V. SIM ARIEL BARKLEY EXAM
QUESTIONS & VERIFIED CORRECT
ANSWERS ALL PASSED
Which assessment finding indicates to the nurse that the pregnant patient is in the active
phase of labor?
The cervix is 8 cm dilated
The patient arrives on the labor unit reporting spontaneous rupture of membranes (SROM)
within the past hour. What action following the patient's arrival should be conducted first?
Assess fetal heart rate pattern
The nurse is caring for a 16-year-old primigravida at 39 weeks of gestation with contractions
tracing on the external fetal monitor every 2 minutes. Which of the following should the
nurse recognize as a true sign of labor?
Change in cervical dilation
The patient delivered vaginally 5 minutes ago and is asking the nurse to share the Apgar score.
At 5 minutes after delivery, the following findings were noted: heart rate of 130 beats/min; lusty
cry; active flexion of extremities; grimace in response to suctioning of the nares; body pink in
color with blue extremities. Calculate the newborn's Apgar score. The Apgar score is
______________/10.
9
The pregnant patient's support person is asking what options are available for
nonpharmacologic pain management during labor. Which of the following are appropriate
nonpharmacologic interventions? (Select all that apply.)
- heat and cold application
- breathing techniques
- position changes
- emotional support
- aromatherapy
QUESTIONS & VERIFIED CORRECT
ANSWERS ALL PASSED
Which assessment finding indicates to the nurse that the pregnant patient is in the active
phase of labor?
The cervix is 8 cm dilated
The patient arrives on the labor unit reporting spontaneous rupture of membranes (SROM)
within the past hour. What action following the patient's arrival should be conducted first?
Assess fetal heart rate pattern
The nurse is caring for a 16-year-old primigravida at 39 weeks of gestation with contractions
tracing on the external fetal monitor every 2 minutes. Which of the following should the
nurse recognize as a true sign of labor?
Change in cervical dilation
The patient delivered vaginally 5 minutes ago and is asking the nurse to share the Apgar score.
At 5 minutes after delivery, the following findings were noted: heart rate of 130 beats/min; lusty
cry; active flexion of extremities; grimace in response to suctioning of the nares; body pink in
color with blue extremities. Calculate the newborn's Apgar score. The Apgar score is
______________/10.
9
The pregnant patient's support person is asking what options are available for
nonpharmacologic pain management during labor. Which of the following are appropriate
nonpharmacologic interventions? (Select all that apply.)
- heat and cold application
- breathing techniques
- position changes
- emotional support
- aromatherapy
