NSG 3500 EXAM 2
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📋 DOCUMENT OVERVIEW 46 Qs
This document, "NSG 3500 Exam 2," covers essential maternal-newborn nursing topics, including fetal
heart rate monitoring, labor progression, pain management, and delivery methods. It provides 46
questions with correct answers and detailed explanations, allowing students to review and understand
complex concepts. By utilizing this resource, students can thoroughly review key nursing concepts,
solidify their knowledge, and prepare for exams with confidence.
✓ Verified Answers ✓ Exam Ready ✓ Study Guide
Trusted by thousands of students and professionals worldwide
EXAM QUESTIONS
QUESTION 1
A pregnant client at 32 weeks states that her fetal heart rate monitor shows a deceleration to the 90's
for three minutes after a 90-second contraction. The nurse documents:
A) Tachycardia, provider notified
B) Prolonged decelerations to the 90's, provider notified
C) Fetal distress, immediate delivery ordered
D) Normal fetal heart rate pattern, continue monitoring
CORRECT ANSWER
B) Prolonged decelerations to the 90's, provider notified
RATIONALE: The nurse documents prolonged decelerations to the 90's, indicating possible fetal distress, and notifies
the provider for further action. Options A and C are incorrect because tachycardia and immediate delivery are not the
appropriate responses to this situation. Option D is incorrect because the fetal heart rate pattern is abnormal, indicating
a need for further evaluation and intervention.
QUESTION 2
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, A client arrives at the emergency department with a chief complaint of severe headache and blurry
vision. The nurse should prioritize which action to take first.
A) Administer oxygen to the client
B) Obtain an electrocardiogram (ECG) to rule out cardiac issues
C) Take the client's blood pressure to assess for pre-eclampsia
D) Conduct a neurological assessment to evaluate cognitive function
CORRECT ANSWER
C) Take the client's blood pressure to assess for pre-eclampsia
RATIONALE: The client's symptoms of severe headache and blurry vision may indicate pre-eclampsia, a pregnancy
complication characterized by high blood pressure. Taking the client's blood pressure is a priority action to assess for
this condition and guide further care. The other options do not directly address the client's symptoms and are therefore
incorrect.
QUESTION 3
Which finding indicates a need for immediate hospitalization in a pregnant woman?
A) Mild cramping every 20 minutes
B) Frequent and intense contractions (every 5 minutes and lasting 1 minute)
C) Infrequent contractions with minimal pain relief
D) Contractions that worsen with walking but improve with resting
CORRECT ANSWER
B) Frequent and intense contractions (every 5 minutes and lasting 1 minute)
RATIONALE: Frequent and intense contractions, occurring every 5 minutes and lasting 50 seconds or more, are an
indicator of active labor, necessitating immediate hospitalization to ensure a safe delivery. Options A, C, and D do not
accurately represent contractions that require immediate hospitalization.
QUESTION 4
What characteristic of false labor should the nurse recognize to differentiate it from true labor?
A) Walking increases contraction intensity
B) Contractions become less frequent over time
C) Walking relieves contractions
D) Contractions become more intense with each passing hour
CORRECT ANSWER
C) Walking relieves contractions
RATIONALE: False labor is characterized by contractions that are irregular and can be relieved by walking. This is in
contrast to true labor, where contractions are regular and become more intense over time. The nurse should recognize
that walking relieves contractions as a key indicator of false labor.
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, QUESTION 5
A client at 38 weeks gestation is preparing for an episiotomy. According to standard medical practice,
the nurse should assist the healthcare provider in administering an anesthetic to the client before
performing the procedure.
A) Local infiltration with lidocaine
B) Pudendal block
C) Spinal block
D) General anesthesia
CORRECT ANSWER
B) Pudendal block
RATIONALE: A pudendal block is the preferred anesthetic technique for episiotomies, as it numbs the perineal area
without affecting the client's vital signs. Local infiltration and spinal block may not provide adequate pain relief, while
general anesthesia is generally not required for episiotomies.
QUESTION 6
A client requests an epidural anesthetic for pain management. The nurse must first verify which
laboratory value before calling the anesthesia team.
A) Hemoglobin count
B) Platelet count
C) Creatinine level
D) International normalized ratio (INR)
CORRECT ANSWER
B) Platelet count
RATIONALE: Verifying the client's platelet count is crucial before proceeding with epidural anesthesia, as it helps
prevent complications such as bleeding or hematoma formation. The nurse should verify this value to ensure safe
administration of the epidural anesthetic.
QUESTION 7
Which of the following descriptions accurately represents the four stages of labor?
A) Dilation and effacement, fetal movement, and postpartum care
B) Placenta delivery, cervical effacement, and recovery
C) Dilation and effacement, expulsion, placenta delivery, and recovery
D) Fetal monitoring, postpartum pain management, and breastfeeding education
CORRECT ANSWER
C) Dilation and effacement, expulsion, placenta delivery, and recovery
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45+ (Fully Updated 2026) Exam Questions + Verified & Rationalized
Answers | A+ Graded
100% Guarantee Pass
📋 DOCUMENT OVERVIEW 46 Qs
This document, "NSG 3500 Exam 2," covers essential maternal-newborn nursing topics, including fetal
heart rate monitoring, labor progression, pain management, and delivery methods. It provides 46
questions with correct answers and detailed explanations, allowing students to review and understand
complex concepts. By utilizing this resource, students can thoroughly review key nursing concepts,
solidify their knowledge, and prepare for exams with confidence.
✓ Verified Answers ✓ Exam Ready ✓ Study Guide
Trusted by thousands of students and professionals worldwide
EXAM QUESTIONS
QUESTION 1
A pregnant client at 32 weeks states that her fetal heart rate monitor shows a deceleration to the 90's
for three minutes after a 90-second contraction. The nurse documents:
A) Tachycardia, provider notified
B) Prolonged decelerations to the 90's, provider notified
C) Fetal distress, immediate delivery ordered
D) Normal fetal heart rate pattern, continue monitoring
CORRECT ANSWER
B) Prolonged decelerations to the 90's, provider notified
RATIONALE: The nurse documents prolonged decelerations to the 90's, indicating possible fetal distress, and notifies
the provider for further action. Options A and C are incorrect because tachycardia and immediate delivery are not the
appropriate responses to this situation. Option D is incorrect because the fetal heart rate pattern is abnormal, indicating
a need for further evaluation and intervention.
QUESTION 2
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, A client arrives at the emergency department with a chief complaint of severe headache and blurry
vision. The nurse should prioritize which action to take first.
A) Administer oxygen to the client
B) Obtain an electrocardiogram (ECG) to rule out cardiac issues
C) Take the client's blood pressure to assess for pre-eclampsia
D) Conduct a neurological assessment to evaluate cognitive function
CORRECT ANSWER
C) Take the client's blood pressure to assess for pre-eclampsia
RATIONALE: The client's symptoms of severe headache and blurry vision may indicate pre-eclampsia, a pregnancy
complication characterized by high blood pressure. Taking the client's blood pressure is a priority action to assess for
this condition and guide further care. The other options do not directly address the client's symptoms and are therefore
incorrect.
QUESTION 3
Which finding indicates a need for immediate hospitalization in a pregnant woman?
A) Mild cramping every 20 minutes
B) Frequent and intense contractions (every 5 minutes and lasting 1 minute)
C) Infrequent contractions with minimal pain relief
D) Contractions that worsen with walking but improve with resting
CORRECT ANSWER
B) Frequent and intense contractions (every 5 minutes and lasting 1 minute)
RATIONALE: Frequent and intense contractions, occurring every 5 minutes and lasting 50 seconds or more, are an
indicator of active labor, necessitating immediate hospitalization to ensure a safe delivery. Options A, C, and D do not
accurately represent contractions that require immediate hospitalization.
QUESTION 4
What characteristic of false labor should the nurse recognize to differentiate it from true labor?
A) Walking increases contraction intensity
B) Contractions become less frequent over time
C) Walking relieves contractions
D) Contractions become more intense with each passing hour
CORRECT ANSWER
C) Walking relieves contractions
RATIONALE: False labor is characterized by contractions that are irregular and can be relieved by walking. This is in
contrast to true labor, where contractions are regular and become more intense over time. The nurse should recognize
that walking relieves contractions as a key indicator of false labor.
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, QUESTION 5
A client at 38 weeks gestation is preparing for an episiotomy. According to standard medical practice,
the nurse should assist the healthcare provider in administering an anesthetic to the client before
performing the procedure.
A) Local infiltration with lidocaine
B) Pudendal block
C) Spinal block
D) General anesthesia
CORRECT ANSWER
B) Pudendal block
RATIONALE: A pudendal block is the preferred anesthetic technique for episiotomies, as it numbs the perineal area
without affecting the client's vital signs. Local infiltration and spinal block may not provide adequate pain relief, while
general anesthesia is generally not required for episiotomies.
QUESTION 6
A client requests an epidural anesthetic for pain management. The nurse must first verify which
laboratory value before calling the anesthesia team.
A) Hemoglobin count
B) Platelet count
C) Creatinine level
D) International normalized ratio (INR)
CORRECT ANSWER
B) Platelet count
RATIONALE: Verifying the client's platelet count is crucial before proceeding with epidural anesthesia, as it helps
prevent complications such as bleeding or hematoma formation. The nurse should verify this value to ensure safe
administration of the epidural anesthetic.
QUESTION 7
Which of the following descriptions accurately represents the four stages of labor?
A) Dilation and effacement, fetal movement, and postpartum care
B) Placenta delivery, cervical effacement, and recovery
C) Dilation and effacement, expulsion, placenta delivery, and recovery
D) Fetal monitoring, postpartum pain management, and breastfeeding education
CORRECT ANSWER
C) Dilation and effacement, expulsion, placenta delivery, and recovery
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