NSG 3500 Exam 2 | QUESTIONS AND ANSWERS | 2025/2026
Questions in this set (205)
1, 2, 3, and 5 are correct.
1. Before proceeding with a
physical assessment, the nurse should
A client enters the labor and delivery suite
check the client's weight gain
stating that she thinks she is in labor. Which
reported in her prenatal record.
of the following information about the
2. The client's ethnicity and religion
woman should the nurse note from the
should be noted before physical
woman's prenatal record before
assessment. This allows the nurse to
proceeding with the physical assessment?
proceed in a culturally sensitive manner.
Select all that apply.
3. The client's age should also be
1. Weight gain.
noted before the physical assessment is
2. Ethnicity and religion.
begun.
3. Age.
4.The type of insurance the woman has is
4.Type of insurance.
not relevant to the nurse.
5.Gravidity and parity.
5. The client's gravidity and parity—how
many times she has been pregnant and how
many times she has given birth—should
also be noted before a physical assessment
is begun.
4
1. Leopold maneuvers, although performed
A woman who states that she "thinks" she is on a woman in labor, assess for fetal
in labor enters the labor suite. Which of the position, not
following assessments will provide the the progress of labor.
nurse with the most valuable information 2. Fundal contractility will assess for
regarding the client's labor status? uterine contractions, but this is not the
1. Leopold maneuvers. most valuable information.
2. Fundal contractility. 3. Assessment of the fetal heart is
3.Fetal heart assessment. critically important in relation to fetal well-
4.Vaginal examination. being, but it will not determine the
progress of labor.
4.A vaginal examination will provide
the nurse with the best information
about the status of labor.
,A client in labor, G2 P1001, was admitted 1 2
hour ago at 2 cm dilated and 50% effaced. 1. There is no indication that this
She was talkative and excited at that time. woman has had poor preparation for
During the past 10 minutes she has become childbirth.
serious, closing her eyes and breathing 2. The woman is showing expected
rapidly with each contraction. Which of the signs of the active phase of labor.
following is an accurate nursing 3.There is no indication that this woman is
assessment of the situation? showing signs of hypoxia and/or hypercapnia.
1. The client had poor childbirth 4.The alpha-fetoprotein assessment is a test
education prior to labor. to screen for Down syndrome and neural
2. The client is exhibiting an tube defects in the fetus. It is done during
expected behavior for labor. pregnancy.
3. The client is becoming
hypoxic and hypercapnic.
4.The client needs her alpha-fetoprotein
levels checked.
1, 2, and 4 are correct.
1. The nurse should assess the fetal
heart before reporting the client's status
A woman has just arrived at the labor
to the healthcare provider.
and delivery suite. To report the client's
2. The nurse should assess the
status to her primary healthcare
contraction pattern before reporting the
practitioner, which of the following
client's status.
assessments should the nurse perform?
3. A complete urinalysis would likely be
Select all that apply.
ordered by the primary healthcare
1. Fetal heart rate.
practitioner once
2. Contraction pattern.
the client has been offi cially admitted, but
3.Urinalysis.
the test would not be performed during the
4.Vital signs.
initial assessment process.
5.Biophysical profile.
4.The nurse should assess the woman's
vital signs before reporting her status.
5.A biophysical profi le is performed
only if ordered by a healthcare
practitioner.
3
While performing Leopold maneuvers on a 1. With the palpation findings of a hard
woman in labor, the nurse palpates a round mass in the fundal area and soft
hard round mass in the fundal area, a flat round mass above the symphysis, the nurse
surface on the left side, small objects on can conclude that the fetal position in not
the right side, and a soft round mass transverse.
just above the symphysis. Which of the 2. The findings on palpation also indicate
following is a reasonable conclusion by that the presentation is not vertex.
the nurse? 3. With the findings of a hard round
1. The fetal position is transverse. mass in the fundal area and soft round
2. The fetal presentation is vertex. mass above the symphysis, the nurse can
3. The fetal lie is vertical. conclude that the fetal lie is vertical.
4.The fetal attitude is flexed. 4.The attitude is difficult to determine
when performing Leopold maneuvers.
, 1, 2, 3, and 5 are correct.
1. The nurse should assess the fetal
When during the latent phase of labor heart after all vaginal examinations.
should the nurse assess the fetal heart 2. The nurse should assess the fetal
pattern of a low-risk woman, G1 P0000? heart before giving the mother any
Select all that apply. analgesics.
1. After vaginal examinations. 3. The fetal heart should be
2. Before administration of analgesics. assessed periodically at the end of a
3.Periodically at the end of a contraction. contraction.
4. Every ten minutes. 4.The fetal heart pattern should be
5.Before ambulating. assessed every hour during the latent
phase of a
low-risk labor. It is not standard protocol to
assess every 10 minutes.
5. The nurse should assess the fetal
heart before the woman ambulates.
2
The nurse is assessing the fetal station
1. Palpating the sacral promontory
during a vaginal examination. Which of
assesses the obstetric conjugate, not the
the following structures should the
fetal station.
nurse palpate?
2. Station is assessed by palpating the
1. Sacral promontory.
ischial spines.
2. Ischial spines.
3.Palpating the cervix assesses dilation
3.Cervix.
and effacement, not fetal station.
4. Symphysis pubis.
4. Palpating the symphysis pubis assesses
the obstetric conjugate, not the fetal
station.
1
1. The nurse's fi ndings upon
performing Leopold maneuvers indicate
that the fetus is in the left occiput
anterior (LOA) position—that is, the
fetal back is felt on the mother's left
side, the small parts are felt on her
right side, the buttocks are felt in the
fundal region, and the head is felt
above her symphysis.
The labor and delivery nurse performs 2. The fi ndings after the nurse performs
Leopold maneuvers. A soft round mass is Leopold maneuvers do not indicate that the
felt in the fundal region. A flat object is fetus is in
noted on the left and small objects are the left sacral posterior (LSP) position; in that
noted on the right of the uterus. A hard position, the fetus's buttocks (S or sacrum) are
round mass is noted above the symphysis. facing toward the mother's left posterior
Which of the following positions is (LP), a hard round mass is felt in the fundal
consistent with these findings? region, and a soft round mass is felt above
1. Left occipital anterior (LOA). the symphysis.
2. Left sacral posterior (LSP). 3. The fi ndings after the nurse performs
3.Right mentum anterior (RMA). Leopold maneuvers do not indicate that the
4. Right sacral posterior (RSP). fetus is in
the right mentum anterior (RMA) position; in
that position, the fetus's face (M or mentum) is
facing toward the mother's right anterior (RA)
and small objects are felt on the right of
the mother's abdomen with a fl at area felt
on the mother's left side.
4.The fi ndings after the nurse performs
Leopold maneuvers do not indicate that the
fetus is in
the right sacral posterior (RSP) position; in
Questions in this set (205)
1, 2, 3, and 5 are correct.
1. Before proceeding with a
physical assessment, the nurse should
A client enters the labor and delivery suite
check the client's weight gain
stating that she thinks she is in labor. Which
reported in her prenatal record.
of the following information about the
2. The client's ethnicity and religion
woman should the nurse note from the
should be noted before physical
woman's prenatal record before
assessment. This allows the nurse to
proceeding with the physical assessment?
proceed in a culturally sensitive manner.
Select all that apply.
3. The client's age should also be
1. Weight gain.
noted before the physical assessment is
2. Ethnicity and religion.
begun.
3. Age.
4.The type of insurance the woman has is
4.Type of insurance.
not relevant to the nurse.
5.Gravidity and parity.
5. The client's gravidity and parity—how
many times she has been pregnant and how
many times she has given birth—should
also be noted before a physical assessment
is begun.
4
1. Leopold maneuvers, although performed
A woman who states that she "thinks" she is on a woman in labor, assess for fetal
in labor enters the labor suite. Which of the position, not
following assessments will provide the the progress of labor.
nurse with the most valuable information 2. Fundal contractility will assess for
regarding the client's labor status? uterine contractions, but this is not the
1. Leopold maneuvers. most valuable information.
2. Fundal contractility. 3. Assessment of the fetal heart is
3.Fetal heart assessment. critically important in relation to fetal well-
4.Vaginal examination. being, but it will not determine the
progress of labor.
4.A vaginal examination will provide
the nurse with the best information
about the status of labor.
,A client in labor, G2 P1001, was admitted 1 2
hour ago at 2 cm dilated and 50% effaced. 1. There is no indication that this
She was talkative and excited at that time. woman has had poor preparation for
During the past 10 minutes she has become childbirth.
serious, closing her eyes and breathing 2. The woman is showing expected
rapidly with each contraction. Which of the signs of the active phase of labor.
following is an accurate nursing 3.There is no indication that this woman is
assessment of the situation? showing signs of hypoxia and/or hypercapnia.
1. The client had poor childbirth 4.The alpha-fetoprotein assessment is a test
education prior to labor. to screen for Down syndrome and neural
2. The client is exhibiting an tube defects in the fetus. It is done during
expected behavior for labor. pregnancy.
3. The client is becoming
hypoxic and hypercapnic.
4.The client needs her alpha-fetoprotein
levels checked.
1, 2, and 4 are correct.
1. The nurse should assess the fetal
heart before reporting the client's status
A woman has just arrived at the labor
to the healthcare provider.
and delivery suite. To report the client's
2. The nurse should assess the
status to her primary healthcare
contraction pattern before reporting the
practitioner, which of the following
client's status.
assessments should the nurse perform?
3. A complete urinalysis would likely be
Select all that apply.
ordered by the primary healthcare
1. Fetal heart rate.
practitioner once
2. Contraction pattern.
the client has been offi cially admitted, but
3.Urinalysis.
the test would not be performed during the
4.Vital signs.
initial assessment process.
5.Biophysical profile.
4.The nurse should assess the woman's
vital signs before reporting her status.
5.A biophysical profi le is performed
only if ordered by a healthcare
practitioner.
3
While performing Leopold maneuvers on a 1. With the palpation findings of a hard
woman in labor, the nurse palpates a round mass in the fundal area and soft
hard round mass in the fundal area, a flat round mass above the symphysis, the nurse
surface on the left side, small objects on can conclude that the fetal position in not
the right side, and a soft round mass transverse.
just above the symphysis. Which of the 2. The findings on palpation also indicate
following is a reasonable conclusion by that the presentation is not vertex.
the nurse? 3. With the findings of a hard round
1. The fetal position is transverse. mass in the fundal area and soft round
2. The fetal presentation is vertex. mass above the symphysis, the nurse can
3. The fetal lie is vertical. conclude that the fetal lie is vertical.
4.The fetal attitude is flexed. 4.The attitude is difficult to determine
when performing Leopold maneuvers.
, 1, 2, 3, and 5 are correct.
1. The nurse should assess the fetal
When during the latent phase of labor heart after all vaginal examinations.
should the nurse assess the fetal heart 2. The nurse should assess the fetal
pattern of a low-risk woman, G1 P0000? heart before giving the mother any
Select all that apply. analgesics.
1. After vaginal examinations. 3. The fetal heart should be
2. Before administration of analgesics. assessed periodically at the end of a
3.Periodically at the end of a contraction. contraction.
4. Every ten minutes. 4.The fetal heart pattern should be
5.Before ambulating. assessed every hour during the latent
phase of a
low-risk labor. It is not standard protocol to
assess every 10 minutes.
5. The nurse should assess the fetal
heart before the woman ambulates.
2
The nurse is assessing the fetal station
1. Palpating the sacral promontory
during a vaginal examination. Which of
assesses the obstetric conjugate, not the
the following structures should the
fetal station.
nurse palpate?
2. Station is assessed by palpating the
1. Sacral promontory.
ischial spines.
2. Ischial spines.
3.Palpating the cervix assesses dilation
3.Cervix.
and effacement, not fetal station.
4. Symphysis pubis.
4. Palpating the symphysis pubis assesses
the obstetric conjugate, not the fetal
station.
1
1. The nurse's fi ndings upon
performing Leopold maneuvers indicate
that the fetus is in the left occiput
anterior (LOA) position—that is, the
fetal back is felt on the mother's left
side, the small parts are felt on her
right side, the buttocks are felt in the
fundal region, and the head is felt
above her symphysis.
The labor and delivery nurse performs 2. The fi ndings after the nurse performs
Leopold maneuvers. A soft round mass is Leopold maneuvers do not indicate that the
felt in the fundal region. A flat object is fetus is in
noted on the left and small objects are the left sacral posterior (LSP) position; in that
noted on the right of the uterus. A hard position, the fetus's buttocks (S or sacrum) are
round mass is noted above the symphysis. facing toward the mother's left posterior
Which of the following positions is (LP), a hard round mass is felt in the fundal
consistent with these findings? region, and a soft round mass is felt above
1. Left occipital anterior (LOA). the symphysis.
2. Left sacral posterior (LSP). 3. The fi ndings after the nurse performs
3.Right mentum anterior (RMA). Leopold maneuvers do not indicate that the
4. Right sacral posterior (RSP). fetus is in
the right mentum anterior (RMA) position; in
that position, the fetus's face (M or mentum) is
facing toward the mother's right anterior (RA)
and small objects are felt on the right of
the mother's abdomen with a fl at area felt
on the mother's left side.
4.The fi ndings after the nurse performs
Leopold maneuvers do not indicate that the
fetus is in
the right sacral posterior (RSP) position; in
