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ATI RN Maternal Newborn 2023 – Series
2: Intrapartum – Labor and Delivery
Proctored Exam Actual Test with All
chapters updated
, Page 2 of 103
Table of Contents
Chapter 9: Stages and Phases of Labor
Chapter 10: Fetal Monitoring and Assessment
Chapter 11: Pain Management During Labor
Chapter 12: Pharmacological Interventions
Chapter 13: Non-Pharmacological Comfort Measures
Chapter 14: Induction and Augmentation of Labor
Chapter 15: Complications During Labor
Chapter 16: Cesarean Birth and Postoperative Care
Chapter 9: Stages and Phases of Labor
Quiz 1: A nurse is assessing a client in active labor. Which finding
indicates the client is in the transition phase of the first stage?
A) Cervical dilation 8 cm, contractions every 2 to 3 minutes lasting 60
seconds
B) Cervical dilation 3 cm, contractions every 5 to 10 minutes lasting 30
seconds
C) Cervical dilation 10 cm, client feels urge to push
D) Cervical dilation 4 cm, contractions every 3 to 5 minutes lasting 45
seconds
Answer: A) Cervical dilation 8 cm, contractions every 2 to 3 minutes
lasting 60 seconds
Rationale: The transition phase is characterized by cervical dilation from
8 to 10 cm with strong, frequent contractions every 2 to 3 minutes
lasting 60 to 90 seconds.
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Quiz 2: A nurse is teaching a childbirth education class about the stages
of labor. Which statement accurately describes the second stage of
labor?
A) Begins with complete cervical dilation and ends with delivery of the
newborn
B) Begins with onset of regular contractions and ends with complete
cervical dilation
C) Begins with delivery of the newborn and ends with delivery of the
placenta
D) Begins with delivery of the placenta and ends with maternal
stabilization
Answer: A) Begins with complete cervical dilation and ends with
delivery of the newborn
Rationale: The second stage of labor begins when the cervix is fully
dilated (10 cm) and ends with the birth of the newborn.
Quiz 3: A nurse is assessing a client in the latent phase of the first stage
of labor. Which finding is expected?
A) Cervical dilation 1 to 4 cm, contractions every 5 to 10 minutes lasting
30 to 45 seconds
B) Cervical dilation 8 to 10 cm, contractions every 2 to 3 minutes
C) Cervical dilation 4 to 7 cm, contractions every 3 to 5 minutes
D) Cervical dilation 10 cm with urge to push
Answer: A) Cervical dilation 1 to 4 cm, contractions every 5 to 10
minutes lasting 30 to 45 seconds
Rationale: The latent phase is the beginning of the first stage, with
cervical dilation from 0 to approximately 4 cm, mild to moderate
contractions, and longer intervals between contractions.
Quiz 4: A client asks the nurse about the duration of the first stage of
labor for a first-time mother. Which response is accurate?
A) 2 to 4 hours
B) 6 to 12 hours
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C) 12 to 18 hours
D) 24 to 36 hours
Answer: C) 12 to 18 hours
Rationale: For nulliparous women, the first stage of labor typically lasts
12 to 18 hours, while for multiparous women it is typically 6 to 8 hours.
Quiz 5: A nurse is assessing a client who is 10 cm dilated and has a
strong urge to push. The nurse recognizes this as which stage of labor?
A) First stage, latent phase
B) First stage, active phase
C) Second stage
D) Third stage
Answer: C) Second stage
Rationale: Complete cervical dilation (10 cm) marks the beginning of
the second stage of labor, during which the client experiences the urge to
push.
Quiz 6: A nurse is assessing a client who has just delivered the placenta.
The nurse documents this as the completion of which stage?
A) First stage
B) Second stage
C) Third stage
D) Fourth stage
Answer: C) Third stage
Rationale: The third stage of labor begins after the birth of the newborn
and ends with the delivery of the placenta.
Quiz 7: A nurse is evaluating a client's progression through labor. Which
finding indicates the client is entering the active phase of the first stage?
A) Cervical dilation 2 cm, contractions every 8 minutes
B) Cervical dilation 5 cm, contractions every 3 to 4 minutes
C) Cervical dilation 9 cm, contractions every 2 minutes
D) Cervical dilation 10 cm with urge to push
Answer: B) Cervical dilation 5 cm, contractions every 3 to 4 minutes
ATI RN Maternal Newborn 2023 – Series
2: Intrapartum – Labor and Delivery
Proctored Exam Actual Test with All
chapters updated
, Page 2 of 103
Table of Contents
Chapter 9: Stages and Phases of Labor
Chapter 10: Fetal Monitoring and Assessment
Chapter 11: Pain Management During Labor
Chapter 12: Pharmacological Interventions
Chapter 13: Non-Pharmacological Comfort Measures
Chapter 14: Induction and Augmentation of Labor
Chapter 15: Complications During Labor
Chapter 16: Cesarean Birth and Postoperative Care
Chapter 9: Stages and Phases of Labor
Quiz 1: A nurse is assessing a client in active labor. Which finding
indicates the client is in the transition phase of the first stage?
A) Cervical dilation 8 cm, contractions every 2 to 3 minutes lasting 60
seconds
B) Cervical dilation 3 cm, contractions every 5 to 10 minutes lasting 30
seconds
C) Cervical dilation 10 cm, client feels urge to push
D) Cervical dilation 4 cm, contractions every 3 to 5 minutes lasting 45
seconds
Answer: A) Cervical dilation 8 cm, contractions every 2 to 3 minutes
lasting 60 seconds
Rationale: The transition phase is characterized by cervical dilation from
8 to 10 cm with strong, frequent contractions every 2 to 3 minutes
lasting 60 to 90 seconds.
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Quiz 2: A nurse is teaching a childbirth education class about the stages
of labor. Which statement accurately describes the second stage of
labor?
A) Begins with complete cervical dilation and ends with delivery of the
newborn
B) Begins with onset of regular contractions and ends with complete
cervical dilation
C) Begins with delivery of the newborn and ends with delivery of the
placenta
D) Begins with delivery of the placenta and ends with maternal
stabilization
Answer: A) Begins with complete cervical dilation and ends with
delivery of the newborn
Rationale: The second stage of labor begins when the cervix is fully
dilated (10 cm) and ends with the birth of the newborn.
Quiz 3: A nurse is assessing a client in the latent phase of the first stage
of labor. Which finding is expected?
A) Cervical dilation 1 to 4 cm, contractions every 5 to 10 minutes lasting
30 to 45 seconds
B) Cervical dilation 8 to 10 cm, contractions every 2 to 3 minutes
C) Cervical dilation 4 to 7 cm, contractions every 3 to 5 minutes
D) Cervical dilation 10 cm with urge to push
Answer: A) Cervical dilation 1 to 4 cm, contractions every 5 to 10
minutes lasting 30 to 45 seconds
Rationale: The latent phase is the beginning of the first stage, with
cervical dilation from 0 to approximately 4 cm, mild to moderate
contractions, and longer intervals between contractions.
Quiz 4: A client asks the nurse about the duration of the first stage of
labor for a first-time mother. Which response is accurate?
A) 2 to 4 hours
B) 6 to 12 hours
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C) 12 to 18 hours
D) 24 to 36 hours
Answer: C) 12 to 18 hours
Rationale: For nulliparous women, the first stage of labor typically lasts
12 to 18 hours, while for multiparous women it is typically 6 to 8 hours.
Quiz 5: A nurse is assessing a client who is 10 cm dilated and has a
strong urge to push. The nurse recognizes this as which stage of labor?
A) First stage, latent phase
B) First stage, active phase
C) Second stage
D) Third stage
Answer: C) Second stage
Rationale: Complete cervical dilation (10 cm) marks the beginning of
the second stage of labor, during which the client experiences the urge to
push.
Quiz 6: A nurse is assessing a client who has just delivered the placenta.
The nurse documents this as the completion of which stage?
A) First stage
B) Second stage
C) Third stage
D) Fourth stage
Answer: C) Third stage
Rationale: The third stage of labor begins after the birth of the newborn
and ends with the delivery of the placenta.
Quiz 7: A nurse is evaluating a client's progression through labor. Which
finding indicates the client is entering the active phase of the first stage?
A) Cervical dilation 2 cm, contractions every 8 minutes
B) Cervical dilation 5 cm, contractions every 3 to 4 minutes
C) Cervical dilation 9 cm, contractions every 2 minutes
D) Cervical dilation 10 cm with urge to push
Answer: B) Cervical dilation 5 cm, contractions every 3 to 4 minutes
