NURS 2546 WEEK 4 - PRACTICE QUESTIONS WITH
COMPLETE SOLUTIONS
A spinal blocks pain from T6 to the feet and is injected through
the _____, ______, or _____ lumbar interspace into the
subarachnoid space:
A) First, second, third
B) Third, fourth, fifth
C) Fifth, sixth, seventh
D) Seventh, eighth, ninth Correct Answers B) Third, fourth,
fifth
Accelerations greater than 2 minutes but less than 10 minutes is
considered:
A) A change in baseline
B) Prolonged acceleration
C) Regular acceleration
D) Class II acceleration Correct Answers B) Prolonged
acceleration
According to the recommended practice, patients should change
into a hospital gown unless:
A) They request it themselves
B) It is mandated by hospital policy
C) Their physician orders it
D) They are in active labour Correct Answers A) They request
it themselves
After a forceps-assisted birth, which assessment is crucial for the
postpartum patient:
A) Assessment for urinary retention and lacerations
,B) Assessment for emotional well-being
C) Assessment for breastfeeding efficiency
D) Assessment for fetal heart rate stability Correct Answers A)
Assessment for urinary retention and lacerations
After how many weeks of gestation does the definition of an
acceleration change to require a peak of 15 bpm:
A) 20 weeks
B) 28 weeks
C) 30 weeks
D) 32 weeks Correct Answers D) 32 weeks
An epidural placed between the _____ and _____ lumbar
vertebrae that will block pain from T10 to S5:
A) First, second
B) Second, third
C) Third, fourth
D) Fourth, fifth Correct Answers C) Third, fourth
At what level does internal rotation begin:
A) Pelvic outlet
B) Pelvic floor
C) Ischial spines
D) Maternal pelvic inlet Correct Answers C) Ischial spines
At what point does active labour begin for a nulliparous patient:
A) When the cervix is 2 cm dilated
B) When the cervix is 4 cm dilated
C) When the cervix is fully effaced
D) When the patient is admitted to the hospital Correct Answers
B) When the cervix is 4 cm dilated
,At what stage should a patient ideally come to the hospital
during labour:
A) When contractions are 10 minutes apart
B) When contractions are 4 to 5 minutes apart for primiparous
patients
C) Only after water breaks
D) Immediately upon experiencing cramping Correct Answers
B) When contractions are 4 to 5 minutes apart for primiparous
patients
Classify these fetal heart rate findings are either normal,
atypical, abnormal, or severe: repetitive complicated
decelerations greater than or equal to three with absent
accelerations:
A) Normal
B) Atypical
C) Abnormal
D) Severe Correct Answers C) Abnormal
Delayed cord clamping is recommended to occur:
A) Immediately after birth
B) 1 to 3 minutes after birth or until the cord stops pulsating
C) After the first cry of the newborn
D) Only if the newborn is in distress Correct Answers B) 1 to 3
minutes after birth or until the cord stops pulsating
During internal rotation, which part of the fetal head rotates
anteriorly:
A) The chin
B) The forehead
, C) The occiput
D) The eyes Correct Answers C) The occiput
During the active phase of labor, how often should fetal heart
rate (FHR) and uterine activity be assessed based on risk status:
A) Every hour
B) Every 15 to 30 minutes
C) Every half hour
D) Every 4 hours Correct Answers B) Every 15 to 30 minutes
During the active phase of the first stage of labor, how often
should IA assessments be conducted:
A) Every hour
B) Every 15 to 30 minutes
C) Every 5 minutes
D) At admission only Correct Answers B) Every 15 to 30
minutes
During the active phase of the second stage of labour, the nurse
should (select all that apply):
A) Assess vitals every 5 to 30 minutes
B) Monitor fetal heart rate every 5 minutes
C) Support the pregnant person every 10 to 15 minutes
D) Palpate the fundus Correct Answers A) Assess vitals every
5 to 30 minutes
B) Monitor fetal heart rate every 5 minutes
C) Support the pregnant person every 10 to 15 minutes
During the first-time labour, how does descent usually progress:
A) Rapid and erratic
B) Slow but steady
COMPLETE SOLUTIONS
A spinal blocks pain from T6 to the feet and is injected through
the _____, ______, or _____ lumbar interspace into the
subarachnoid space:
A) First, second, third
B) Third, fourth, fifth
C) Fifth, sixth, seventh
D) Seventh, eighth, ninth Correct Answers B) Third, fourth,
fifth
Accelerations greater than 2 minutes but less than 10 minutes is
considered:
A) A change in baseline
B) Prolonged acceleration
C) Regular acceleration
D) Class II acceleration Correct Answers B) Prolonged
acceleration
According to the recommended practice, patients should change
into a hospital gown unless:
A) They request it themselves
B) It is mandated by hospital policy
C) Their physician orders it
D) They are in active labour Correct Answers A) They request
it themselves
After a forceps-assisted birth, which assessment is crucial for the
postpartum patient:
A) Assessment for urinary retention and lacerations
,B) Assessment for emotional well-being
C) Assessment for breastfeeding efficiency
D) Assessment for fetal heart rate stability Correct Answers A)
Assessment for urinary retention and lacerations
After how many weeks of gestation does the definition of an
acceleration change to require a peak of 15 bpm:
A) 20 weeks
B) 28 weeks
C) 30 weeks
D) 32 weeks Correct Answers D) 32 weeks
An epidural placed between the _____ and _____ lumbar
vertebrae that will block pain from T10 to S5:
A) First, second
B) Second, third
C) Third, fourth
D) Fourth, fifth Correct Answers C) Third, fourth
At what level does internal rotation begin:
A) Pelvic outlet
B) Pelvic floor
C) Ischial spines
D) Maternal pelvic inlet Correct Answers C) Ischial spines
At what point does active labour begin for a nulliparous patient:
A) When the cervix is 2 cm dilated
B) When the cervix is 4 cm dilated
C) When the cervix is fully effaced
D) When the patient is admitted to the hospital Correct Answers
B) When the cervix is 4 cm dilated
,At what stage should a patient ideally come to the hospital
during labour:
A) When contractions are 10 minutes apart
B) When contractions are 4 to 5 minutes apart for primiparous
patients
C) Only after water breaks
D) Immediately upon experiencing cramping Correct Answers
B) When contractions are 4 to 5 minutes apart for primiparous
patients
Classify these fetal heart rate findings are either normal,
atypical, abnormal, or severe: repetitive complicated
decelerations greater than or equal to three with absent
accelerations:
A) Normal
B) Atypical
C) Abnormal
D) Severe Correct Answers C) Abnormal
Delayed cord clamping is recommended to occur:
A) Immediately after birth
B) 1 to 3 minutes after birth or until the cord stops pulsating
C) After the first cry of the newborn
D) Only if the newborn is in distress Correct Answers B) 1 to 3
minutes after birth or until the cord stops pulsating
During internal rotation, which part of the fetal head rotates
anteriorly:
A) The chin
B) The forehead
, C) The occiput
D) The eyes Correct Answers C) The occiput
During the active phase of labor, how often should fetal heart
rate (FHR) and uterine activity be assessed based on risk status:
A) Every hour
B) Every 15 to 30 minutes
C) Every half hour
D) Every 4 hours Correct Answers B) Every 15 to 30 minutes
During the active phase of the first stage of labor, how often
should IA assessments be conducted:
A) Every hour
B) Every 15 to 30 minutes
C) Every 5 minutes
D) At admission only Correct Answers B) Every 15 to 30
minutes
During the active phase of the second stage of labour, the nurse
should (select all that apply):
A) Assess vitals every 5 to 30 minutes
B) Monitor fetal heart rate every 5 minutes
C) Support the pregnant person every 10 to 15 minutes
D) Palpate the fundus Correct Answers A) Assess vitals every
5 to 30 minutes
B) Monitor fetal heart rate every 5 minutes
C) Support the pregnant person every 10 to 15 minutes
During the first-time labour, how does descent usually progress:
A) Rapid and erratic
B) Slow but steady
