Nsg3500 Exam 2

1. What is the longest stage of labor? A. 1st Stage B. 2nd Stage C. 3rd Stage D. 4th Stage ________________________________________ 2. A woman must be how effaced and dilated to begin pushing? A. 90% effaced, 9 cm dilated B. Fully effaced and 10 cm dilated C. 50% effaced and 7 cm dilated D. 100% effaced and 8 cm dilated ________________________________________ 3. Sick role behavior includes either: A. Eating excessively or refusing food B. Being stoic or showing pain C. Sleeping or pacing D. Isolating or socializing excessively ________________________________________ 4. Who is especially important to collaborate with during labor for epidural administration? A. Obstetrician B. Nurse C. Anesthesiologist D. Pediatrician ________________________________________ 5. Where is the point of auscultation of the FHR usually located? A. On the mother’s lower right abdomen B. On the fetal abdomen C. On the fetal back D. On the maternal spine ________________________________________ 6. Why should vaginal exams during labor be limited? A. To prevent patient discomfort B. To avoid premature labor C. To reduce introduction of bacteria D. To avoid contractions ________________________________________ 7. Continuous electronic fetal monitoring (EFM) is indicated for which patients? A. All laboring patients B. Low-risk pregnancies C. High-risk cases like hx of stillbirth, preeclampsia, placenta previa, PROM, etc. D. When contractions are not visible ________________________________________ 8. Internal EFM requires: A. Use of external monitors only B. Vaginal dilation of 4 cm C. Ruptured membranes and full dilation D. Epidural administration ________________________________________ 9. Intermittent auscultation of FHR is best for: A. High-risk births B. Cesarean sections C. Low-risk and no risk factor births D. All births ________________________________________ 10. How often should FHR be checked during the latent phase (intermittent monitoring)? A. Every 15 minutes B. Every 30 minutes C. Every 60 minutes D. Every 5 minutes ________________________________________ 11. FHR checks during active phase (intermittent monitoring): A. Every 30 minutes B. Every 15 minutes C. Every 5 minutes D. Every 60 minutes ________________________________________ 12. FHR checks during second stage of labor (intermittent): A. Every 60 minutes B. Every 30 minutes C. Every 15 minutes D. Every 5 minutes ________________________________________ 13. Continuous FHR evaluation frequency recommendations: A. Latent: 60m, Active: 30m, Pushing: 15m B. Latent: 30m, Active: 15m, Pushing: 5m C. Latent: 15m, Active: 5m, Pushing: