NURS 326 EXAM #2 QUESTIONS WITH CORRECT ANSWERS LATEST UPDATE 2026
A reactive non-stress test is a determined by the following criteria?
a. Three FHR accelerations lasting 15 minutes and 15 beats above baseline in a 30 minute period.
b. Three FHR accelerations of any duration in a 30 minute period.
c. Two FHR accelerations lasting 15 seconds and 15 beats above baseline in a 20 minute period.
d. Two FHR accelerations of any duration in a 20 minute period. - Answers c. Two FHR accelerations
lasting 15 seconds and 15 beats above baseline in a 20 minute period.
A client calls a provider's office and reports having contractions for 2 hrs that increased w/ activity &
did not decrease w/ rest. The client denies leaking of vaginal fluid but did notice blood when wiping
after voiding. Which of the following is the client experiencing?
a. Braxton Hicks contractions
b. Rupture of membranes
c. Fetal descent
d. True contractions - Answers d. True contractions
A nurse is caring for a client having contractions every 8 min that are 30 to 40 seconds in duration.
The client's cervix is 2 cm dilated, 50% effaced, and the fetus is at -2 station with a FHR around
140/min. Which of the following phases of labor is the client experiencing?
a. First stage, latent phase
b. First stage, active phase
c. First stage, transition phase
d. Second stage of labor - Answers a. First stage, latent phase
A nurse is caring for a client who is 40 weeks gestation and reports a large gush of fluid from the
vagina while walking to the bathroom. Which of the following actions should the nurse take first?
a. Examine the amniotic fluid for meconium
b. Check the FHR
c. Dry the client & make them comfortable
d. Apply a tocotransducer - Answers b. Check the FHR
A nurse is completing an admission assessment for a client who is 39 weeks of gestation & reports
fluid leaking from the vagina for 2 days. Which of the following conditions is the client at risk for
developing?
a. Cord prolapse
b. Infection
c. Postpartum hemorrhage
d. Hydramnios - Answers b. Infection
A nurse is caring for a client who is in active labor, irritable, and reports the urge to have a bowel
movement. The client vomits & states, "I've had enough. I can't do this anymore." Which of the
following stages of labor is the client experiencing?
a. Second stage
b. Fourth stage
c. Transition stage
d. Latent phase - Answers c. Transition stage
A nurse is caring for a client who is 40 weeks gestation and experiencing contractions every 3 to 5
minutes and increasing. A vaginal exam reveals the client's cervix is 3 cm dilated, 80% effaced, and -1
station. The client asks for pain medication. Which of the following actions should the nurse take?
Select all that apply.
a. Encourage use of patterned breathing
b. Insert urinary catheter
c. Administer opioid analgesics
d. Suggest application of cold
,e. Provide ice chips - Answers c and d
A nurse is caring for a client in a active labor. The cervix is dilated 5 cm & membranes are intact.
Based on external fetal monitoring, the FHR is 115 to 125/min with occasional increased up to 150 -
155/min that lasts 25 seconds with moderate variability. There is no slowing of the FHR from baseline.
The client is exhibiting manifestations of which of the following? Select all that apply.
a. Moderate variability
b. FHR accelerations
c. FHR decelerations
d. Normal baseline FHR
e. Fetal tachycardia - Answers a, b, and d
A nurse is caring for a client who is in labor and observes late decelerations on the electronic fetal
monitor. Which of the following is the first action the nurse should take?
a. Assist the client into the left-lateral position
b. Apply a fetal scalp electrode
c. Insert an IV catheter
d. Perform a vaginal exam - Answers a. Assist the client into the left-lateral position
Rationale: The first action should be to increase circulation to the fetus
A nurse is caring for a client who is in the transition phase of labor and reports that they need to have
a bowel movement with the peak of contractions. Which of the following actions should the nurse
make?
a. Assist the client to the bathroom
b. Prepare for an impending delivery
c. Prepare to remove a fecal impaction
d. Encourage the client to take deep,, cleansing breaths - Answers b. Prepare for an impending
delivery
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 - Answers a, d, and e
A nurse is caring for a client who is 42 weeks of gestation and is 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 - Answers c. Meconium aspiration
A nurse is providing care for a client who has abruptio placentae. Which of the following findings are
risk factors for developing the condition? Select all that apply.
a. Fetal position
b. Blunt abdominal trauma
c. Cocaine use
d. Maternal age
e. Cigarette smoking - Answers b, c, and e
A nurse is caring for a client who is experiencing a ruptured ectopic pregnancy. Which of the following
findings is expected with this condition?
a. No alteration in menses
b. Transvaginal ultrasound indicating a fetus in the uterus
, c. Blood progesterone greater than the expected reference range
d. Report of severe shoulder pain - Answers d. Report of severe shoulder pain
A nurse is reviewing findings of a client's Biophysical Profile. The nurse should expect which of the
following variables to be included in this test? Select all that apply
a. Fetal weight
b. Fetal breathing movements
c. Fetal tone
d. Fetal position
e. Amniotic fluid volume - Answers b, c, and e
A nurse is caring for a client who is pregnant and is to undergo a contraction stress test (CST). Which
of the following findings are indications for this procedure? Select all that apply.
a. Decreased fetal movement
b. Intrauterine growth restriction (IUGR)
c. Postmaturity
d. Placenta previa
e. Amniotic fluid emboli - Answers a, b, and c
A nurse is teaching a client who is pregnant about the amniocentesis procedure. Which of the
following statements should the nurse include in the teaching?
a. "You will lay on your right side during the procedure"
b. "You should not eat anything for 24 hours prior to the procedure"
c. "You should empty your bladder prior to the procedure"
d. "The test is done to determine gestational age" - Answers c. "You should empty your bladder prior
to the procedure"
A nurse is caring for a client who is pregnant and undergoing a non stress test. The client asks why the
nurse is using an acoustic vibration device. Which of the following responses should the nurse make?
a. "It is used to stimulate uterine contractions"
b. "It will decreased the incidence of uterine contractions"
c. "It lulls the fetus to sleep"
d. "It awakens a sleeping fetus" - Answers d. "It awakens a sleeping fetus"
A nurse is caring for a client who is in preterm labor and is scheduled to undergo an amniocentesis.
The nurse should evaluate which of the following tests to assess fetal lung maturity?
a. Alpha-fetalprotein (AFP)
b. Lecithin/sphingomyelin (L/S) ratio
c. Indirect Coombs test
e. Kleihaur-betke test - Answers b. Lecithin/sphingomyelin (L/S) ratio
A nurse is caring for a client who is at 32 weeks of gestation and has a placenta previa. The nurse
notes the client is actively bleeding. Which of the following medications should the nurse expect the
provider will describe?
a. Betamethasone
b. Indomethacin
c. Nifedipine
d. Methylergonovine - Answers a. Betamethasone
Rationale: To promote lung disease since delivery may be anticipated.
A nurse is caring for a client who is in labor. With the use of Leopold maneuvers, it is noted that the
fetus is in breech presentation. For which of the following possible complications should the nurse
observe?
a. Precipitous labor
b. Premature rupture of membranes
c. Postmaturity syndrome
A reactive non-stress test is a determined by the following criteria?
a. Three FHR accelerations lasting 15 minutes and 15 beats above baseline in a 30 minute period.
b. Three FHR accelerations of any duration in a 30 minute period.
c. Two FHR accelerations lasting 15 seconds and 15 beats above baseline in a 20 minute period.
d. Two FHR accelerations of any duration in a 20 minute period. - Answers c. Two FHR accelerations
lasting 15 seconds and 15 beats above baseline in a 20 minute period.
A client calls a provider's office and reports having contractions for 2 hrs that increased w/ activity &
did not decrease w/ rest. The client denies leaking of vaginal fluid but did notice blood when wiping
after voiding. Which of the following is the client experiencing?
a. Braxton Hicks contractions
b. Rupture of membranes
c. Fetal descent
d. True contractions - Answers d. True contractions
A nurse is caring for a client having contractions every 8 min that are 30 to 40 seconds in duration.
The client's cervix is 2 cm dilated, 50% effaced, and the fetus is at -2 station with a FHR around
140/min. Which of the following phases of labor is the client experiencing?
a. First stage, latent phase
b. First stage, active phase
c. First stage, transition phase
d. Second stage of labor - Answers a. First stage, latent phase
A nurse is caring for a client who is 40 weeks gestation and reports a large gush of fluid from the
vagina while walking to the bathroom. Which of the following actions should the nurse take first?
a. Examine the amniotic fluid for meconium
b. Check the FHR
c. Dry the client & make them comfortable
d. Apply a tocotransducer - Answers b. Check the FHR
A nurse is completing an admission assessment for a client who is 39 weeks of gestation & reports
fluid leaking from the vagina for 2 days. Which of the following conditions is the client at risk for
developing?
a. Cord prolapse
b. Infection
c. Postpartum hemorrhage
d. Hydramnios - Answers b. Infection
A nurse is caring for a client who is in active labor, irritable, and reports the urge to have a bowel
movement. The client vomits & states, "I've had enough. I can't do this anymore." Which of the
following stages of labor is the client experiencing?
a. Second stage
b. Fourth stage
c. Transition stage
d. Latent phase - Answers c. Transition stage
A nurse is caring for a client who is 40 weeks gestation and experiencing contractions every 3 to 5
minutes and increasing. A vaginal exam reveals the client's cervix is 3 cm dilated, 80% effaced, and -1
station. The client asks for pain medication. Which of the following actions should the nurse take?
Select all that apply.
a. Encourage use of patterned breathing
b. Insert urinary catheter
c. Administer opioid analgesics
d. Suggest application of cold
,e. Provide ice chips - Answers c and d
A nurse is caring for a client in a active labor. The cervix is dilated 5 cm & membranes are intact.
Based on external fetal monitoring, the FHR is 115 to 125/min with occasional increased up to 150 -
155/min that lasts 25 seconds with moderate variability. There is no slowing of the FHR from baseline.
The client is exhibiting manifestations of which of the following? Select all that apply.
a. Moderate variability
b. FHR accelerations
c. FHR decelerations
d. Normal baseline FHR
e. Fetal tachycardia - Answers a, b, and d
A nurse is caring for a client who is in labor and observes late decelerations on the electronic fetal
monitor. Which of the following is the first action the nurse should take?
a. Assist the client into the left-lateral position
b. Apply a fetal scalp electrode
c. Insert an IV catheter
d. Perform a vaginal exam - Answers a. Assist the client into the left-lateral position
Rationale: The first action should be to increase circulation to the fetus
A nurse is caring for a client who is in the transition phase of labor and reports that they need to have
a bowel movement with the peak of contractions. Which of the following actions should the nurse
make?
a. Assist the client to the bathroom
b. Prepare for an impending delivery
c. Prepare to remove a fecal impaction
d. Encourage the client to take deep,, cleansing breaths - Answers b. Prepare for an impending
delivery
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 - Answers a, d, and e
A nurse is caring for a client who is 42 weeks of gestation and is 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 - Answers c. Meconium aspiration
A nurse is providing care for a client who has abruptio placentae. Which of the following findings are
risk factors for developing the condition? Select all that apply.
a. Fetal position
b. Blunt abdominal trauma
c. Cocaine use
d. Maternal age
e. Cigarette smoking - Answers b, c, and e
A nurse is caring for a client who is experiencing a ruptured ectopic pregnancy. Which of the following
findings is expected with this condition?
a. No alteration in menses
b. Transvaginal ultrasound indicating a fetus in the uterus
, c. Blood progesterone greater than the expected reference range
d. Report of severe shoulder pain - Answers d. Report of severe shoulder pain
A nurse is reviewing findings of a client's Biophysical Profile. The nurse should expect which of the
following variables to be included in this test? Select all that apply
a. Fetal weight
b. Fetal breathing movements
c. Fetal tone
d. Fetal position
e. Amniotic fluid volume - Answers b, c, and e
A nurse is caring for a client who is pregnant and is to undergo a contraction stress test (CST). Which
of the following findings are indications for this procedure? Select all that apply.
a. Decreased fetal movement
b. Intrauterine growth restriction (IUGR)
c. Postmaturity
d. Placenta previa
e. Amniotic fluid emboli - Answers a, b, and c
A nurse is teaching a client who is pregnant about the amniocentesis procedure. Which of the
following statements should the nurse include in the teaching?
a. "You will lay on your right side during the procedure"
b. "You should not eat anything for 24 hours prior to the procedure"
c. "You should empty your bladder prior to the procedure"
d. "The test is done to determine gestational age" - Answers c. "You should empty your bladder prior
to the procedure"
A nurse is caring for a client who is pregnant and undergoing a non stress test. The client asks why the
nurse is using an acoustic vibration device. Which of the following responses should the nurse make?
a. "It is used to stimulate uterine contractions"
b. "It will decreased the incidence of uterine contractions"
c. "It lulls the fetus to sleep"
d. "It awakens a sleeping fetus" - Answers d. "It awakens a sleeping fetus"
A nurse is caring for a client who is in preterm labor and is scheduled to undergo an amniocentesis.
The nurse should evaluate which of the following tests to assess fetal lung maturity?
a. Alpha-fetalprotein (AFP)
b. Lecithin/sphingomyelin (L/S) ratio
c. Indirect Coombs test
e. Kleihaur-betke test - Answers b. Lecithin/sphingomyelin (L/S) ratio
A nurse is caring for a client who is at 32 weeks of gestation and has a placenta previa. The nurse
notes the client is actively bleeding. Which of the following medications should the nurse expect the
provider will describe?
a. Betamethasone
b. Indomethacin
c. Nifedipine
d. Methylergonovine - Answers a. Betamethasone
Rationale: To promote lung disease since delivery may be anticipated.
A nurse is caring for a client who is in labor. With the use of Leopold maneuvers, it is noted that the
fetus is in breech presentation. For which of the following possible complications should the nurse
observe?
a. Precipitous labor
b. Premature rupture of membranes
c. Postmaturity syndrome
