NSG 3500 EXAM 2 EXAM QUESTIONS AND
ANSWERS LATEST UPDATED 2026/2027 A
COMPLETE SOLUTION ALL ANSWERS GET IT 100%
CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS
A new nurse is assessing baseline fetal heart tones (FHTs) by auscultation
and notes that the heart rate increased during a contraction from 140 to
158. What action by the nurse preceptor is best?
1)Gather equipment for internal FHT monitoring.
2)Tell the nurse to count only for 30 seconds.
3)Instruct the nurse to assess FHT between contractions.
4)Have the nurse document FHT of 140/158.
3
Baseline fetal heart tones can only be assessed during the absence of
uterine activity. The preceptor should instruct the new nurse to listen for
FHTs between contractions. The woman does not need internal FHT
monitoring based on this assessment. The reading is inaccurate, so the
nurse preceptor should not have the new nurse document these findings
and this method (140/158) is not appropriate. The new nurse may have to
count fetal heart tones for only 30 seconds if the woman is having
frequent contractions, although assessing for 1 minute is the most
accurate method.
A woman and her partner are interested in exploring different birthing
options. What action by the perinatal nurse would be most helpful?
1)Refer to social work for an insurance review.
2)Give the couple brochures from different facilities.
3)Advise the couple to ask for referrals from friends.
4)Arrange tours of different birthing facilities.
,4
Although all options may be beneficial, the best way to help a couple
explore birthing options is to encourage them to tour various facilities to
gain an understanding of what to expect from the experience. Touring
birthing units is often included in childbirth education
A young girl in active labor arrives at the hospital without having had any
prenatal care. She is extremely anxious and crying out in pain. What
would the nurse assess to best determine that goals for the diagnosis of
knowledge deficit have been met? (Select all that apply.)
1)Is able to give a history of this pregnancy to the admitting nurse
2)Can describe expected labor progress and states she is in less pain
3)Is able to cooperate with breathing instructions during contractions
4)Begs her mother to stay with her while giving birth
5)States that after this birth, she wants to learn about birth control
2, 3
The nurse in the birthing unit is aware that according to the Emergency
Medical Treatment and Active Labor Act (EMTALA), pregnant women
should receive care for problems such as which of the following? (Select
all that apply.)
1)Contractions that occur 20 minutes apart
2)A history of recent trauma
3)Rupture of the membranes
4)Sexually transmitted infections
5)Decreased fetal movement
2, 3, 5
A nurse assesses the fetal position in a laboring woman. The fetal position
is documented as LSP. What action by the nurse is best?
1)Continue to support the woman's labor efforts.
2)Turn the woman on her left side; reassess in 30 minutes.
3)Inform the provider; prepare for possible cesarean delivery.
4)Document the findings in the woman's chart.
, 3
LSP indicates left, sacrum, posterior. This malpresentation may signal the
need for a cesarean delivery. The nurse should not just support the
woman's labor efforts, nor should the nurse document without taking
other action. Turning the woman on her left side is not warranted.
What nursing action best helps to prevent perineal lacerations during
birth?
1)Applying warm compresses to the perineum
2)Helping the woman to squat during labor
3)Performing an episiotomy early in labor
4)Providing adequate coaching on pushing and breathing
4
Adequate coaching on pushing and breathing helps the woman deliver the
fetal head in a controlled manner, which reduces the likelihood and/or
severity of perineal lacerations. Applying warm compresses to the
perineum is one of many complementary therapies used to reduce birth
trauma. However, results have been inconsistent.
A husband in the labor suite is concerned that as his wife's labor
progresses, she has become distant, is not interested in conversation,
and, at times, is short with him. Which response by the nurse is best?
1)"Don't worry; women often get this way during labor."
2)"She must concentrate to cope with her labor."
3)"Maybe if you step out for a while, she'll feel better."
4)"This is a difficult period; it will be over shortly."
2
During the active phase of labor, many women tend to draw inward in an
attempt to cope with the increasing demands of the labor. The nurse
should reassure the husband that this is a normal response. The first
option does not give the husband any useful information. The woman
needs her support person with her and the husband should not be sent
away. The last option is dismissive.
ANSWERS LATEST UPDATED 2026/2027 A
COMPLETE SOLUTION ALL ANSWERS GET IT 100%
CORRECT VERIFIED BEST GRADED A+ FOR SUCCESS
A new nurse is assessing baseline fetal heart tones (FHTs) by auscultation
and notes that the heart rate increased during a contraction from 140 to
158. What action by the nurse preceptor is best?
1)Gather equipment for internal FHT monitoring.
2)Tell the nurse to count only for 30 seconds.
3)Instruct the nurse to assess FHT between contractions.
4)Have the nurse document FHT of 140/158.
3
Baseline fetal heart tones can only be assessed during the absence of
uterine activity. The preceptor should instruct the new nurse to listen for
FHTs between contractions. The woman does not need internal FHT
monitoring based on this assessment. The reading is inaccurate, so the
nurse preceptor should not have the new nurse document these findings
and this method (140/158) is not appropriate. The new nurse may have to
count fetal heart tones for only 30 seconds if the woman is having
frequent contractions, although assessing for 1 minute is the most
accurate method.
A woman and her partner are interested in exploring different birthing
options. What action by the perinatal nurse would be most helpful?
1)Refer to social work for an insurance review.
2)Give the couple brochures from different facilities.
3)Advise the couple to ask for referrals from friends.
4)Arrange tours of different birthing facilities.
,4
Although all options may be beneficial, the best way to help a couple
explore birthing options is to encourage them to tour various facilities to
gain an understanding of what to expect from the experience. Touring
birthing units is often included in childbirth education
A young girl in active labor arrives at the hospital without having had any
prenatal care. She is extremely anxious and crying out in pain. What
would the nurse assess to best determine that goals for the diagnosis of
knowledge deficit have been met? (Select all that apply.)
1)Is able to give a history of this pregnancy to the admitting nurse
2)Can describe expected labor progress and states she is in less pain
3)Is able to cooperate with breathing instructions during contractions
4)Begs her mother to stay with her while giving birth
5)States that after this birth, she wants to learn about birth control
2, 3
The nurse in the birthing unit is aware that according to the Emergency
Medical Treatment and Active Labor Act (EMTALA), pregnant women
should receive care for problems such as which of the following? (Select
all that apply.)
1)Contractions that occur 20 minutes apart
2)A history of recent trauma
3)Rupture of the membranes
4)Sexually transmitted infections
5)Decreased fetal movement
2, 3, 5
A nurse assesses the fetal position in a laboring woman. The fetal position
is documented as LSP. What action by the nurse is best?
1)Continue to support the woman's labor efforts.
2)Turn the woman on her left side; reassess in 30 minutes.
3)Inform the provider; prepare for possible cesarean delivery.
4)Document the findings in the woman's chart.
, 3
LSP indicates left, sacrum, posterior. This malpresentation may signal the
need for a cesarean delivery. The nurse should not just support the
woman's labor efforts, nor should the nurse document without taking
other action. Turning the woman on her left side is not warranted.
What nursing action best helps to prevent perineal lacerations during
birth?
1)Applying warm compresses to the perineum
2)Helping the woman to squat during labor
3)Performing an episiotomy early in labor
4)Providing adequate coaching on pushing and breathing
4
Adequate coaching on pushing and breathing helps the woman deliver the
fetal head in a controlled manner, which reduces the likelihood and/or
severity of perineal lacerations. Applying warm compresses to the
perineum is one of many complementary therapies used to reduce birth
trauma. However, results have been inconsistent.
A husband in the labor suite is concerned that as his wife's labor
progresses, she has become distant, is not interested in conversation,
and, at times, is short with him. Which response by the nurse is best?
1)"Don't worry; women often get this way during labor."
2)"She must concentrate to cope with her labor."
3)"Maybe if you step out for a while, she'll feel better."
4)"This is a difficult period; it will be over shortly."
2
During the active phase of labor, many women tend to draw inward in an
attempt to cope with the increasing demands of the labor. The nurse
should reassure the husband that this is a normal response. The first
option does not give the husband any useful information. The woman
needs her support person with her and the husband should not be sent
away. The last option is dismissive.
