NSG 312 Exam 3 2026|2027 ACTUAL COMPLETE REAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)
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A nurse is preparing a change-of-shift report and has been caring for a
multigravid client with a normally progressing labor. Which information
should be part of this report? Select all that apply.
- interpretation of the fetal monitor strip
- support persons with the client
- prior birth history
- analgesia or anesthesia being used
A nurse is evaluating the external fetal monitoring strip of a client who
is in labor. The nurse notes decreases in the fetal heart rate (FHR) that
start with the beginning of the client's contraction and return to
baseline before the end of the contraction. What term does the nurse
use to document this finding?
early decelerations
A client is attempting to give birth vaginally despite the fact that the
client's previous child was born by cesarean birth. Contractions are 2 to
3 minutes apart, lasting from 5 to 100 seconds. Suddenly, the client
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reports of intense abdominal pain and the fetal monitor stops picking
up contractions. The nurse recognizes which complication has
occurred?
complete uterine rupture
A client is induced with oxytocin. The fetal heart rate is showing
accelerations lasting 15 seconds and exceeding the baseline with fetal
movement. What action associated with this finding should the nurse
take?
document fetal well-being
During labor, a client's cervix fails to dilate progressively, despite
uncomfortable uterine contractions. To augment labor, the health care
provider orders oxytocin. When preparing the client for oxytocin
administration, the nurse describes the contractions the client is likely
to feel when receiving the drug. Which description is accurate?
contractions with be stronger and more uncomfortable and will peak
more abruptly
A laboring client at –2 station has a spontaneous rupture of the
membranes, and a cord immediately protrudes from the vagina. What
should the nurse do first?
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place gentle pressure upward on the fetal head
A client in the first stage of labor is being monitored using an external
fetal monitor. After the nurse reviews the monitoring strip from the
client's chart, into which position would the nurse assist the client?
left lateral
A 39-year-old multigravid client at 39 weeks' gestation admitted to the
hospital in active labor has been diagnosed with class II heart disease.
Which measure will the nurse encourage to ensure cardiac emptying
and adequate oxygenation during labor?
remain in a side-lying position with the head elevated
External monitoring of contractions and fetal heart rate of a
multigravida in labor reveals a variable deceleration pattern of the fetal
heart rate. What action should the nurse take first?
change the client's position