NSG 432 Exam 2 2026/2027 | 40 Questions & Answers | Labor, FHR, Leopold Maneuvers, Epidural & Obstetric Nursing

This NSG 432 Exam 2 2026/2027 study guide contains 40 exam questions with answers covering essential concepts in maternal-newborn and intrapartum nursing. The six-page resource focuses on labor and delivery, fetal assessment, fetal heart rate (FHR) interpretation, stages and mechanisms of labor, cervical dilation and effacement, fetal station and position, rupture of membranes, placental separation, pain management, obstetric medications, pregnancy complications, and immediate nursing interventions during labor. A major focus is labor assessment and fetal positioning. Students review fetal station, including interpretation of findings such as 7 cm dilation, 80% effacement, and +2 station, as well as cervical dilation as an indicator of true labor. The material covers the rotational movement involved in delivery of the shoulders and the four components of Leopold’s maneuvers—fundal, lateral/umbilical, Pawlik’s, and pelvic grips—to determine fetal presentation and position. It also addresses pelvic shape, positioning during the second stage of labor, placental detachment, and prolonged rupture of membranes as an infection risk. The guide provides concentrated review of electronic fetal monitoring and abnormal fetal heart rate patterns. Questions address fetal bradycardia, early and variable decelerations, cord compression, fetal hypoxemia, maternal hypotension and hypoglycemia, fetal anemia associated with a sinusoidal pattern, and nursing responses to persistent decelerations. Amnioinfusion for cord compression and assessment priorities when meconium-stained amniotic fluid is present are also included, helping students connect fetal-monitoring findings with appropriate intrapartum interventions. Pain management and obstetric anesthesia are covered through epidural anesthesia, nitrous oxide, hydrotherapy, massage, walking, counterpressure, imagery, and gate-control theory. The questions reinforce monitoring for maternal hypotension following epidural administration and identifying appropriate nonpharmacologic comfort measures during active labor. The resource also addresses opioid use during labor and the associated risk of neonatal respiratory depression. Pharmacology and maternal complications include ferrous sulfate, carboprost, magnesium therapy and terbutaline, alongside gestational diabetes, preeclampsia and obstetric emergencies. Students review clinically important associations such as taking oral iron with a vitamin C source, avoiding carboprost in patients with asthma, recognizing macrosomia as an important fetal risk associated with gestational diabetes, and monitoring maternal and fetal responses to interventions. The document additionally reviews breastfeeding after cesarean delivery, contraction stress testing, prolonged rupture of membranes, patient education, informed communication, and immediate maternal-fetal nursing priorities. Because some questions are presented as abbreviated study notes and a few answers contain uncertainty, students should verify clinical recommendations against current course materials and authoritative maternal-newborn nursing references before using the document for clinical decision-making. Relevant Students: This resource is relevant for NSG 432 students, BSN students, maternal-newborn nursing students, maternity and obstetric nursing students, RN and ADN students, pre-licensure nursing students, HESI maternity candidates, NCLEX-RN candidates, and learners studying labor and delivery, fetal monitoring, obstetric pharmacology, pregnancy complications, pain management, and intrapartum nursing care. Keywords: NSG 432 Exam 2, NSG 432 exam 2026, NSG 432 exam 2027, NSG 432 questions and answers, maternal newborn nursing exam, maternity nursing questions, obstetric nursing exam, labor and delivery nursing, intrapartum nursing, fetal heart rate monitoring, FHR interpretation, fetal bradycardia, fetal decelerations, variable decelerations, early decelerations, cord compression, Leopold maneuvers, fetal station, cervical dilation, cervical effacement, stages of labor, true labor signs, rupture of membranes, meconium stained fluid, placental separation, epidural anesthesia nursing, nitrous oxide labor, hydrotherapy labor, gate control theory pain, amnioinfusion nursing, carboprost nursing, magnesium sulfate nursing, terbutaline nursing, gestational diabetes macrosomia, preeclampsia nursing, obstetric medications, cesarean breastfeeding, HESI maternity questions, NCLEX maternity nursing, maternal fetal nursing