NUR 318 DAY 2 PRACTICE QUESTIONS AND ANSWERS |
2026 UPDATE | WITH COMPLETE SOLUTION
When determining the frequency of contractions, the nurse would measure
which of the following?
A. Start of one contraction to the start of the next contraction
B. Beginning of one contraction to the end of the same contraction
C. Peak of one contraction to the peak of the next contraction
D. End of one contraction to the beginning of the next contraction Answer - A
Which fetal lie is most conducive to a spontaneous vaginal birth?
A. Transverse
B. Longitudinal
C. Perpendicular
D. Oblique Answer - B.
Which of the following observations would suggest that placental separation is
occurring?
A. Uterus stops contracting altogether.
B. Umbilical cord pulsations stop.
C. Uterine shape changes to globular.
D. Maternal blood pressure drops. Answer - C.
,As the nurse is explaining the difference between true versus false labor to her
childbirth class, she states that the major difference between them is:
A. Discomfort level is greater with false labor.
B. Progressive cervical changes occur in true labor.
C. There is a feeling of nausea with false labor.
D. There is more fetal movement with true labor. Answer - B.
The shortest but most intense phase of labor is the:
A. Latent phase
B. Active phase
C. Transition phase
D. Placental expulsion phase Answer - C.
A laboring woman is admitted to the labor and birth suite at 6 cm dilation. She
would be in which phase of the first stage of labor?
A. Latent
B. Active
C. Transition
D. Early Answer - B.
Which assessment would indicate that a woman is in true labor?
A. Membranes are ruptured and fluid is clear.
B. Presenting part is engaged and not floating.
C. Cervix is 4 cm dilated, 90% effaced.
D. Contractions last 30 seconds, every 5 to 10 minutes. Answer - C.
, Interventions that are underutilized in promoting a normal birth. Select all that
apply.
A. Oral nutrition and fluids in labor
B. Open glottis pushing in the second stage of labor
C. Skin-to-skin contact after birth for infant bonding
D. Routine artificial rupture of membranes (amniotomy)
E. Labor induction with Pitocin given intravenously
F. Routine episiotomy to shorten labor length Answer - A, B, C
Physiologic preparation for labor would be demonstrated by:
A. Decrease in Braxton Hicks contractions felt by mother
B. Weight gain and increase in appetite by mother
C. Lightening, whereby the fetus drops into true pelvis
D. Fetal heart rate accelerations and increased movements Answer - C.
1. Cindy, a 20-year-old primipara, calls the birthing center where you work as a
nurse and reports that she thinks she is in labor because she feels labor pains.
Her due date is this week. The midwives have been giving her prenatal care
throughout this pregnancy.
a. What additional information do you need to respond appropriately? Answer
- Ask about the frequency and duration of her contractions.
Ask about how long she has experienced "labor pains."
Ask about any other signs she may have experienced such as bloody show,
lightening, backache, ruptured membranes, and so forth.
Ask if walking tends to increase or decrease the intensity of contractions.
Ask her when she last felt fetal movement.
Ask her how far away (distance) she is from the birthing center.
Ask her if she has a support person in the home with her.
2026 UPDATE | WITH COMPLETE SOLUTION
When determining the frequency of contractions, the nurse would measure
which of the following?
A. Start of one contraction to the start of the next contraction
B. Beginning of one contraction to the end of the same contraction
C. Peak of one contraction to the peak of the next contraction
D. End of one contraction to the beginning of the next contraction Answer - A
Which fetal lie is most conducive to a spontaneous vaginal birth?
A. Transverse
B. Longitudinal
C. Perpendicular
D. Oblique Answer - B.
Which of the following observations would suggest that placental separation is
occurring?
A. Uterus stops contracting altogether.
B. Umbilical cord pulsations stop.
C. Uterine shape changes to globular.
D. Maternal blood pressure drops. Answer - C.
,As the nurse is explaining the difference between true versus false labor to her
childbirth class, she states that the major difference between them is:
A. Discomfort level is greater with false labor.
B. Progressive cervical changes occur in true labor.
C. There is a feeling of nausea with false labor.
D. There is more fetal movement with true labor. Answer - B.
The shortest but most intense phase of labor is the:
A. Latent phase
B. Active phase
C. Transition phase
D. Placental expulsion phase Answer - C.
A laboring woman is admitted to the labor and birth suite at 6 cm dilation. She
would be in which phase of the first stage of labor?
A. Latent
B. Active
C. Transition
D. Early Answer - B.
Which assessment would indicate that a woman is in true labor?
A. Membranes are ruptured and fluid is clear.
B. Presenting part is engaged and not floating.
C. Cervix is 4 cm dilated, 90% effaced.
D. Contractions last 30 seconds, every 5 to 10 minutes. Answer - C.
, Interventions that are underutilized in promoting a normal birth. Select all that
apply.
A. Oral nutrition and fluids in labor
B. Open glottis pushing in the second stage of labor
C. Skin-to-skin contact after birth for infant bonding
D. Routine artificial rupture of membranes (amniotomy)
E. Labor induction with Pitocin given intravenously
F. Routine episiotomy to shorten labor length Answer - A, B, C
Physiologic preparation for labor would be demonstrated by:
A. Decrease in Braxton Hicks contractions felt by mother
B. Weight gain and increase in appetite by mother
C. Lightening, whereby the fetus drops into true pelvis
D. Fetal heart rate accelerations and increased movements Answer - C.
1. Cindy, a 20-year-old primipara, calls the birthing center where you work as a
nurse and reports that she thinks she is in labor because she feels labor pains.
Her due date is this week. The midwives have been giving her prenatal care
throughout this pregnancy.
a. What additional information do you need to respond appropriately? Answer
- Ask about the frequency and duration of her contractions.
Ask about how long she has experienced "labor pains."
Ask about any other signs she may have experienced such as bloody show,
lightening, backache, ruptured membranes, and so forth.
Ask if walking tends to increase or decrease the intensity of contractions.
Ask her when she last felt fetal movement.
Ask her how far away (distance) she is from the birthing center.
Ask her if she has a support person in the home with her.
