NUR230 EXAM IV THE CHILDBEARING
CERTIFICATION SCRIPT 2026 TESTED
QUESTIONS AND FULL SOLUTION
◉ The 5 P's essential for Labor and Birth. Answer: 1.
passageway/passage: pelvis and cervix
2. Passenger: fetal head, attitude, lie, and presentation
3. Position: station, engagement, and position
4. Powers: primary and secondary
5. Psyche: emotions, energy, support
◉ What factors determine the size and type of maternal pelvis?.
Answer: Passage or Passageway
◉ What is the ability of the cervix to do during childbirth?. Answer:
Dilation and effacement
◉ What must the vaginal canal and external opening of the vagina
do during childbirth?. Answer: Distend
◉ 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
◉ Which of the following pelvic types would MOST likely lead to
cesarean delivery?
A. Anthropoid
B. Gynecoid
C. Platypelloid
D. Android. Answer: C. Platypelloid
◉ 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%
◉ 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
◉ What is dilation in cervical changes?. Answer: Dilation is the
opening of the cervix, measured from 0 cm (closed) to 10 cm (fully
dilated).
◉ 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).
◉ Which occurs faster during labor, dilation or effacement?. Answer:
The cervix usually dilates faster than it effaces.
◉ What must occur before pushing can begin during labor?. Answer:
The cervix must be fully dilated and effaced before pushing can
begin.
◉ A woman enters triage who states she "thinks" she is in labor.
Which assessment BEST demonstrates TRUE labor?
1. fetus palpable
2. contractions are every 20-30 minutes
3. Change/progress in cervical dilation/effacement
, 4. fetal heart rate alterations. Answer: 3. change/progress in cervical
dilation/effacement
◉ Premonitory signs of impending labor. Answer: - lightening
- Braxton hicks contractions
- cervical changes
- bloody show/expulsion of mucus plugs
- ROM (SROM)
- sudden burst of energy
- weight loss
- GI upset
◉ What are the characteristics of contractions in true labor?.
Answer: Contractions are at regular intervals.
◉ How do the intervals between contractions change in true labor?.
Answer: Intervals between contractions gradually shorten.
◉ How does the duration and intensity of contractions change in
true labor?. Answer: Contractions increase in duration and intensity.
◉ Where does discomfort begin during true labor?. Answer:
Discomfort begins in the back and radiates around to the abdomen.
CERTIFICATION SCRIPT 2026 TESTED
QUESTIONS AND FULL SOLUTION
◉ The 5 P's essential for Labor and Birth. Answer: 1.
passageway/passage: pelvis and cervix
2. Passenger: fetal head, attitude, lie, and presentation
3. Position: station, engagement, and position
4. Powers: primary and secondary
5. Psyche: emotions, energy, support
◉ What factors determine the size and type of maternal pelvis?.
Answer: Passage or Passageway
◉ What is the ability of the cervix to do during childbirth?. Answer:
Dilation and effacement
◉ What must the vaginal canal and external opening of the vagina
do during childbirth?. Answer: Distend
◉ 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
◉ Which of the following pelvic types would MOST likely lead to
cesarean delivery?
A. Anthropoid
B. Gynecoid
C. Platypelloid
D. Android. Answer: C. Platypelloid
◉ 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%
◉ 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
◉ What is dilation in cervical changes?. Answer: Dilation is the
opening of the cervix, measured from 0 cm (closed) to 10 cm (fully
dilated).
◉ 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).
◉ Which occurs faster during labor, dilation or effacement?. Answer:
The cervix usually dilates faster than it effaces.
◉ What must occur before pushing can begin during labor?. Answer:
The cervix must be fully dilated and effaced before pushing can
begin.
◉ A woman enters triage who states she "thinks" she is in labor.
Which assessment BEST demonstrates TRUE labor?
1. fetus palpable
2. contractions are every 20-30 minutes
3. Change/progress in cervical dilation/effacement
, 4. fetal heart rate alterations. Answer: 3. change/progress in cervical
dilation/effacement
◉ Premonitory signs of impending labor. Answer: - lightening
- Braxton hicks contractions
- cervical changes
- bloody show/expulsion of mucus plugs
- ROM (SROM)
- sudden burst of energy
- weight loss
- GI upset
◉ What are the characteristics of contractions in true labor?.
Answer: Contractions are at regular intervals.
◉ How do the intervals between contractions change in true labor?.
Answer: Intervals between contractions gradually shorten.
◉ How does the duration and intensity of contractions change in
true labor?. Answer: Contractions increase in duration and intensity.
◉ Where does discomfort begin during true labor?. Answer:
Discomfort begins in the back and radiates around to the abdomen.
