NR 327 Exam 2 | Study Questions and verified
Answers (Already Passed) | A+ Graded | 2026
Updates | 100% correct
When admitting a client to the labor and delivery unit, which is the priority assessment?
Gravida and para status
Time of last meal
Presence of a labor partner
Contraction frequency and duration - ANSWER- Contraction frequency and duration
The nurse is caring for a client in labor who is receiving oxytocin. Which assessment finding
requires immediate action?
Urine output 75 mL in 2 hours
Six contractions in 10 minutes
Contraction duration 50-60 seconds
Fetal heart rate 125 bpm with moderate variability - ANSWER- Six contractions in 10 minutes
What are indications for labor induction? Select all that apply.
Placenta previa
Prolonged rupture of membranes
Client request to select the delivery date
Post-term gestation
History of precipitous labor - ANSWER- Prolonged rupture of membranes
Post-term gestation
History of precipitous labor
The nurse is caring for a laboring client and evaluates the characteristics of contractions. Which
questions should the nurse ask? Select that all apply.
,"When did your contractions start?"
"How long are your contractions lasting?"
"What is the resting tone of your uterus?"
"How often do you have contractions right now?"
"What is the intensity of your contractions?" - ANSWER- "When did your contractions start?"
"How long are your contractions lasting?"
"How often do you have contractions right now?"
Why is it important for a client in labor to maintain an empty bladder? Select all that apply.
To assess hydration status
To ensure that fetal descent is not impaired
To avoid delayed contraction frequency
To protect the uterus from the pressure of the bladder
To prevent damage to the bladder from uterine compression - ANSWER- To ensure that fetal
descent is not impaired
To prevent damage to the bladder from uterine compression
What are possible complications associated with oxytocin for induction of labor? Select all that
apply.
Fetal distress
Maternal bradycardia
Hypertension
Uterine hyperstimulation
Decreased urine output - ANSWER- Fetal distress
Hypertension
Uterine hyperstimulation
Decreased urine output
What is the highest priority after birth of the fetus?
,Establishing the newborn's airway
Medicating the mother for pain
Assisting with the quick delivery of the placenta
Promoting bonding and breastfeeding - ANSWER- Establishing the newborn's airway
The _______ process of the fetal skull is the most rounded and smooth surface of the fetal head
and is best for fitting through the pelvis and dilating the cervix. - ANSWER- occiput
A pregnant client who is 39 weeks gestation reports that she is urinating a lot more lately and
does not feel the baby up as high in her abdomen. What is the likely reason?
Internal rotation
Lightening
Braxton Hicks contractions
Urinary tract infection - ANSWER- Lightening
The nurse is caring for a gravida 4, para 3 (G4P3) client, 37-weeks-pregnant, who has come to
the hospital because she believes her water has broken. How should the nurse verify if the
wetness the client feels is urine or amniotic fluid?
Use nitrazine paper to test the fluid at the bedside.
Press downward on the fundus and observe for a fluid gush.
Assess the color, consistency, and odor of the fluid.
Complete a vaginal examination to assess for cervical dilation and effacement. - ANSWER-
Use nitrazine paper to test the fluid at the bedside.
The nurse is caring for a gravida 2, para 1 (G2P1) client, 41-weeks-pregnant, whose membranes
ruptured prior to arrival at the hospital. The vaginal exam reveals no cord prolapse. Fetal heart
rate is 120 bpm with moderate variability. Cervix is 8 cm dilated and 100% effaced. The current
fetal station is +1. Which stage of labor should the nurse document?
Stage 1, Transitional phase
Stage 2
Stage 1, Active phase
Stage 3 - ANSWER- Stage 1, Transitional phase
, What is a normal range for the fetal heart rate?
120-140 bpm
110-160 bpm
110-130 bpm
90-110 bpm - ANSWER- 110-160 bpm
What does the fetal heart rate and pattern indicate, particularly in response to uterine
contractions?
The fetus's position and presentation
The fetus's condition
Labor progression
The mother's pain tolerance - ANSWER- The fetus's condition
Which of the following variability classifications is generally indicative of fetal well-being?
Moderate
Absent
Minimum
Marked - ANSWER- Moderate
Which device can assess the intensity of contractions?
Doppler
Internal fetal monitor
Fetoscope
External fetal monitor - ANSWER- Internal fetal monitor
What is the legal responsibility of the nurse in assessment of fetal heart rate (FHR) patterns?
Provide technical assessment for the monitor technicians.
The nurse is not legally responsible for fetal monitoring.
Correctly identify abnormal FHR patterns and prescribe medication.
Answers (Already Passed) | A+ Graded | 2026
Updates | 100% correct
When admitting a client to the labor and delivery unit, which is the priority assessment?
Gravida and para status
Time of last meal
Presence of a labor partner
Contraction frequency and duration - ANSWER- Contraction frequency and duration
The nurse is caring for a client in labor who is receiving oxytocin. Which assessment finding
requires immediate action?
Urine output 75 mL in 2 hours
Six contractions in 10 minutes
Contraction duration 50-60 seconds
Fetal heart rate 125 bpm with moderate variability - ANSWER- Six contractions in 10 minutes
What are indications for labor induction? Select all that apply.
Placenta previa
Prolonged rupture of membranes
Client request to select the delivery date
Post-term gestation
History of precipitous labor - ANSWER- Prolonged rupture of membranes
Post-term gestation
History of precipitous labor
The nurse is caring for a laboring client and evaluates the characteristics of contractions. Which
questions should the nurse ask? Select that all apply.
,"When did your contractions start?"
"How long are your contractions lasting?"
"What is the resting tone of your uterus?"
"How often do you have contractions right now?"
"What is the intensity of your contractions?" - ANSWER- "When did your contractions start?"
"How long are your contractions lasting?"
"How often do you have contractions right now?"
Why is it important for a client in labor to maintain an empty bladder? Select all that apply.
To assess hydration status
To ensure that fetal descent is not impaired
To avoid delayed contraction frequency
To protect the uterus from the pressure of the bladder
To prevent damage to the bladder from uterine compression - ANSWER- To ensure that fetal
descent is not impaired
To prevent damage to the bladder from uterine compression
What are possible complications associated with oxytocin for induction of labor? Select all that
apply.
Fetal distress
Maternal bradycardia
Hypertension
Uterine hyperstimulation
Decreased urine output - ANSWER- Fetal distress
Hypertension
Uterine hyperstimulation
Decreased urine output
What is the highest priority after birth of the fetus?
,Establishing the newborn's airway
Medicating the mother for pain
Assisting with the quick delivery of the placenta
Promoting bonding and breastfeeding - ANSWER- Establishing the newborn's airway
The _______ process of the fetal skull is the most rounded and smooth surface of the fetal head
and is best for fitting through the pelvis and dilating the cervix. - ANSWER- occiput
A pregnant client who is 39 weeks gestation reports that she is urinating a lot more lately and
does not feel the baby up as high in her abdomen. What is the likely reason?
Internal rotation
Lightening
Braxton Hicks contractions
Urinary tract infection - ANSWER- Lightening
The nurse is caring for a gravida 4, para 3 (G4P3) client, 37-weeks-pregnant, who has come to
the hospital because she believes her water has broken. How should the nurse verify if the
wetness the client feels is urine or amniotic fluid?
Use nitrazine paper to test the fluid at the bedside.
Press downward on the fundus and observe for a fluid gush.
Assess the color, consistency, and odor of the fluid.
Complete a vaginal examination to assess for cervical dilation and effacement. - ANSWER-
Use nitrazine paper to test the fluid at the bedside.
The nurse is caring for a gravida 2, para 1 (G2P1) client, 41-weeks-pregnant, whose membranes
ruptured prior to arrival at the hospital. The vaginal exam reveals no cord prolapse. Fetal heart
rate is 120 bpm with moderate variability. Cervix is 8 cm dilated and 100% effaced. The current
fetal station is +1. Which stage of labor should the nurse document?
Stage 1, Transitional phase
Stage 2
Stage 1, Active phase
Stage 3 - ANSWER- Stage 1, Transitional phase
, What is a normal range for the fetal heart rate?
120-140 bpm
110-160 bpm
110-130 bpm
90-110 bpm - ANSWER- 110-160 bpm
What does the fetal heart rate and pattern indicate, particularly in response to uterine
contractions?
The fetus's position and presentation
The fetus's condition
Labor progression
The mother's pain tolerance - ANSWER- The fetus's condition
Which of the following variability classifications is generally indicative of fetal well-being?
Moderate
Absent
Minimum
Marked - ANSWER- Moderate
Which device can assess the intensity of contractions?
Doppler
Internal fetal monitor
Fetoscope
External fetal monitor - ANSWER- Internal fetal monitor
What is the legal responsibility of the nurse in assessment of fetal heart rate (FHR) patterns?
Provide technical assessment for the monitor technicians.
The nurse is not legally responsible for fetal monitoring.
Correctly identify abnormal FHR patterns and prescribe medication.