Page 1 of 46
NR 305 EXAM 2 COMPREHENSIVE EXAM QUESTIONS AS
AT 1-MAY-2026 EXAM QUESTIONS WITH CORRECT
ANSWERS AND RATIONALES LATEST VERSION SOLVED
QUESTIONS & ANSWERS VERIFIED 100 %
At which time is it most important to monitor for umbilical cord prolapse?
at the onset of labor
during first stage of labor
after rupture of membranes
when the fetus is crowning
after rupture of membranes
The nurse is caring for a client who is sent to the obstetric unit for evaluation
of fetal well-being. At which location is the nurse correct to place the
tocodynamometer?
Midline but low on the abdomen
On the uterine fundus
On the right side of the abdomen
At the level of the umbilicus
On the uterine fundus
Which finding(s) indicates that the client has begun the perineal phase of
labor? Select all that apply.
expresses apprehension and excitement
a strong urge to push
cardiac output increased by 50%
, Page 2 of 46
increase in bloody show
expresses more control and less agitation
a strong urge to push
cardiac output increased by 50%
increase in bloody show
expresses more control and less agitation
The nurse is assessing the laboring client to determine fetal oxygenation
status. What indirect assessment method will the nurse likely use?
external electronic fetal monitoring
fetal blood pH
fetal oxygen saturation
fetal position
external electronic fetal monitoring
A primigravida client in the second stage of labor has been moaning,
screaming, and generally vocal throughout labor. Their spouse is distraught
seeing the client this way and asks the nurse for more pain medication for
their spouse. What is the nurse's best response?
Assist the client with breathing and imagery techniques in an attempt to calm
them down.
Reassure the first-time parent that their spouse will be fine, and offer to stay
with them while they take a walk.
Page the obstetrician to evaluate the client's pain, and administer an
appropriate increase in their pain medication.
Ask the client to describe the intensity of their pain on a scale of 0 to 10.
Ask the client to describe the intensity of their pain on a scale of 0 to 10.
A pregnant client with a history of spinal injury is being prepared for a
cesarean birth. Which method of anesthesia is to be administered to the
client?
local infiltration
epidural block
regional anesthesia
general anesthesia
, Page 3 of 46
general anesthesia
The nurse assists a health care provider in placing an epidural for a client in
labor. The nurse documents the following: The client is drowsy with slurred
speech. Minutes later, the client states a metallic taste in the mouth and
blurred vision. Which intervention(s) will the nurse implement at this time?
Select all that apply.
Administer an anticonvulsant to the client.
Prepare for prompt birth of the fetus.
Administer oxygen to the client.
Administer 500 m of IV Ringer's lactate.
Administer an opioid.
Administer aspirin.
Administer oxygen to the client.
Administer an anticonvulsant to the client.
Prepare for prompt birth of the fetus.
A client dilated to 10 cm and feeling the urge to "have a bowel movement" is
refusing to push and is screaming, "It hurts down there too much to push."
What option should the nurse suggest at this point for pain management to
facilitate pushing?
parenteral medication
paracervical block
epidural anesthesia
pudendal block
pudendal block
The nurse is assessing a client who has given birth within the past hour. The
nurse would expect to find the client's fundus at which location?
between the umbilicus and symphysis pubis
at the level of the umbilicus
one fingerbreadth below the umbilicus
2 cm above the umbilicus
at the level of the umbilicus
, Page 4 of 46
The nurse is reviewing the birthing plan with a client who is 24 weeks'
gestation. Which statement(s) is accurate regarding births at a birthing center?
Select all that apply.
Most high-risk pregnancies are appropriate for birth at a birthing center.
The birthing center has the advantage of limited visitors at the center during
the birth.
The opportunity for medical interventions is less when the birth occurs at a
birthing center.
When the birth occurs at a birthing center, a surgeon will be there in case of
needed intervention.
The birthing center typically has an area for family to wait, a play area for
siblings and a kitchen.
The opportunity for medical interventions is less when the birth occurs at a birthing
center.
The birthing center typically has an area for family to wait, a play area for siblings
and a kitchen.
When applying the ultrasound transducer for continuous external electronic
fetal monitoring, the nurse places the transducer at which location on the
client's body to record the fetal heart rate?
over the uterine fundus where contractions are most intense
above the umbilicus toward the right side of the diaphragm
between the umbilicus and the symphysis pubis
between the xiphoid process and umbilicus
between the umbilicus and the symphysis pubis
A nurse is conducting a class on the passage of the fetus through the birth
canal. As part of the class, the nurse explains that specific diameters of the
fetal skull can affect the birth process. Which diameter(s) does the nurse
identify as important in affecting the birth process? Select all that apply.
biparietal
suboccipitobregmatic
occipitofrontal
NR 305 EXAM 2 COMPREHENSIVE EXAM QUESTIONS AS
AT 1-MAY-2026 EXAM QUESTIONS WITH CORRECT
ANSWERS AND RATIONALES LATEST VERSION SOLVED
QUESTIONS & ANSWERS VERIFIED 100 %
At which time is it most important to monitor for umbilical cord prolapse?
at the onset of labor
during first stage of labor
after rupture of membranes
when the fetus is crowning
after rupture of membranes
The nurse is caring for a client who is sent to the obstetric unit for evaluation
of fetal well-being. At which location is the nurse correct to place the
tocodynamometer?
Midline but low on the abdomen
On the uterine fundus
On the right side of the abdomen
At the level of the umbilicus
On the uterine fundus
Which finding(s) indicates that the client has begun the perineal phase of
labor? Select all that apply.
expresses apprehension and excitement
a strong urge to push
cardiac output increased by 50%
, Page 2 of 46
increase in bloody show
expresses more control and less agitation
a strong urge to push
cardiac output increased by 50%
increase in bloody show
expresses more control and less agitation
The nurse is assessing the laboring client to determine fetal oxygenation
status. What indirect assessment method will the nurse likely use?
external electronic fetal monitoring
fetal blood pH
fetal oxygen saturation
fetal position
external electronic fetal monitoring
A primigravida client in the second stage of labor has been moaning,
screaming, and generally vocal throughout labor. Their spouse is distraught
seeing the client this way and asks the nurse for more pain medication for
their spouse. What is the nurse's best response?
Assist the client with breathing and imagery techniques in an attempt to calm
them down.
Reassure the first-time parent that their spouse will be fine, and offer to stay
with them while they take a walk.
Page the obstetrician to evaluate the client's pain, and administer an
appropriate increase in their pain medication.
Ask the client to describe the intensity of their pain on a scale of 0 to 10.
Ask the client to describe the intensity of their pain on a scale of 0 to 10.
A pregnant client with a history of spinal injury is being prepared for a
cesarean birth. Which method of anesthesia is to be administered to the
client?
local infiltration
epidural block
regional anesthesia
general anesthesia
, Page 3 of 46
general anesthesia
The nurse assists a health care provider in placing an epidural for a client in
labor. The nurse documents the following: The client is drowsy with slurred
speech. Minutes later, the client states a metallic taste in the mouth and
blurred vision. Which intervention(s) will the nurse implement at this time?
Select all that apply.
Administer an anticonvulsant to the client.
Prepare for prompt birth of the fetus.
Administer oxygen to the client.
Administer 500 m of IV Ringer's lactate.
Administer an opioid.
Administer aspirin.
Administer oxygen to the client.
Administer an anticonvulsant to the client.
Prepare for prompt birth of the fetus.
A client dilated to 10 cm and feeling the urge to "have a bowel movement" is
refusing to push and is screaming, "It hurts down there too much to push."
What option should the nurse suggest at this point for pain management to
facilitate pushing?
parenteral medication
paracervical block
epidural anesthesia
pudendal block
pudendal block
The nurse is assessing a client who has given birth within the past hour. The
nurse would expect to find the client's fundus at which location?
between the umbilicus and symphysis pubis
at the level of the umbilicus
one fingerbreadth below the umbilicus
2 cm above the umbilicus
at the level of the umbilicus
, Page 4 of 46
The nurse is reviewing the birthing plan with a client who is 24 weeks'
gestation. Which statement(s) is accurate regarding births at a birthing center?
Select all that apply.
Most high-risk pregnancies are appropriate for birth at a birthing center.
The birthing center has the advantage of limited visitors at the center during
the birth.
The opportunity for medical interventions is less when the birth occurs at a
birthing center.
When the birth occurs at a birthing center, a surgeon will be there in case of
needed intervention.
The birthing center typically has an area for family to wait, a play area for
siblings and a kitchen.
The opportunity for medical interventions is less when the birth occurs at a birthing
center.
The birthing center typically has an area for family to wait, a play area for siblings
and a kitchen.
When applying the ultrasound transducer for continuous external electronic
fetal monitoring, the nurse places the transducer at which location on the
client's body to record the fetal heart rate?
over the uterine fundus where contractions are most intense
above the umbilicus toward the right side of the diaphragm
between the umbilicus and the symphysis pubis
between the xiphoid process and umbilicus
between the umbilicus and the symphysis pubis
A nurse is conducting a class on the passage of the fetus through the birth
canal. As part of the class, the nurse explains that specific diameters of the
fetal skull can affect the birth process. Which diameter(s) does the nurse
identify as important in affecting the birth process? Select all that apply.
biparietal
suboccipitobregmatic
occipitofrontal
