NUR 3100 INTRAPARTUM 2025/2026 EXAM QUESTIONS AND VERIFIED ANSWERS GRADED A+

NUR 3100 INTRAPARTUM
2025/2026 EXAM QUESTIONS AND
VERIFIED ANSWERS GRADED A+
The nurse in a maternity unit is reviewing the clients' records. Which clients should the nurse
identify as being at the most risk for developing disseminated intravascular coagulation (DIC)?
Select all that apply.
3.
A gravida II who has just been diagnosed with dead fetus syndrome


5.
A primigravida at 29 weeks of gestation who was recently diagnosed with severe preeclampsia




The nurse is caring for a client in labor. Which assessment findings indicate to the nurse that the
client is beginning the second stage of labor? Select all that apply.
3.
The cervix is dilated completely.


5.
The spontaneous urge to push is initiated from perineal pressure.




The nurse in the labor room is caring for a client in the active stage of the first phase of labor.
The nurse is assessing the fetal patterns and notes a late deceleration on the monitor strip. What
is the most appropriate nursing action?
1. Administer oxygen via face mask.

,The nurse is performing an assessment of a client who is scheduled for a cesarean delivery at 39
weeks of gestation. Which assessment finding indicates the need to contact the health care
provider (HCP)?
2 .Fetal heart rate of 180 beats/minute




The nurse is reviewing the record of a client in the labor room and notes that the health care
provider has documented that the fetal presenting part is at the -1 station. This documented
finding indicates that the fetal presenting part is located at which area? Click on the image to
indicate your answer.
3




A client arrives at a birthing center in active labor. Following examination, it is determined that
her membranes are still intact and she is at a -2 station. The health care provider prepares to
perform an amniotomy. What will the nurse relay to the client as the most likely outcomes of the
amniotomy? Select all that apply.
3.
Increased efficiency of contractions


5.
The need for frequent fetal heart rate monitoring to detect the presence of a prolapsed cord




The nurse is monitoring a client in labor. The nurse suspects umbilical cord compression if
which is noted on the external monitor tracing during a contraction?
4. Variable decelerations




A client in labor is transported to the delivery room and prepared for a cesarean delivery. After
the client is transferred to the delivery room table, the nurse should place the client in which
position?

, 1.Supine position with a wedge under the right hip




The nurse is monitoring a client in active labor and notes that the client is having contractions
every 3 minutes that last 45 seconds. The nurse notes that the fetal heart rate between
contractions is 100 beats/minute. Which nursing action is most appropriate?
1. Notify the health care provider (HCP).




The nurse is caring for a client in labor and is monitoring the fetal heart rate patterns. The nurse
notes the presence of episodic accelerations on the electronic fetal monitor tracing. Which action
is most appropriate?
4. Document the findings and tell the mother that the pattern on the monitor indicates fetal well-
being.




The nurse is admitting a pregnant client to the labor room and attaches an external electronic
fetal monitor to the client's abdomen. After attachment of the electronic fetal monitor, what is the
next nursing action?
2. Assess the baseline fetal heart rate.




The nurse is reviewing true and false labor signs with a multiparous client. The nurse determines
that the client understands the signs of true labor if she makes which statement?
4. "My contractions will increase in duration and intensity."




Which assessment following an amniotomy should be conducted first?
3. Fetal heart rate pattern