NUR 418 Exam 2 Study Guide | 2025-2026 Updated Questions
with Accurate Answers (A+ Ready) /NURS 418 Exam 2||Latest
Version!!
The nurse caring for a client attempting a VBAC (vaginal birth after
caesarean) should monitor for which complication?
A. Precipitous labour
B. Uterine rupture
C. Placenta previa
D. Fetal macrosomia -Correct Answer: B
Rationale: VBAC increases risk for uterine rupture, especially at
previous incision sites.
During admission to L&D, which assessment finding requires
provider notification?
A. Blood pressure 130/80 mmHg
B. Temperature 99.2°F (37.3°C)
C. Vaginal bleeding without contractions
D. Regular contractions every 5 minutes -Correct Answer: C
Rationale: Vaginal bleeding may indicate placental complications and
requires immediate evaluation
What is the nurse's first priority after administering an epidural?
A. Monitor fetal heart rate
B. Assess maternal blood pressure
C. Start an IV bolus
D. Assist with pushing -Correct Answer: B
Rationale: Hypotension is a common complication after epidural
anaesthesia.
pg. 1
,A woman in labour reports "a gush of fluid." The nurse tests it with
nitrazine paper and it turns blue. What should the nurse do next?
A. Document as normal discharge
B. Notify provider of possible rupture of membranes
C. Check maternal temperature
D. Begin oxytocin -Correct Answer: B
Rationale: Blue nitrazine indicates amniotic fluid; provider should be
notified for confirmation and management.
The nurse identifies late decelerations on the fetal monitor. Which
action is priority?
A. Continue to monitor
B. Reposition mother to left side
C. Apply scalp electrode
D. Administer oxytocin -Correct Answer: B
Rationale: Late decelerations indicate uteroplacental insufficiency;
repositioning improves perfusion.
Which sign differentiates true labour from false labour?
A. Irregular contractions relieved by rest
B. Contractions that increase in frequency and intensity
C. Pain localized to the lower abdomen
D. Absence of cervical change -Correct Answer: B
Rationale: True labour causes progressive cervical change and
stronger, regular contractions.
The nurse evaluates a client's labour progress. Dilation has not
changed in 3 hours despite strong contractions. What should the nurse
suspect?
A. Preterm labor
pg. 2
,B. Precipitous labor
C. Dystocia
D. Uterine rupture-Correct Answer: C
Rationale: Dystocia refers to difficult or abnormal labour progression,
often due to ineffective contractions or fetal position.
Which intervention is appropriate for hypertonic uterine dysfunction?
A. Encourage ambulation
B. Administer oxytocin
C. Provide sedation or rest
D. Prepare for caesarean delivery -Correct Answer: C
Rationale: Hypertonic contractions cause pain and ineffective labour;
rest or sedation helps restore coordination.
The nurse caring for a labouring client with dystocia should prioritize:
A. Increasing fluids
B. Monitoring contraction strength and pattern
C. Performing an amniotomy
D. Encouraging frequent pushing -Correct Answer: B
Rationale: Monitoring contractions helps identify ineffective patterns
and guide management.
Which client statement indicates understanding of premature labour
treatment?
A. "I will walk to help my contractions get stronger."
B. "I should report any vaginal pressure or back pain."
C. "I can stop taking my medication once contractions ease."
D. "I will avoid drinking fluids." -Correct Answer: B
pg. 3
, Rationale: Early signs of preterm labour should be reported; hydration
and rest are encouraged.
The nurse notes meconium-stained amniotic fluid during delivery.
What is the priority?
A. Prepare for immediate suctioning of the newborn airway
B. Encourage maternal pushing
C. Notify housekeeping
D. Document as normal finding -Correct Answer: A
Rationale: Meconium aspiration is a risk; airway management is
critical.
When assessing a labouring woman's blood pressure, the nurse
should:
a. Inflate the cuff at the beginning of a contraction.
b. Check the blood pressure between two contractions.
c. Expect a slight elevation of the blood pressure.
d. Position the woman on her back with her knees bent. - Answer-B
The most appropriate time for the nurse to assist a labouring woman
to push is:
a. During the interval between contractions.
b. During first-stage labour.
c. During second-stage labour.
d. Whenever she feels the need. - Answer-C
The abbreviation LOA means that the fetal occiput is:
a. On the examiner's left and in the front of the pelvis.
b. In the left front part of the mother's pelvis.
c. Anterior to the fetal breech.
pg. 4
with Accurate Answers (A+ Ready) /NURS 418 Exam 2||Latest
Version!!
The nurse caring for a client attempting a VBAC (vaginal birth after
caesarean) should monitor for which complication?
A. Precipitous labour
B. Uterine rupture
C. Placenta previa
D. Fetal macrosomia -Correct Answer: B
Rationale: VBAC increases risk for uterine rupture, especially at
previous incision sites.
During admission to L&D, which assessment finding requires
provider notification?
A. Blood pressure 130/80 mmHg
B. Temperature 99.2°F (37.3°C)
C. Vaginal bleeding without contractions
D. Regular contractions every 5 minutes -Correct Answer: C
Rationale: Vaginal bleeding may indicate placental complications and
requires immediate evaluation
What is the nurse's first priority after administering an epidural?
A. Monitor fetal heart rate
B. Assess maternal blood pressure
C. Start an IV bolus
D. Assist with pushing -Correct Answer: B
Rationale: Hypotension is a common complication after epidural
anaesthesia.
pg. 1
,A woman in labour reports "a gush of fluid." The nurse tests it with
nitrazine paper and it turns blue. What should the nurse do next?
A. Document as normal discharge
B. Notify provider of possible rupture of membranes
C. Check maternal temperature
D. Begin oxytocin -Correct Answer: B
Rationale: Blue nitrazine indicates amniotic fluid; provider should be
notified for confirmation and management.
The nurse identifies late decelerations on the fetal monitor. Which
action is priority?
A. Continue to monitor
B. Reposition mother to left side
C. Apply scalp electrode
D. Administer oxytocin -Correct Answer: B
Rationale: Late decelerations indicate uteroplacental insufficiency;
repositioning improves perfusion.
Which sign differentiates true labour from false labour?
A. Irregular contractions relieved by rest
B. Contractions that increase in frequency and intensity
C. Pain localized to the lower abdomen
D. Absence of cervical change -Correct Answer: B
Rationale: True labour causes progressive cervical change and
stronger, regular contractions.
The nurse evaluates a client's labour progress. Dilation has not
changed in 3 hours despite strong contractions. What should the nurse
suspect?
A. Preterm labor
pg. 2
,B. Precipitous labor
C. Dystocia
D. Uterine rupture-Correct Answer: C
Rationale: Dystocia refers to difficult or abnormal labour progression,
often due to ineffective contractions or fetal position.
Which intervention is appropriate for hypertonic uterine dysfunction?
A. Encourage ambulation
B. Administer oxytocin
C. Provide sedation or rest
D. Prepare for caesarean delivery -Correct Answer: C
Rationale: Hypertonic contractions cause pain and ineffective labour;
rest or sedation helps restore coordination.
The nurse caring for a labouring client with dystocia should prioritize:
A. Increasing fluids
B. Monitoring contraction strength and pattern
C. Performing an amniotomy
D. Encouraging frequent pushing -Correct Answer: B
Rationale: Monitoring contractions helps identify ineffective patterns
and guide management.
Which client statement indicates understanding of premature labour
treatment?
A. "I will walk to help my contractions get stronger."
B. "I should report any vaginal pressure or back pain."
C. "I can stop taking my medication once contractions ease."
D. "I will avoid drinking fluids." -Correct Answer: B
pg. 3
, Rationale: Early signs of preterm labour should be reported; hydration
and rest are encouraged.
The nurse notes meconium-stained amniotic fluid during delivery.
What is the priority?
A. Prepare for immediate suctioning of the newborn airway
B. Encourage maternal pushing
C. Notify housekeeping
D. Document as normal finding -Correct Answer: A
Rationale: Meconium aspiration is a risk; airway management is
critical.
When assessing a labouring woman's blood pressure, the nurse
should:
a. Inflate the cuff at the beginning of a contraction.
b. Check the blood pressure between two contractions.
c. Expect a slight elevation of the blood pressure.
d. Position the woman on her back with her knees bent. - Answer-B
The most appropriate time for the nurse to assist a labouring woman
to push is:
a. During the interval between contractions.
b. During first-stage labour.
c. During second-stage labour.
d. Whenever she feels the need. - Answer-C
The abbreviation LOA means that the fetal occiput is:
a. On the examiner's left and in the front of the pelvis.
b. In the left front part of the mother's pelvis.
c. Anterior to the fetal breech.
pg. 4
