NSG 3500 Exam 2 Questions and Correct
Answers
Question 1
A woman has just arrived at the labor and delivery suite. Before reporting the client's
arrival to her primary healthcare practitioner, which of the following assessments
should the nurse perform? Select all that apply.
1. Fetal heart rate.
2. Contraction pattern.
3. Urinalysis.
4. Vital signs.
5. Biophysical profile.
Correct Answer
1, 2, 4
1. The nurse should assess the fetal heart
rate before reporting the client's status
to the healthcare provider.
2. The nurse should assess the contraction
pattern before reporting the client's
status.
3. A complete urinalysis is not generally
indicated, but this depends on the client's
medical history. This can be obtained once
the patient is admitted, unless the client
reports symptoms that require immediate
testing. Some standard orders include a
limited urine sample for the presence of
protein, but this also can wait.
4. The nurse should assess the woman's
vital signs before reporting her status.
5. A biophysical profile is performed only if
ordered by a healthcare practitioner.
Page 1 of 24
,Question 2
The faculty member teaching a class of students explains several theories regarding
the onset of labor. Which of the following does the faculty member include? (Select
all that apply.)
1)Molding of the fetal head
2)Closure of ductus arteriosus
3)Placental aging
4)Pressure on the cervix
5)Uterine muscle stretching
Correct Answer
3, 4, 5
Several theories regarding the onset of labor exist and include (among others)
placental aging, pressure on the cervix, and uterine muscle stretching
Page 2 of 24
, Question 3
The labor and delivery nurse performs Leopold maneuvers. A soft round mass is felt
in the fundal region. A flat object is noted on the client's left and small objects are
noted on the right of the uterus (the client's right). A hard round mass is noted above
the symphysis. Which of the following positions is consistent with these findings?
1. Left occipital anterior (LOA).
2. Left sacral posterior (LSP).
3. Right mentum anterior (RMA).
4. Right sacral posterior (RSP).
Correct Answer
1
1. The nurse's findings upon performing
Leopold maneuvers indicate that the
fetus is in the left occiput anterior (LOA)
position, the best position for birth.
The fetal back is felt on the mother's
left side (L), the back of the baby's head,
the occiput (O) is toward the anterior,
or front of the mother (A) and the small
parts (hands and feet) are felt on her
right side. The soft, round buttocks are
felt in the fundal region, and the head is
felt above her symphysis as a hard, round
mass.
2. The findings after the nurse performs
Leopold maneuvers do not indicate that
the fetus is in the left sacral posterior (LSP)
position; in that position, the fetal back is on
the mother's left side (L); the fetal buttocks
(S or sacrum) are tilted posteriorly (P) toward the bed and the mother's back; a hard
round mass is felt in the fundal region, and a soft round mass is felt above the
symphysis.
3. The findings after the nurse performs
Leopold maneuvers do not indicate that the
fetus is in the right mentum anterior (RMA)
position; in that position, the fetal chin (M
or mentum) is to the mother's right (R),
presenting. The baby's head is not flexed.
Instead, it is tilted back, as though looking
at the sun, and faces the front of the mother,
anteriorly (A). Small objects are felt on the
right of the mother's abdomen with a flat
area felt on the mother's left side.
Page 3 of 24
Answers
Question 1
A woman has just arrived at the labor and delivery suite. Before reporting the client's
arrival to her primary healthcare practitioner, which of the following assessments
should the nurse perform? Select all that apply.
1. Fetal heart rate.
2. Contraction pattern.
3. Urinalysis.
4. Vital signs.
5. Biophysical profile.
Correct Answer
1, 2, 4
1. The nurse should assess the fetal heart
rate before reporting the client's status
to the healthcare provider.
2. The nurse should assess the contraction
pattern before reporting the client's
status.
3. A complete urinalysis is not generally
indicated, but this depends on the client's
medical history. This can be obtained once
the patient is admitted, unless the client
reports symptoms that require immediate
testing. Some standard orders include a
limited urine sample for the presence of
protein, but this also can wait.
4. The nurse should assess the woman's
vital signs before reporting her status.
5. A biophysical profile is performed only if
ordered by a healthcare practitioner.
Page 1 of 24
,Question 2
The faculty member teaching a class of students explains several theories regarding
the onset of labor. Which of the following does the faculty member include? (Select
all that apply.)
1)Molding of the fetal head
2)Closure of ductus arteriosus
3)Placental aging
4)Pressure on the cervix
5)Uterine muscle stretching
Correct Answer
3, 4, 5
Several theories regarding the onset of labor exist and include (among others)
placental aging, pressure on the cervix, and uterine muscle stretching
Page 2 of 24
, Question 3
The labor and delivery nurse performs Leopold maneuvers. A soft round mass is felt
in the fundal region. A flat object is noted on the client's left and small objects are
noted on the right of the uterus (the client's right). A hard round mass is noted above
the symphysis. Which of the following positions is consistent with these findings?
1. Left occipital anterior (LOA).
2. Left sacral posterior (LSP).
3. Right mentum anterior (RMA).
4. Right sacral posterior (RSP).
Correct Answer
1
1. The nurse's findings upon performing
Leopold maneuvers indicate that the
fetus is in the left occiput anterior (LOA)
position, the best position for birth.
The fetal back is felt on the mother's
left side (L), the back of the baby's head,
the occiput (O) is toward the anterior,
or front of the mother (A) and the small
parts (hands and feet) are felt on her
right side. The soft, round buttocks are
felt in the fundal region, and the head is
felt above her symphysis as a hard, round
mass.
2. The findings after the nurse performs
Leopold maneuvers do not indicate that
the fetus is in the left sacral posterior (LSP)
position; in that position, the fetal back is on
the mother's left side (L); the fetal buttocks
(S or sacrum) are tilted posteriorly (P) toward the bed and the mother's back; a hard
round mass is felt in the fundal region, and a soft round mass is felt above the
symphysis.
3. The findings after the nurse performs
Leopold maneuvers do not indicate that the
fetus is in the right mentum anterior (RMA)
position; in that position, the fetal chin (M
or mentum) is to the mother's right (R),
presenting. The baby's head is not flexed.
Instead, it is tilted back, as though looking
at the sun, and faces the front of the mother,
anteriorly (A). Small objects are felt on the
right of the mother's abdomen with a flat
area felt on the mother's left side.
Page 3 of 24
