1 Exampromax - Stuvia US 2025/2026
Maternal/Newborn Test 2 NCLEX Questions with
Detailed Verified Answers (100% Correct Answers)
/Already Graded A+
Based on the hormonal theory of labor, the nurse anticipates a rise in
which of the following to begin a chain of hormonal events that cause labor?
A. Cortisol
B. Oxytocin
C. Progesterone
D. Estrogen
Ans: A. Cortisol
Exampromax - Stuvia US
The nurse would recognize that the client has experienced lightening when
the pregnant woman reports:
Approved By:
A. "I can breath much better"
B. "My ankles are less swollen"
C. "I don't have to urinate as often now"
D. "My lower back pain has been relieved"
Ans: A. "I can breath much better"
Fetus has descended into pelvis, relieving pressure on diaphragm
The primary nurse performs a vaginal examination and finds a prolapsed
cord. The nurses priority action will be to:
A. Give medication to hasten a vaginal delivery
B. Keep the client in a back-lying position
C. Make arrangements for an emergency cesarean section
D. Get the cord back to its original location
Ans: C. Make arrangements for an emergency cesarean section
Position client to take pressure off cord while awaiting surgery
, 2 Exampromax - Stuvia US 2025/2026
When the fetus is found to be in a vertex presentation, the nurse anticipates
the presenting fetal part will be the:
A. Forehead
B. Face
C. Buttocks
D. Occiput
Ans: D. Occiput
A nurse is caring for a client in labor who complains of feeling faint. The
nurse turns the client onto her side in order to have what effect on
contractions?
A. Little or no effect
Exampromax - Stuvia US
B. Increase the frequency
Approved By:
C. Increase the intensity
D. Stop the contractions
Ans: C. Increase the intensity
Also less frequent
The nurse recognizes that the client is in latent phase of the first stage of
Labor. This phase is best described as lasting from:
A. Undilated cervix to a 2cm dilation
B. Onset of contractions to 4cm
C. Cervix is dilated 4cm to dilation of 8cm
D. No contraction to contractions every 3 minutes
Ans: B. Onset of contractions to 4cm
The nurse, working on a labor and delivery unit, anticipates active labor for
a primagravida will last how long?
A. 16-18h
B. 12-14h
C. 8-10h
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D. 4-6h
Ans: D. 4-6h
A client is in the transition phase of labor irritably tells the nurse not to
touch her. The nurses best action would be to:
A. Ask for someone else to support the client
B. Tell the client to be cooperative and do as you say
C. Remind the client to focus on relaxation and breathing
D. Ask the client to push actively with each contraction
Ans: C. Remind the client to focus on relaxation and breathing
The student nurse asks the primary nurse to explain what the obstetrician
Exampromax - Stuvia US
meant when telling the client that engagement has occurred. The primary
nurses best response would be to explain that:
Approved By:
A. The fetus has now become ballotable
B. The presenting part has entered the true pelvis
C. The presenting part is just above the Ischial spine
D. There is now observable crowning
Ans: B. The presenting part has entered the true pelvis
While caring for the client in the fourth stage of labor the nurse discovers
that the client has saturated two perineal pads during the first hour. What is
the nurses priority action?
A. Notify the primary nurse immediately
B. Assure the client that this is normal
C. Put the client on the bedpan to void
D. Start a count of the pads and chart it
Ans: A. Notify the primary nurse immediately
Any bleeding in excess of one pad per hour is abnormal
Maternal/Newborn Test 2 NCLEX Questions with
Detailed Verified Answers (100% Correct Answers)
/Already Graded A+
Based on the hormonal theory of labor, the nurse anticipates a rise in
which of the following to begin a chain of hormonal events that cause labor?
A. Cortisol
B. Oxytocin
C. Progesterone
D. Estrogen
Ans: A. Cortisol
Exampromax - Stuvia US
The nurse would recognize that the client has experienced lightening when
the pregnant woman reports:
Approved By:
A. "I can breath much better"
B. "My ankles are less swollen"
C. "I don't have to urinate as often now"
D. "My lower back pain has been relieved"
Ans: A. "I can breath much better"
Fetus has descended into pelvis, relieving pressure on diaphragm
The primary nurse performs a vaginal examination and finds a prolapsed
cord. The nurses priority action will be to:
A. Give medication to hasten a vaginal delivery
B. Keep the client in a back-lying position
C. Make arrangements for an emergency cesarean section
D. Get the cord back to its original location
Ans: C. Make arrangements for an emergency cesarean section
Position client to take pressure off cord while awaiting surgery
, 2 Exampromax - Stuvia US 2025/2026
When the fetus is found to be in a vertex presentation, the nurse anticipates
the presenting fetal part will be the:
A. Forehead
B. Face
C. Buttocks
D. Occiput
Ans: D. Occiput
A nurse is caring for a client in labor who complains of feeling faint. The
nurse turns the client onto her side in order to have what effect on
contractions?
A. Little or no effect
Exampromax - Stuvia US
B. Increase the frequency
Approved By:
C. Increase the intensity
D. Stop the contractions
Ans: C. Increase the intensity
Also less frequent
The nurse recognizes that the client is in latent phase of the first stage of
Labor. This phase is best described as lasting from:
A. Undilated cervix to a 2cm dilation
B. Onset of contractions to 4cm
C. Cervix is dilated 4cm to dilation of 8cm
D. No contraction to contractions every 3 minutes
Ans: B. Onset of contractions to 4cm
The nurse, working on a labor and delivery unit, anticipates active labor for
a primagravida will last how long?
A. 16-18h
B. 12-14h
C. 8-10h
, 3 Exampromax - Stuvia US 2025/2026
D. 4-6h
Ans: D. 4-6h
A client is in the transition phase of labor irritably tells the nurse not to
touch her. The nurses best action would be to:
A. Ask for someone else to support the client
B. Tell the client to be cooperative and do as you say
C. Remind the client to focus on relaxation and breathing
D. Ask the client to push actively with each contraction
Ans: C. Remind the client to focus on relaxation and breathing
The student nurse asks the primary nurse to explain what the obstetrician
Exampromax - Stuvia US
meant when telling the client that engagement has occurred. The primary
nurses best response would be to explain that:
Approved By:
A. The fetus has now become ballotable
B. The presenting part has entered the true pelvis
C. The presenting part is just above the Ischial spine
D. There is now observable crowning
Ans: B. The presenting part has entered the true pelvis
While caring for the client in the fourth stage of labor the nurse discovers
that the client has saturated two perineal pads during the first hour. What is
the nurses priority action?
A. Notify the primary nurse immediately
B. Assure the client that this is normal
C. Put the client on the bedpan to void
D. Start a count of the pads and chart it
Ans: A. Notify the primary nurse immediately
Any bleeding in excess of one pad per hour is abnormal
