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Labor and Delivery Nursing Exam
Questions And Answers With Verified
Rationales | 2026/27 Qs & Ans | Digital Pdf
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1. The first stage of labor begins with:
A. Delivery of placenta
B. Birth of fetus
C. Onset of regular uterine contractions
D. Cervical closure
Rationale: The first stage starts with regular contractions leading to
cervical dilation.
2. Full cervical dilation is:
A. 6 cm
B. 8 cm
C. 10 cm
D. 12 cm
Rationale: Complete dilation is required for fetal passage.
3. The longest phase of labor is:
1
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A. Second stage
B. Third stage
C. Fourth stage
D. First stage
Rationale: Cervical dilation takes the most time.
4. The second stage of labor ends with:
A. Cervical dilation
B. Placental delivery
C. Birth of the baby
D. Contraction cessation
Rationale: This stage ends when the fetus is delivered.
5. The third stage of labor involves:
A. Dilation
B. Fetal descent
C. Placental delivery
D. Recovery
Rationale: Placenta is expelled after birth.
6. The fourth stage of labor refers to:
2
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A. Dilation phase
B. Expulsion phase
C. Immediate postpartum recovery (1–4 hrs)
D. Pre-labor phase
Rationale: Monitoring for complications occurs after delivery.
7. The most important assessment during labor is:
A. Maternal weight
B. Urine output
C. Fetal heart rate (FHR)
D. Temperature only
Rationale: FHR reflects fetal well-being.
8. Normal fetal heart rate is:
A. 80–100 bpm
B. 100–120 bpm
C. 110–160 bpm
D. 160–200 bpm
Rationale: This is the normal baseline range.
9. Accelerations in fetal heart rate indicate:
3
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A. Fetal distress
B. Hypoxia
C. Well-being and oxygenation
D. Cord compression
Rationale: Accelerations are reassuring.
10. Early decelerations are caused by:
A. Placental insufficiency
B. Cord compression
C. Head compression
D. Uterine rupture
Rationale: Head compression during contractions causes early decels.
11. Variable decelerations are caused by:
A. Hypoxia
B. Umbilical cord compression
C. Infection
D. Placental aging
Rationale: Cord compression causes abrupt changes.
12. Late decelerations indicate:
4
Labor and Delivery Nursing Exam
Questions And Answers With Verified
Rationales | 2026/27 Qs & Ans | Digital Pdf
Download
1. The first stage of labor begins with:
A. Delivery of placenta
B. Birth of fetus
C. Onset of regular uterine contractions
D. Cervical closure
Rationale: The first stage starts with regular contractions leading to
cervical dilation.
2. Full cervical dilation is:
A. 6 cm
B. 8 cm
C. 10 cm
D. 12 cm
Rationale: Complete dilation is required for fetal passage.
3. The longest phase of labor is:
1
, © 2026 Copy Right Reserved.
A. Second stage
B. Third stage
C. Fourth stage
D. First stage
Rationale: Cervical dilation takes the most time.
4. The second stage of labor ends with:
A. Cervical dilation
B. Placental delivery
C. Birth of the baby
D. Contraction cessation
Rationale: This stage ends when the fetus is delivered.
5. The third stage of labor involves:
A. Dilation
B. Fetal descent
C. Placental delivery
D. Recovery
Rationale: Placenta is expelled after birth.
6. The fourth stage of labor refers to:
2
, © 2026 Copy Right Reserved.
A. Dilation phase
B. Expulsion phase
C. Immediate postpartum recovery (1–4 hrs)
D. Pre-labor phase
Rationale: Monitoring for complications occurs after delivery.
7. The most important assessment during labor is:
A. Maternal weight
B. Urine output
C. Fetal heart rate (FHR)
D. Temperature only
Rationale: FHR reflects fetal well-being.
8. Normal fetal heart rate is:
A. 80–100 bpm
B. 100–120 bpm
C. 110–160 bpm
D. 160–200 bpm
Rationale: This is the normal baseline range.
9. Accelerations in fetal heart rate indicate:
3
, © 2026 Copy Right Reserved.
A. Fetal distress
B. Hypoxia
C. Well-being and oxygenation
D. Cord compression
Rationale: Accelerations are reassuring.
10. Early decelerations are caused by:
A. Placental insufficiency
B. Cord compression
C. Head compression
D. Uterine rupture
Rationale: Head compression during contractions causes early decels.
11. Variable decelerations are caused by:
A. Hypoxia
B. Umbilical cord compression
C. Infection
D. Placental aging
Rationale: Cord compression causes abrupt changes.
12. Late decelerations indicate:
4
