NSG 3500 LABOR & DELIVERY EXAM 2026/2027 | COMPLETE MATERNITY
NURSING EXAM PREP | HIGH-YIELD PRACTICE QUESTIONS & CORRECT
ANSWERS | LATEST UPDATED VERSION
1. If a pregnant patient presents with a high fever and signs of infection, what
potential complication should the healthcare team monitor for regarding the
fetus?
Fetal distress
Fetal tachycardia
Fetal hypoxia
Fetal bradycardia
2. Discuss the implications of fetal demise on the labor process.
Fetal demise may necessitate induction of labor for delivery.
Fetal demise requires immediate cesarean delivery in all cases.
Fetal demise has no impact on the labor process.
Fetal demise leads to a natural progression of labor without
intervention.
3. Describe the three stages of labor and their significance in the childbirth
process.
The three stages of labor are cervical dilation, delivery of the baby,
and delivery of the placenta, each crucial for the progression of
childbirth.
The three stages of labor are only concerned with fetal monitoring
and maternal health.
The stages of labor are irrelevant to the childbirth process.
, The three stages of labor include only the delivery of the baby and
the placenta.
4. If a nurse observes the 'turtle sign' during delivery, what immediate action
should be taken to address potential shoulder dystocia?
Administer pain relief medication to the mother.
Prepare for an emergency cesarean section.
Increase the frequency of fetal monitoring.
Implement maneuvers to relieve shoulder dystocia.
5. What is the definitive treatment for placental abruption?
vaginal delivery
RBC transfusion
bed rest and induction at 37wks
C section
6. What should nurses encourage patients to do during the second stage of
labor?
Drink fluids
Rest quietly
Push when they feel the urge
Change positions frequently
7. Describe the role of nurses in supporting patients during the second stage of
labor.
Nurses should administer medications without patient consent.
, Nurses should focus solely on monitoring fetal heart rate.
Nurses should not leave the patient alone and promote effective
pushing.
Nurses should encourage patients to avoid pushing until instructed.
8. Describe the significance of measuring the duration of contractions during
labor.
It helps determine the mother's emotional state during labor.
It indicates the fetal heart rate during labor.
Measuring the duration of contractions helps assess the progress of
labor and the effectiveness of uterine activity.
The duration of contractions is not significant in monitoring labor
progress.
9. A patient in labor reports irregular contractions that are not increasing in
intensity. Based on your knowledge of labor contractions, what type of
contractions is she likely experiencing?
True labor contractions
Uterine contractions during the active phase
Transitional contractions
Braxton Hicks contractions
10. What is one cause of fetal bradycardia related to maternal conditions?
Maternal vagal stimulation
Fetal hyperactivity
Maternal dehydration
, Increased fetal movement
11. If a fetus is in a breech presentation during labor, what might be a
recommended intervention for the healthcare team?
Use of forceps for delivery
Consideration of a cesarean section
Monitoring fetal heart rate only
Immediate vaginal delivery
12. If a laboring patient has contractions occurring every 2 minutes, how might
this frequency affect the monitoring and management of labor?
Increased monitoring may be required due to the high frequency of
contractions.
Less monitoring is needed as contractions are infrequent.
The patient can be discharged as contractions are regular.
No changes in management are necessary regardless of contraction
frequency.
13. In a cephalic presentation, which part of the fetal head first contacts the
cervix?
The occiput
The forehead
The face
The chin
14. What is the definition of contraction frequency during labor?
The strength of the contractions measured in millimeters of mercury.
NURSING EXAM PREP | HIGH-YIELD PRACTICE QUESTIONS & CORRECT
ANSWERS | LATEST UPDATED VERSION
1. If a pregnant patient presents with a high fever and signs of infection, what
potential complication should the healthcare team monitor for regarding the
fetus?
Fetal distress
Fetal tachycardia
Fetal hypoxia
Fetal bradycardia
2. Discuss the implications of fetal demise on the labor process.
Fetal demise may necessitate induction of labor for delivery.
Fetal demise requires immediate cesarean delivery in all cases.
Fetal demise has no impact on the labor process.
Fetal demise leads to a natural progression of labor without
intervention.
3. Describe the three stages of labor and their significance in the childbirth
process.
The three stages of labor are cervical dilation, delivery of the baby,
and delivery of the placenta, each crucial for the progression of
childbirth.
The three stages of labor are only concerned with fetal monitoring
and maternal health.
The stages of labor are irrelevant to the childbirth process.
, The three stages of labor include only the delivery of the baby and
the placenta.
4. If a nurse observes the 'turtle sign' during delivery, what immediate action
should be taken to address potential shoulder dystocia?
Administer pain relief medication to the mother.
Prepare for an emergency cesarean section.
Increase the frequency of fetal monitoring.
Implement maneuvers to relieve shoulder dystocia.
5. What is the definitive treatment for placental abruption?
vaginal delivery
RBC transfusion
bed rest and induction at 37wks
C section
6. What should nurses encourage patients to do during the second stage of
labor?
Drink fluids
Rest quietly
Push when they feel the urge
Change positions frequently
7. Describe the role of nurses in supporting patients during the second stage of
labor.
Nurses should administer medications without patient consent.
, Nurses should focus solely on monitoring fetal heart rate.
Nurses should not leave the patient alone and promote effective
pushing.
Nurses should encourage patients to avoid pushing until instructed.
8. Describe the significance of measuring the duration of contractions during
labor.
It helps determine the mother's emotional state during labor.
It indicates the fetal heart rate during labor.
Measuring the duration of contractions helps assess the progress of
labor and the effectiveness of uterine activity.
The duration of contractions is not significant in monitoring labor
progress.
9. A patient in labor reports irregular contractions that are not increasing in
intensity. Based on your knowledge of labor contractions, what type of
contractions is she likely experiencing?
True labor contractions
Uterine contractions during the active phase
Transitional contractions
Braxton Hicks contractions
10. What is one cause of fetal bradycardia related to maternal conditions?
Maternal vagal stimulation
Fetal hyperactivity
Maternal dehydration
, Increased fetal movement
11. If a fetus is in a breech presentation during labor, what might be a
recommended intervention for the healthcare team?
Use of forceps for delivery
Consideration of a cesarean section
Monitoring fetal heart rate only
Immediate vaginal delivery
12. If a laboring patient has contractions occurring every 2 minutes, how might
this frequency affect the monitoring and management of labor?
Increased monitoring may be required due to the high frequency of
contractions.
Less monitoring is needed as contractions are infrequent.
The patient can be discharged as contractions are regular.
No changes in management are necessary regardless of contraction
frequency.
13. In a cephalic presentation, which part of the fetal head first contacts the
cervix?
The occiput
The forehead
The face
The chin
14. What is the definition of contraction frequency during labor?
The strength of the contractions measured in millimeters of mercury.
