is 1
cm below the spine, the station is said to be plus (+)1. At +3, the presenting part is
still descending the birth canal. Birth is imminent when the presenting part is at +4 to
+5 cm.
What will the nurse mention about the effect of secondary powers during labor
to the patient?
1
Contractions are expulsive in nature.
2
The intraabdominal pressure is decreased.
3
Contractions move downward in waves.
4
Contractions begin at pacemaker points.
1
As soon as the presenting part of the fetus touches the pelvic floor, the patient uses
secondary powers or bearing-down efforts. This results in contractions that are
“MATERNAL CHILD NURSING CARE
UNCOMPLICATED LABOR & DELIVERY 2026
”LATEST EXAM 2026 – 2027 SOLVED
QUESTIONS & ANSWERS VERIFIED 100%
GRADED A+ (LATEST VERSION) WELL REVISED
100% GUARANTEE PASS
Maternal Child Nursing Care Uncomplicated Labor & Delivery
The nurse is teaching a patient, who is pregnant for the first time, about the
signals that indicate the beginning of labor. Which sign will the nurse mention
as a signal for the beginning of labor?
1
Involuntary contractions
2
Pain in the pelvic joints
3
100% effacement of the cervix
4
Full dilation of the cervix
1. Involuntary contractions
The nurse knows that the second stage of labor has begun when:
1
the amniotic membranes rupture.
2
full cervical dilation has occurred.
3
the woman experiences an urge to bear down.
, Page 2 of 45
4
the presenting part is below the ischial spines.
2
The second stage of labor begins with full cervical dilation. During the descent phase
of the second stage of labor, the woman may experience an increase in the urge to
bear down. Rupture of membranes has no significance in determining the stage of
labor. Many women may have an urge to bear down when the presenting part is
below the level of the ischial spines. This can occur during the first stage of labor, as
early as 5 cm of dilation.
What are the factors that enable the baby to initiate respiration immediately
after birth?
1
Fetal respiratory movements increase during labor.
2
Fetal lung fluid is cleared from the air passage.
3
Arterial carbon dioxide pressure is decreased.
4
Arterial pH and bicarbonate level is increased.
2
Fetal lung fluid is cleared from the air passage as the infant passes through the birth
canal during labor and vaginal birth. There is a decrease in fetal respiratory
movements during labor. Arterial carbon dioxide pressure (Pco2) increases. There is
a decrease in arterial pH and bicarbonate levels.
The nurse is assessing a patient in labor. The nurse documents the progress
in the effacement of the cervix and little increase in descent. Which phase of
labor is the patient in?
1
Latent phase
2
Active phase
3
Transition phase
4
Descent phase
1
The patient is in the latent phase of the first stage of labor. In this phase, there is
more progress in the effacement of the cervix and little increase in the descent of the
fetus. In the active and transition phases, there is more rapid dilation of the cervix
and increased rate of descent of the presenting part of the fetus. The descent phase,
or active pushing phase, occurs in the second stage of labor. In this phase, the
, Page 3 of 45
patient has a strong urge to bear down as the presenting part of the fetus descends
and presses on the stretch receptors of the pelvic floor.
The nurse palpates the fontanels and sutures to determine the fetal
presentation. What is the feature of the anterior fontanel?
1
It is diamond shaped in appearance.
2
It measures about 1 cm by 2 cm.
3
It closes after 6 to 8 weeks of birth.
4
It lies near the occipital bone.
1
The anterior fontanel is diamond shaped and measures about 3 cm by 2 cm. It
closes by 18 months after birth. It lies at the junction of the sagittal, coronal, and
frontal sutures. The posterior fontanel is triangular in shape and measures about 1
cm by 2 cm. It closes 6 to 8 weeks after birth. It lies at the junction of the sutures of
the two parietal bones and the occipital bone.
The nurse is caring for a multiparous patient. In which stage can the nurse
expect the fetal head to be engaged in the pelvic inlet?
1
About 2 weeks before term
2
Before the start of active labor
3
When labor stage I begins
4
After labor is established
4
In a multiparous patient, the abdominal musculature is relaxed. The fetal head often
remains freely movable above the pelvic brim and becomes engaged in the pelvic
inlet only after labor is established. In a nulliparous patient, the uterus sinks
downward and forward about 2 weeks before term, when the presenting part of the
fetus descends into the true pelvis. The fetal head is engaged in the pelvic inlet
before the onset of active labor. The abdominal muscles are firm in a nulliparous
pregnancy and direct the presenting part into the pelvis. The first stage of labor lasts
from the onset of regular uterine contractions to full dilation of the cervix.
On completion of a vaginal examination on a laboring woman, the nurse
records: 50%, 6 cm, -1. What is a correct interpretation of the data?
1
The fetal presenting part is 1 cm above the ischial spines.
2
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Effacement is 4 cm from completion.
3
Dilation is 50% completed.
4
The fetus has achieved passage through the ischial spines.
1
Station of -1 indicates that the fetal presenting part is above the ischial spines and
has not yet passed through the pelvic inlet. Progress of effacement is referred to by
percentages, with 100% indicating full effacement and dilation by centimeters, with
10 cm indicating full dilation. Progress of effacement is referred to by percentages,
with 100% indicating full effacement and dilation by centimeters, with 10 cm
indicating full dilation. Passage through the ischial spines with internal rotation would
be indicated by a plus station such as +1.
The nurse assisting a laboring patient is aware that the birth of the fetus is
imminent. What is the station of the presenting part?
1. -1
2. +1
3. +3
4. +5
4
Station is the relationship of the presenting fetal part to an imaginary line drawn
between the maternal ischial spines. The placement of the presenting part is
measured in centimeters above or below the ischial spines. Birth is imminent when
the presenting part is at +4 to +5 cm. When the lowermost portion of the presenting
part is 1 cm above the spine, it is noted as minus (-)1. When the presenting part is 1
cm below the spine, the station is said to be plus (+)1. At +3, the presenting part is
still descending the birth canal. Birth is imminent when the presenting part is at +4 to
+5 cm.
What will the nurse mention about the effect of secondary powers during labor
to the patient?
1
Contractions are expulsive in nature.
2
The intraabdominal pressure is decreased.
3
Contractions move downward in waves.
4
Contractions begin at pacemaker points.
1
As soon as the presenting part of the fetus touches the pelvic floor, the patient uses
secondary powers or bearing-down efforts. This results in contractions that are
