Prepare for the RN Labor Exam with this focused obstetric nursing review covering labor assessment, fetal monitoring, fetal positioning, maternal care, and priority nursing interventions. Review fetal heart rate baseline changes, variable decelerations, early deceleration patterns, and assessment of fetal well-being in relation to uterine contractions. Strengthen your understanding of intrauterine pressure catheter placement, amniotic membrane rupture, meconium-stained amniotic fluid, and appropriate assessment of suspected fluid leakage. Explore the stages and phases of labor, cervical dilation and effacement, contraction patterns, fetal attitude, fetal presentation, fetal lie, and right occiput anterior positioning. Additional topics include Leopold maneuvers, external electronic fetal monitoring transducer placement, group B streptococcus (GBS) prophylaxis with penicillin, maternal vital-sign assessment, epidural-related nausea, urine dipstick interpretation, and hormonal influences on labor progression, including oxytocin. The review also reinforces culturally respectful maternity care, family support during childbirth, and clinical prioritization when maternal or fetal findings require further assessment. Designed for nursing students preparing for labor and delivery assessments, this resource supports revision of essential obstetric concepts, clinical judgment, and exam-style nursing scenarios. Updated 2026/2027 | Instant Download
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RN Labor Exam
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Updated 2026
, A nurse is analyzing a client's FHR monitor strip. The FHR baseline has been
consistent at 160/ minute for the last hour period upon the next assessment, the
nurse notices a FHR of 130/ minute for the last 15 minutes. The client is having
contractions every 3 to 5 minutes, lasting 60 to 80 seconds with periods of
uterine relaxation between. The nurse should identify this FHR pattern as which
of the following?
A baseline change
A nurse is caring for a client who is in labor. The provider is preparing to place an
intrauterine pressure catheter (IUPC) due to an unsatisfactory contraction tracing from
the external tocodynamometer (TOCO). The nurse identifies that which of the
following must occur prior to placement of the IUPC
Rupturing of the amniotic membranes
A nurse is caring for a client who is at 6 centimeters dilation in active labor and
recently received epidural anesthesia. The client reports feeling nauseated and
vomits between contractions. Which of the following actions should the nurse
take?
Offer the client ice chips between contractions
A nurse is teaching about fetal attitude with a client who is in labor. Which of the
following statements by the client indicates an understanding of the teaching?
"The location of the baby's body in relation to itself is the fetal attitude."