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NUR 403 EXAM 2 PREP EAQS
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NUR 403 Exam 2 Prep EAQs
A client in active labor is admitted to the birthing room. A vaginal examination
reveals that her cervix is dilated 6 to 7 cm. In light of this finding, what does
the nurse expect?
Client may experience nausea and vomiting.
Client's bloody show will become more profuse.
Client will experience uncontrollable shaking of her legs.
Client's contractions will become longer and more frequent.
Client's contractions will become longer and more frequent.
Rationale
This is an accurate description of contractions as labor progresses through the active
portion of the first stage of labor. Nausea and vomiting occurs in the transition phase
of the first stage of labor. More profuse bloody show and uncontrollable shaking of
the legs occur in the transition phase of the first stage of labor.
A woman in labor hears the primary healthcare provider tell the nurse that the
fetal lie is longitudinal. The mother asks the nurse what this means in relation
to her labor and birth of the baby. How should the nurse respond?
"A vaginal birth is possible."
"We're anticipating a cesarean delivery."
"It has no relevance to the labor and birth."
"Labor probably will be long, and you might have back pain."
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A vaginal birth is possible
Rationale
A longitudinal lie means that the fetus is lying parallel to the woman's spine;
therefore vaginal birth is possible. A transverse, not longitudinal, lie might indicate
that vaginal birth is unlikely, and cesarean birth is anticipated. The fetal lie will
influence the labor and the birth of the fetus. A longitudinal lie does not indicate that
the labor will be prolonged; however, if the fetal head is in the posterior occiput
position, second-stage labor may be prolonged, accompanied by back pain.
A man calls the prenatal clinic to ask the nurse when he should bring his wife
to the hospital. He says, "The baby is due in 2 weeks, but she thinks it could
be earlier. This is our first baby, and we're nervous." The nurse knows that as
a nullipara, it would be important for the client to be seen if the contractions
do what?
Decrease when the client walks
Are irregular and vary in intensity
Come every 5 minutes for an hour
Come every 10 minutes for an hour
Come every 5 minutes for an hour
Rationale
Contractions every 5 minutes apart for 1 hour are an indication of true labor.
Because the woman is a nullipara, this is an appropriate response. Contractions that
ease when the client walks or are irregular and vary in intensity are signs of false
labor. Contractions coming 10 minutes apart for 1 hour in a nullipara are too far apart
for true labor. This reading would be appropriate for a multiparous woman, whose
labor is likely to be shorter and more intense.
While caring for a pregnant client with a body mass index of 32 during labor,
the nurse observes that the second stage of labor lasts for about 11 minutes.
The nurse also finds that the expected birth weight of the fetus is around 4200
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g. Which complication does the nurse anticipate in the neonate after birth?
Erb palsy
Klumpke palsy
Strawberry hemangioma
Erythema toxicum neonatorum
Erb palsy
Rationale
Maternal body mass index of greater than 30, a second stage of labor lasting less
than 15 minutes, and an infant birth weight higher than 4000 g indicates a risk of Erb
palsy or Erb-Duchenne paralysis in the neonate. Klumpke palsy can result from
severe stretching of the upper extremities while the trunk is relatively less mobile
during labor. A maternal body mass index greater than 30, a second stage of labor
lasting less than 15 minutes, and infant birth weight higher than 4000 g are not the
indicators of strawberry hemangioma or erythema toxicum neonatorum.
How does the nurse distinguish true labor from false labor?
Cervical dilation is evident.
Contractions stop when the client walks around.
The client's contractions progress only when she is in a side-lying position.
Contractions occur immediately after the membranes rupture.
Cervical dilation is evident
Rationale
Progressive cervical dilation is the most accurate indication of true labor. With true
labor, contractions will increase with activity. Contractions of true labor persist in any
NUR 403 EXAM 2 PREP EAQS
Download now
HIGH YIELD S QUESTIONS
NEWEST MODEL 2026 EXAM LATEST
VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
Exam
📚 Learn. Practice. Excel.
Unlock your potential with exams designed to help you succeed. Enjoy a smooth
experience, challenging questions, and valuable learning opportunities that prepare you
for real-world success.
Join thousands of learners who are building confidence one exam at a time. Take your
exam today!
, Page 2 of 39
NUR 403 Exam 2 Prep EAQs
A client in active labor is admitted to the birthing room. A vaginal examination
reveals that her cervix is dilated 6 to 7 cm. In light of this finding, what does
the nurse expect?
Client may experience nausea and vomiting.
Client's bloody show will become more profuse.
Client will experience uncontrollable shaking of her legs.
Client's contractions will become longer and more frequent.
Client's contractions will become longer and more frequent.
Rationale
This is an accurate description of contractions as labor progresses through the active
portion of the first stage of labor. Nausea and vomiting occurs in the transition phase
of the first stage of labor. More profuse bloody show and uncontrollable shaking of
the legs occur in the transition phase of the first stage of labor.
A woman in labor hears the primary healthcare provider tell the nurse that the
fetal lie is longitudinal. The mother asks the nurse what this means in relation
to her labor and birth of the baby. How should the nurse respond?
"A vaginal birth is possible."
"We're anticipating a cesarean delivery."
"It has no relevance to the labor and birth."
"Labor probably will be long, and you might have back pain."
, Page 3 of 39
A vaginal birth is possible
Rationale
A longitudinal lie means that the fetus is lying parallel to the woman's spine;
therefore vaginal birth is possible. A transverse, not longitudinal, lie might indicate
that vaginal birth is unlikely, and cesarean birth is anticipated. The fetal lie will
influence the labor and the birth of the fetus. A longitudinal lie does not indicate that
the labor will be prolonged; however, if the fetal head is in the posterior occiput
position, second-stage labor may be prolonged, accompanied by back pain.
A man calls the prenatal clinic to ask the nurse when he should bring his wife
to the hospital. He says, "The baby is due in 2 weeks, but she thinks it could
be earlier. This is our first baby, and we're nervous." The nurse knows that as
a nullipara, it would be important for the client to be seen if the contractions
do what?
Decrease when the client walks
Are irregular and vary in intensity
Come every 5 minutes for an hour
Come every 10 minutes for an hour
Come every 5 minutes for an hour
Rationale
Contractions every 5 minutes apart for 1 hour are an indication of true labor.
Because the woman is a nullipara, this is an appropriate response. Contractions that
ease when the client walks or are irregular and vary in intensity are signs of false
labor. Contractions coming 10 minutes apart for 1 hour in a nullipara are too far apart
for true labor. This reading would be appropriate for a multiparous woman, whose
labor is likely to be shorter and more intense.
While caring for a pregnant client with a body mass index of 32 during labor,
the nurse observes that the second stage of labor lasts for about 11 minutes.
The nurse also finds that the expected birth weight of the fetus is around 4200
, Page 4 of 39
g. Which complication does the nurse anticipate in the neonate after birth?
Erb palsy
Klumpke palsy
Strawberry hemangioma
Erythema toxicum neonatorum
Erb palsy
Rationale
Maternal body mass index of greater than 30, a second stage of labor lasting less
than 15 minutes, and an infant birth weight higher than 4000 g indicates a risk of Erb
palsy or Erb-Duchenne paralysis in the neonate. Klumpke palsy can result from
severe stretching of the upper extremities while the trunk is relatively less mobile
during labor. A maternal body mass index greater than 30, a second stage of labor
lasting less than 15 minutes, and infant birth weight higher than 4000 g are not the
indicators of strawberry hemangioma or erythema toxicum neonatorum.
How does the nurse distinguish true labor from false labor?
Cervical dilation is evident.
Contractions stop when the client walks around.
The client's contractions progress only when she is in a side-lying position.
Contractions occur immediately after the membranes rupture.
Cervical dilation is evident
Rationale
Progressive cervical dilation is the most accurate indication of true labor. With true
labor, contractions will increase with activity. Contractions of true labor persist in any
