NSG222 EXAM 1 OB FAMILY
NURSING 2026 TEST BANK REVIEW
COMPLETE QUESTIONS SOLUTIONS
A+
◉ Select the priority intervention for a pregnant client whose monitor
strip shows fetal heart rate decelerations characterized by a rapid descent
and ascent to and from the lowest point of the deceleration.
1. Elevating the legs
2. Repositioning the client from side to side
3. Increasing the rate of intravenous infusion
4. Administering oxygen by way of facemask.
Answer: Repositioning the client from side to side
◉ A primigravida who is at 38 weeks' gestation is undergoing a
nonstress test. The nurse determines that the baseline fetal heart rate is
130 to 140 beats/min. It rises to 160 on two occasions and 157 once
during a 20-minute period. Each of the episodes in which the heart rate
is increased lasts 20 seconds. What action should the nurse take?
1. Discontinuing the test because the pattern is within the expected range
2. Encouraging the client to drink more fluids to decrease the fetal heart
rate
3. Notifying the primary health care provider and preparing for an
emergency birth
,4. Recording this nonreassuring pattern and continuing the test for
further evaluation.
Answer: Discontinuing the test because the pattern is within the
expected range
◉ A nurse is observing the electronic fetal monitor as a client in labor
enters the second stage. The nurse identifies early decelerations of the
fetal heart rate with a return to the baseline at the end of each
contraction. What does this usually indicate?
1. Maternal diabetes
2. Fetal cord prolapse
3. Maternal hypotension
4. Fetal head compression.
Answer: Fetal head compression
◉ At a client's first prenatal visit, the nurse-midwife performs a pelvic
examination. The nurse states that the client's cervix is bluish purple,
which is known as the Chadwick sign. The client becomes concerned
and asks whether something is wrong. The nurse replies, "This is
expected; it:
1. Helps confirm your pregnancy"
2. Is not unusual, even in women who are not pregnant"
3. Occurs because the blood is trapped by the pregnant uterus"
4. Is caused by increased blood flow to the uterus during pregnancy.
Answer: It is caused by increased blood flow to the uterus
,◉ How does the nurse distinguish true labor from false labor?
1. Cervical dilation is progressive.
2. Contractions stop when the client walks around.
3. The client's contractions progress only when she is in a side-lying
position.
4. Contractions occur immediately after the membranes rupture..
Answer: Cervical dilation is progressive
◉ A client's membranes rupture while her labor is being augmented with
an oxytocin (Pitocin) infusion. The nurse observes variable decelerations
in the fetal heart rate on the fetal monitor strip. What action should the
nurse take next?
1. Changing the client's position
2. Taking the client's blood pressure
3. Stopping the client's oxytocin infusion
4. Preparing the client for an immediate birth.
Answer: Changing the clients position
◉ A nurse is assessing the rate of involution of a client's uterus on the
second postpartum day. Where does the nurse expect the fundus to be
located?
1. At the level of the umbilicus
2. One fingerbreadth above the umbilicus
, 3. Above and to the right of the umbilicus
4. One or two fingerbreadths below the umbilicus.
Answer: One or two fingerbreadths under the umbilicus
◉ A client at 11 weeks' gestation reports having to urinate more often.
The nurse explains that urinary frequency often occurs because bladder
capacity during pregnancy is diminished by:
1. Atony of the detrusor muscle
2. Compression by the enlarging uterus
3. Compromise of the autonomic reflexes
4. Narrowing of the ureteral entrance at the trigone.
Answer: Compression by the enlarging uterus
◉ While conducting prenatal teaching, a nurse should explain to clients
that there is an increase in vaginal secretions during pregnancy called
leukorrhea. What causes this increase?
1. Decreased metabolic rate
Increased production of estrogen
3
Secretion from the Bartholin glands
4
Supply of sodium chloride to the vaginal cells.
NURSING 2026 TEST BANK REVIEW
COMPLETE QUESTIONS SOLUTIONS
A+
◉ Select the priority intervention for a pregnant client whose monitor
strip shows fetal heart rate decelerations characterized by a rapid descent
and ascent to and from the lowest point of the deceleration.
1. Elevating the legs
2. Repositioning the client from side to side
3. Increasing the rate of intravenous infusion
4. Administering oxygen by way of facemask.
Answer: Repositioning the client from side to side
◉ A primigravida who is at 38 weeks' gestation is undergoing a
nonstress test. The nurse determines that the baseline fetal heart rate is
130 to 140 beats/min. It rises to 160 on two occasions and 157 once
during a 20-minute period. Each of the episodes in which the heart rate
is increased lasts 20 seconds. What action should the nurse take?
1. Discontinuing the test because the pattern is within the expected range
2. Encouraging the client to drink more fluids to decrease the fetal heart
rate
3. Notifying the primary health care provider and preparing for an
emergency birth
,4. Recording this nonreassuring pattern and continuing the test for
further evaluation.
Answer: Discontinuing the test because the pattern is within the
expected range
◉ A nurse is observing the electronic fetal monitor as a client in labor
enters the second stage. The nurse identifies early decelerations of the
fetal heart rate with a return to the baseline at the end of each
contraction. What does this usually indicate?
1. Maternal diabetes
2. Fetal cord prolapse
3. Maternal hypotension
4. Fetal head compression.
Answer: Fetal head compression
◉ At a client's first prenatal visit, the nurse-midwife performs a pelvic
examination. The nurse states that the client's cervix is bluish purple,
which is known as the Chadwick sign. The client becomes concerned
and asks whether something is wrong. The nurse replies, "This is
expected; it:
1. Helps confirm your pregnancy"
2. Is not unusual, even in women who are not pregnant"
3. Occurs because the blood is trapped by the pregnant uterus"
4. Is caused by increased blood flow to the uterus during pregnancy.
Answer: It is caused by increased blood flow to the uterus
,◉ How does the nurse distinguish true labor from false labor?
1. Cervical dilation is progressive.
2. Contractions stop when the client walks around.
3. The client's contractions progress only when she is in a side-lying
position.
4. Contractions occur immediately after the membranes rupture..
Answer: Cervical dilation is progressive
◉ A client's membranes rupture while her labor is being augmented with
an oxytocin (Pitocin) infusion. The nurse observes variable decelerations
in the fetal heart rate on the fetal monitor strip. What action should the
nurse take next?
1. Changing the client's position
2. Taking the client's blood pressure
3. Stopping the client's oxytocin infusion
4. Preparing the client for an immediate birth.
Answer: Changing the clients position
◉ A nurse is assessing the rate of involution of a client's uterus on the
second postpartum day. Where does the nurse expect the fundus to be
located?
1. At the level of the umbilicus
2. One fingerbreadth above the umbilicus
, 3. Above and to the right of the umbilicus
4. One or two fingerbreadths below the umbilicus.
Answer: One or two fingerbreadths under the umbilicus
◉ A client at 11 weeks' gestation reports having to urinate more often.
The nurse explains that urinary frequency often occurs because bladder
capacity during pregnancy is diminished by:
1. Atony of the detrusor muscle
2. Compression by the enlarging uterus
3. Compromise of the autonomic reflexes
4. Narrowing of the ureteral entrance at the trigone.
Answer: Compression by the enlarging uterus
◉ While conducting prenatal teaching, a nurse should explain to clients
that there is an increase in vaginal secretions during pregnancy called
leukorrhea. What causes this increase?
1. Decreased metabolic rate
Increased production of estrogen
3
Secretion from the Bartholin glands
4
Supply of sodium chloride to the vaginal cells.
