1
MOTHER BABY NCLEX FINAL PREPARATION
EXAM QUESTIONS WITH COMPLETE
SOLUTIONS 2026 LATEST VERSION
The patient is 8cm dilated and saying they have to push, the
nurse should encourage the patient to do what? - CORRECT
ANSWER-encourage them to pant w/ pursed lips
rationale: this will keep them breathing and prevent them from
pushing
The nursing student is monitoring fetal heart strips, the
instructor knows that the student understands the difference
between time of contraction and duration of contraction when
they state... - CORRECT ANSWER-Time of contraction is from the
beginning of one contraction to the beginning of the next
contraction and the duration of contraction is time in seconds
from the beginning of the contraction until it's completion
You're caring for a patient who is 2cm dilated, her contractions
are 20 seconds long and 15 minutes apart. Based on this data
you know that she is in which stage and phase of labor -
CORRECT ANSWER-1st stage latent phase
Rationale: the first stage of labor has three phases in the first
phase (latent) the cervix is dilated 0-3cm, contractions 30-60
seconds long and 5-30 minutes apart
You are the nursing instructor on the mother baby unit. The
student nurse is caring for a patient in the latent phase of labor.
What interventions do you expect the student to perform for
this patient. Select all that apply
start IV
,2
Encourage ambulation
Fetal monitoring
Encourage bed rest
provide pain management
breathing techniques - CORRECT ANSWER-start IV, encourage
ambulation, fetal monitoring, breathing techniques
Your patient is 7cm dilated and her contractions are 60 seconds
long and 3 minutes apart. She is acting fatigued in states that she
is in a lot of pain and wants to push this baby out already
because she can't take it much longer. What is the best way that
you can respond as the nurse?
"Take a nap, it will help you relax while you wait to be able to
push"
"Ill call the Dr. and see if we can get you an epidural but don't
push yet"
"We do not want you to push until you are fully dilated at 10cm I
just checked and you are at 7, let's try to reposition you and use
the breathing techniques you learned at your birthing classes to
make you more comfortable, you can do this"
"Here's a pillow and a cold cloth, your husband can give you a
back rub to see if that helps while I go chart and check on some
other patients, let me know if you need anything else" -
CORRECT ANSWER-"We do not want you to push until you are
fully dilated at 10cm I just checked and you are at 7, let's try to
reposition you and use the breathing techniques you learned at
your birthing classes to make you more comfortable, you can do
this"
Rationale: Pt is in the active phase of labor, she is more
dependent and less able to meet self needs. As the nurse you
should manage her pain, encourage her to maintain her
breathing pattern, provide a quiet environment and support,
, 3
provide back rubs, pillows, cool cloth to the forehead, ointment
for dry mouth, and assist with position changes
You just got report during shift change that your patient is in the
transition phase of labor. What do you anticipate before going
into the room to assess her?
A. Pt is with the doctor pushing the baby out
B. Pt just got an epidural
C. Pt is 9cm dilated with contractions 50 seconds long and 3
minutes apart
D. Pt is 7cm dilated with contractions 60 seconds long and 3
minutes apart - CORRECT ANSWER-C. During the transition phase
pt is dilated 8-10cm with contractions 45-90 seconds long and 2-
3 minutes apart. strong. Pt may be restless and irritable. She
won't push until 10 cm dilated and she would have already
gotten her epidural if she was going to have one. The other
choice describes the active phase
When you go into a pt's room she is 10cm dilated and feels the
urge to push. You assist the patient to push until the head is
visible and notify the doctor that she is ready for delivery. You
know the student observing the delivery understands the stages
of labor when she states,
A. The patient is in the transition phase of labor, first stage
B. The patient is in the Active stage of labor
C. The patient is in the second stage of labor
D. The patient is in the third stage of labor - CORRECT ANSWER-
C. The second stage of labor is from full dilation of the cervix to
delivery of the baby
When questioning the student about the purpose of an
episiotomy the instructor knows they understand when they say
MOTHER BABY NCLEX FINAL PREPARATION
EXAM QUESTIONS WITH COMPLETE
SOLUTIONS 2026 LATEST VERSION
The patient is 8cm dilated and saying they have to push, the
nurse should encourage the patient to do what? - CORRECT
ANSWER-encourage them to pant w/ pursed lips
rationale: this will keep them breathing and prevent them from
pushing
The nursing student is monitoring fetal heart strips, the
instructor knows that the student understands the difference
between time of contraction and duration of contraction when
they state... - CORRECT ANSWER-Time of contraction is from the
beginning of one contraction to the beginning of the next
contraction and the duration of contraction is time in seconds
from the beginning of the contraction until it's completion
You're caring for a patient who is 2cm dilated, her contractions
are 20 seconds long and 15 minutes apart. Based on this data
you know that she is in which stage and phase of labor -
CORRECT ANSWER-1st stage latent phase
Rationale: the first stage of labor has three phases in the first
phase (latent) the cervix is dilated 0-3cm, contractions 30-60
seconds long and 5-30 minutes apart
You are the nursing instructor on the mother baby unit. The
student nurse is caring for a patient in the latent phase of labor.
What interventions do you expect the student to perform for
this patient. Select all that apply
start IV
,2
Encourage ambulation
Fetal monitoring
Encourage bed rest
provide pain management
breathing techniques - CORRECT ANSWER-start IV, encourage
ambulation, fetal monitoring, breathing techniques
Your patient is 7cm dilated and her contractions are 60 seconds
long and 3 minutes apart. She is acting fatigued in states that she
is in a lot of pain and wants to push this baby out already
because she can't take it much longer. What is the best way that
you can respond as the nurse?
"Take a nap, it will help you relax while you wait to be able to
push"
"Ill call the Dr. and see if we can get you an epidural but don't
push yet"
"We do not want you to push until you are fully dilated at 10cm I
just checked and you are at 7, let's try to reposition you and use
the breathing techniques you learned at your birthing classes to
make you more comfortable, you can do this"
"Here's a pillow and a cold cloth, your husband can give you a
back rub to see if that helps while I go chart and check on some
other patients, let me know if you need anything else" -
CORRECT ANSWER-"We do not want you to push until you are
fully dilated at 10cm I just checked and you are at 7, let's try to
reposition you and use the breathing techniques you learned at
your birthing classes to make you more comfortable, you can do
this"
Rationale: Pt is in the active phase of labor, she is more
dependent and less able to meet self needs. As the nurse you
should manage her pain, encourage her to maintain her
breathing pattern, provide a quiet environment and support,
, 3
provide back rubs, pillows, cool cloth to the forehead, ointment
for dry mouth, and assist with position changes
You just got report during shift change that your patient is in the
transition phase of labor. What do you anticipate before going
into the room to assess her?
A. Pt is with the doctor pushing the baby out
B. Pt just got an epidural
C. Pt is 9cm dilated with contractions 50 seconds long and 3
minutes apart
D. Pt is 7cm dilated with contractions 60 seconds long and 3
minutes apart - CORRECT ANSWER-C. During the transition phase
pt is dilated 8-10cm with contractions 45-90 seconds long and 2-
3 minutes apart. strong. Pt may be restless and irritable. She
won't push until 10 cm dilated and she would have already
gotten her epidural if she was going to have one. The other
choice describes the active phase
When you go into a pt's room she is 10cm dilated and feels the
urge to push. You assist the patient to push until the head is
visible and notify the doctor that she is ready for delivery. You
know the student observing the delivery understands the stages
of labor when she states,
A. The patient is in the transition phase of labor, first stage
B. The patient is in the Active stage of labor
C. The patient is in the second stage of labor
D. The patient is in the third stage of labor - CORRECT ANSWER-
C. The second stage of labor is from full dilation of the cervix to
delivery of the baby
When questioning the student about the purpose of an
episiotomy the instructor knows they understand when they say
