NUR418 / NUR 418 EXAM 2
Nursing Care of the Childbearing
Family at Concordia, St. Paul
Actual Questions and Answers
100% Guarantee Pass
This Exam contains:
100% Guarantee Pass.
Multiple choice (single best answer)
Select All That Apply (SATA)
Fill-in-the-blank
Case Studies/Scenario-Based Questions
,A nurse is caring for a client who is in the first stage of labor and is encouraging the
client to void every 2 hr. Which of the following statements should the nurse make?
A “A full bladder increases the risk for fetal trauma.”
B “A full bladder increases the risk for bladder infections.”
C A distended bladder will be traumatized by frequent pelvic exams.”
D “A distended bladder reduces pelvic space needed for birth.”
ANSWER
D
A nurse is caring for a client and partner during the second stage of labor. The client’s
partner asks the nurse to explain how to know when crowning occurs. Which of the
following responses should the nurse make?
A “The placenta will protrude from the vagina.”
B “Your partner will report a decrease in the intensity of contractions.”
C “The vaginal area will bulge as the baby’s head appears.”
D “Your partner will report less rectal pressure.”
ANSWER
C
A nurse is caring for a client in the third stage of labor. Which of the following findings
indicate placental separation?
(Select all that apply.)
A Lengthening of the umbilical cord
B Swift gush of clear amniotic fluid
C Softening of the lower uterine segment
D Appearance of dark blood from the vagina
E Fundus firm upon palpation
,ANSWER
A,D,E
A nurse is caring for a child who just experienced a generalized seizure. Which of the
following is the priority action for the nurse to take?
A Position the child in a side-lying position.
B Try to determine the seizure trigger.
C Reorient the child to the environment.
D Note the time of the postictal period.
ANSWER
A
A nurse is caring of an infant who has a myelomeningocele. Which of the following
actions should the nurse take?
A Encourage the guardian to cuddle the infant.
B Monitor the infant’s temperature rectally.
C Maintain the infant in a supine position.
D Apply a sterile, moist dressing on the sac.
ANSWER
D
A nurse is caring for a client who is in labor and experiencing incomplete uterine
relaxation between hypertonic contractions. The nurse should identify that this
contraction pattern increases the risk for which of the following complications?
A Prolonged labor
B Reduced fetal oxygen supply
C Delayed cervical dilation
D Increased maternal stress
ANSWER
B
, A nurse is caring for a client who is in active labor and reports severe back pain. During
assessment, the fetus is noted to be in the occiput posterior position. Which of the
following maternal positions should the nurse suggest to the client to facilitate normal
labor progress?
A Hands and knees
B Lithotomy
C Trendelenburg
D Supine with a rolled towel under one hip
ANSWER
A
A nurse is planning care for a newly admitted client who reports, “I am in labor and I
have been having vaginal bleeding for 2 weeks.” Which of the following should the
nurse include in the plan of care?
A Inspect the introitus for a prolapsed cord.
B Perform a test to identify the ferning pattern.
C Monitor station of the presenting part.
D Defer vaginal examinations.
ANSWER
D
A nurse is caring for a client who is at 42 weeks of gestation and in active labor. Which
of the following findings is the fetus at risk for developing?
A Intrauterine growth restriction
B Hyperglycemia
C Meconium aspiration
D Polyhydramnios
Nursing Care of the Childbearing
Family at Concordia, St. Paul
Actual Questions and Answers
100% Guarantee Pass
This Exam contains:
100% Guarantee Pass.
Multiple choice (single best answer)
Select All That Apply (SATA)
Fill-in-the-blank
Case Studies/Scenario-Based Questions
,A nurse is caring for a client who is in the first stage of labor and is encouraging the
client to void every 2 hr. Which of the following statements should the nurse make?
A “A full bladder increases the risk for fetal trauma.”
B “A full bladder increases the risk for bladder infections.”
C A distended bladder will be traumatized by frequent pelvic exams.”
D “A distended bladder reduces pelvic space needed for birth.”
ANSWER
D
A nurse is caring for a client and partner during the second stage of labor. The client’s
partner asks the nurse to explain how to know when crowning occurs. Which of the
following responses should the nurse make?
A “The placenta will protrude from the vagina.”
B “Your partner will report a decrease in the intensity of contractions.”
C “The vaginal area will bulge as the baby’s head appears.”
D “Your partner will report less rectal pressure.”
ANSWER
C
A nurse is caring for a client in the third stage of labor. Which of the following findings
indicate placental separation?
(Select all that apply.)
A Lengthening of the umbilical cord
B Swift gush of clear amniotic fluid
C Softening of the lower uterine segment
D Appearance of dark blood from the vagina
E Fundus firm upon palpation
,ANSWER
A,D,E
A nurse is caring for a child who just experienced a generalized seizure. Which of the
following is the priority action for the nurse to take?
A Position the child in a side-lying position.
B Try to determine the seizure trigger.
C Reorient the child to the environment.
D Note the time of the postictal period.
ANSWER
A
A nurse is caring of an infant who has a myelomeningocele. Which of the following
actions should the nurse take?
A Encourage the guardian to cuddle the infant.
B Monitor the infant’s temperature rectally.
C Maintain the infant in a supine position.
D Apply a sterile, moist dressing on the sac.
ANSWER
D
A nurse is caring for a client who is in labor and experiencing incomplete uterine
relaxation between hypertonic contractions. The nurse should identify that this
contraction pattern increases the risk for which of the following complications?
A Prolonged labor
B Reduced fetal oxygen supply
C Delayed cervical dilation
D Increased maternal stress
ANSWER
B
, A nurse is caring for a client who is in active labor and reports severe back pain. During
assessment, the fetus is noted to be in the occiput posterior position. Which of the
following maternal positions should the nurse suggest to the client to facilitate normal
labor progress?
A Hands and knees
B Lithotomy
C Trendelenburg
D Supine with a rolled towel under one hip
ANSWER
A
A nurse is planning care for a newly admitted client who reports, “I am in labor and I
have been having vaginal bleeding for 2 weeks.” Which of the following should the
nurse include in the plan of care?
A Inspect the introitus for a prolapsed cord.
B Perform a test to identify the ferning pattern.
C Monitor station of the presenting part.
D Defer vaginal examinations.
ANSWER
D
A nurse is caring for a client who is at 42 weeks of gestation and in active labor. Which
of the following findings is the fetus at risk for developing?
A Intrauterine growth restriction
B Hyperglycemia
C Meconium aspiration
D Polyhydramnios
