NSG 3500 EXAM 2 QUESTIONS AND
ANSWERS 100% CORRECT
Which of the following is a reassuring pattern of contractions? - ANSWER-Three
minutes and less than 90 seconds
The fetal heart rate decelerates to the 90's for three minutes after a 90 second
contraction. The nurse documents: - ANSWER-Prolong decelerations to the 90's,
provider notified
CPD (cephalopelvic disproportion) is: - ANSWER-The most common indication for
cesarean section
The patient is complaining of severe headache and blurry vision. The nurse should: -
ANSWER-Take the BP (rule out pre-eclampsia)
A pregnant woman should go to the hospital when she begins to experience: -
ANSWER-frequent and intense contractions (q 5 min and lasts >=50 seconds)
The patient presents for induction of labor due to oligohydramnios. The nurse knows to
carefully monitor for: - ANSWER-Late decelerations (because of placental insufficiency)
Which of the following is a characteristic of false labor? - ANSWER-Walking relieves
contractions
Three signs of impending labor are: - ANSWER-Bloody show, irregular contractions,
and cramping
What are the four interrelated components that make up the process of labor and birth?
- ANSWER-Powers, passage, passenger, and psyche
Artificial rupture of the membranes is called - ANSWER-Amniotomy
When the umbilical cord vessels are implanted in the membranes it is called: -
ANSWER-velementous insertion (vasa previa is a type of this)
Dilaton, effacement, position, station, and consistency are components of: - ANSWER-
The Bishop Score
Which is the most important assessment immediately after a woman recieves an
epidural? - ANSWER-Blood pressure
, The provider wants to perform an episiotomy on the patient. Which anesthetic technique
will the ob perform? - ANSWER-Pudendal block
The patient requests an epidural anesthetic. What must the nurse know prior to calling
anesthesia? - ANSWER-What is the platelet count?
The four stages of labor are: - ANSWER-Dilation and effacement, expulsion, placenta
delivery, and recovery
The provider performs AROM and the fluid is green. This indicates: - ANSWER-Anal
patency in the fetus
A multipara at 39 weeks comes in complaining of bleeding. The nurse should: -
ANSWER-Assess the amount of bleeding the patient is having
Prostaglandins are responsible for: - ANSWER-Menstrual cramps
A patient at 42 weeks comes in for induction of labor. After evaluation, the patient wants
to know what a score of "5" is. The nurse tells the patient: - ANSWER-She will need
Cervidil to help her go into labor (less than 6 needs cervical ripening)
The apgar score system assesses: - ANSWER-Fetal heartrate, respiratory effort, reflex
irritability, muscle tone, and color
Vaginal examinations reveals the presenting part is the infant's head which is well flexed
upon the chest. What is this presentation? - ANSWER-Vertex (Cephalic)
What does the nurse note when measuring the frequency of the laboring woman's
contractions? - ANSWER-The time between the start of one contraction and the start of
the next
The peak of the contraction is called the: - ANSWER-Acme
The nurse caring for the labor patient notices deep variable decelerations just after
arom. The priority action is: - ANSWER-Examine the patient for prolapsed cord
Where is the fundus just after vaginal birth? - ANSWER-Firm and 3-finger-breadths
below the umbilicus
The nurse palpates the abdomen prior to placing monitors to: - ANSWER-Feel where
the baby is located, and make sure the uterus is soft when placing the monitor
Which technique is most likely to help with back labor? - ANSWER-Applying firm
pressure to the sacral area
ANSWERS 100% CORRECT
Which of the following is a reassuring pattern of contractions? - ANSWER-Three
minutes and less than 90 seconds
The fetal heart rate decelerates to the 90's for three minutes after a 90 second
contraction. The nurse documents: - ANSWER-Prolong decelerations to the 90's,
provider notified
CPD (cephalopelvic disproportion) is: - ANSWER-The most common indication for
cesarean section
The patient is complaining of severe headache and blurry vision. The nurse should: -
ANSWER-Take the BP (rule out pre-eclampsia)
A pregnant woman should go to the hospital when she begins to experience: -
ANSWER-frequent and intense contractions (q 5 min and lasts >=50 seconds)
The patient presents for induction of labor due to oligohydramnios. The nurse knows to
carefully monitor for: - ANSWER-Late decelerations (because of placental insufficiency)
Which of the following is a characteristic of false labor? - ANSWER-Walking relieves
contractions
Three signs of impending labor are: - ANSWER-Bloody show, irregular contractions,
and cramping
What are the four interrelated components that make up the process of labor and birth?
- ANSWER-Powers, passage, passenger, and psyche
Artificial rupture of the membranes is called - ANSWER-Amniotomy
When the umbilical cord vessels are implanted in the membranes it is called: -
ANSWER-velementous insertion (vasa previa is a type of this)
Dilaton, effacement, position, station, and consistency are components of: - ANSWER-
The Bishop Score
Which is the most important assessment immediately after a woman recieves an
epidural? - ANSWER-Blood pressure
, The provider wants to perform an episiotomy on the patient. Which anesthetic technique
will the ob perform? - ANSWER-Pudendal block
The patient requests an epidural anesthetic. What must the nurse know prior to calling
anesthesia? - ANSWER-What is the platelet count?
The four stages of labor are: - ANSWER-Dilation and effacement, expulsion, placenta
delivery, and recovery
The provider performs AROM and the fluid is green. This indicates: - ANSWER-Anal
patency in the fetus
A multipara at 39 weeks comes in complaining of bleeding. The nurse should: -
ANSWER-Assess the amount of bleeding the patient is having
Prostaglandins are responsible for: - ANSWER-Menstrual cramps
A patient at 42 weeks comes in for induction of labor. After evaluation, the patient wants
to know what a score of "5" is. The nurse tells the patient: - ANSWER-She will need
Cervidil to help her go into labor (less than 6 needs cervical ripening)
The apgar score system assesses: - ANSWER-Fetal heartrate, respiratory effort, reflex
irritability, muscle tone, and color
Vaginal examinations reveals the presenting part is the infant's head which is well flexed
upon the chest. What is this presentation? - ANSWER-Vertex (Cephalic)
What does the nurse note when measuring the frequency of the laboring woman's
contractions? - ANSWER-The time between the start of one contraction and the start of
the next
The peak of the contraction is called the: - ANSWER-Acme
The nurse caring for the labor patient notices deep variable decelerations just after
arom. The priority action is: - ANSWER-Examine the patient for prolapsed cord
Where is the fundus just after vaginal birth? - ANSWER-Firm and 3-finger-breadths
below the umbilicus
The nurse palpates the abdomen prior to placing monitors to: - ANSWER-Feel where
the baby is located, and make sure the uterus is soft when placing the monitor
Which technique is most likely to help with back labor? - ANSWER-Applying firm
pressure to the sacral area
