NUR 418 EXAM 2 (CONCORDIA) NEWEST 2026
ACTUAL EXAM TEST BANK| NUR 418 NURSING CARE
OF THE CHILDBEARING FAMILY EXAM 2 REVIEW WITH
300 REAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+
(MOST RECENT!!)
1. A nurse is assessing a client at 38 weeks gestation during a
routine prenatal visit. The client reports regular, painless
uterine contractions that occur every 10 minutes. The nurse
recognizes this as:
A) True labor
B) Braxton-Hicks contractions
C) Preterm labor
D) Placental abruption
Correct Answer: B
Rationale: Braxton-Hicks contractions are irregular, usually
painless uterine contractions that occur throughout pregnancy but
become more noticeable in the third trimester. They do not
increase in frequency, duration, or intensity and do not cause
1
,cervical change. True labor contractions are regular, increase in
intensity, and cause cervical effacement and dilation.
2. A client at 39 weeks gestation is admitted to the labor and
delivery unit with contractions every 3 minutes, lasting 60
seconds, and moderate intensity. Cervical examination
reveals 5 cm dilation, 90% effacement, and the fetal head at
0 station. The nurse correctly documents this as:
A) Latent phase of labor
B) Active phase of labor
C) Transition phase of labor
D) Second stage of labor
Correct Answer: B
Rationale: The active phase of labor is characterized by cervical
dilation from 4 to 7 cm, more frequent and intense contractions,
and rapid cervical change. The latent phase is 0–4 cm. Transition
phase is 8–10 cm. Second stage begins at full dilation (10 cm)
and ends with delivery.
2
,3. A client in active labor requests an epidural for pain relief.
Which assessment finding would contraindicate epidural
placement at this time?
A) Maternal platelet count of 180,000/mm³
B) Maternal temperature of 37.2°C (99°F)
C) Maternal international normalized ratio (INR) of 2.5
D) Fetal heart rate baseline of 140 beats/min with
moderate variability
Correct Answer: C
Rationale: An INR of 2.5 indicates coagulopathy (normal <1.2).
Epidural placement is contraindicated in the presence of
coagulopathy, thrombocytopenia (platelets <70,000–100,000),
or anticoagulant use due to the risk of epidural hematoma.
Options A, B, and D are not contraindications.
4. The nurse is monitoring a client receiving oxytocin (Pitocin)
for labor augmentation. Which finding requires immediate
discontinuation of the oxytocin infusion?
A) Contractions every 2–3 minutes lasting 60 seconds
3
, B) Fetal heart rate decelerations with recurrent late
decelerations
C) Maternal blood pressure 120/80 mmHg
D) Cervical dilation of 6 cm
Correct Answer: B
Rationale: Recurrent late decelerations indicate uteroplacental
insufficiency and fetal hypoxia. Oxytocin should be discontinued
immediately, the client positioned on her side, oxygen
administered, and the provider notified. Options A and D are
expected findings. Option C is normal blood pressure.
5. A client at 40 weeks gestation is admitted in active labor.
The nurse notes that the fetal heart rate baseline is 170
beats/min. The nurse’s priority action is to:
A) Document the finding as normal
B) Administer oxygen via face mask at 10 L/min
C) Increase the IV fluid rate
D) Assess maternal temperature to rule out infection
Correct Answer: D
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ACTUAL EXAM TEST BANK| NUR 418 NURSING CARE
OF THE CHILDBEARING FAMILY EXAM 2 REVIEW WITH
300 REAL EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+
(MOST RECENT!!)
1. A nurse is assessing a client at 38 weeks gestation during a
routine prenatal visit. The client reports regular, painless
uterine contractions that occur every 10 minutes. The nurse
recognizes this as:
A) True labor
B) Braxton-Hicks contractions
C) Preterm labor
D) Placental abruption
Correct Answer: B
Rationale: Braxton-Hicks contractions are irregular, usually
painless uterine contractions that occur throughout pregnancy but
become more noticeable in the third trimester. They do not
increase in frequency, duration, or intensity and do not cause
1
,cervical change. True labor contractions are regular, increase in
intensity, and cause cervical effacement and dilation.
2. A client at 39 weeks gestation is admitted to the labor and
delivery unit with contractions every 3 minutes, lasting 60
seconds, and moderate intensity. Cervical examination
reveals 5 cm dilation, 90% effacement, and the fetal head at
0 station. The nurse correctly documents this as:
A) Latent phase of labor
B) Active phase of labor
C) Transition phase of labor
D) Second stage of labor
Correct Answer: B
Rationale: The active phase of labor is characterized by cervical
dilation from 4 to 7 cm, more frequent and intense contractions,
and rapid cervical change. The latent phase is 0–4 cm. Transition
phase is 8–10 cm. Second stage begins at full dilation (10 cm)
and ends with delivery.
2
,3. A client in active labor requests an epidural for pain relief.
Which assessment finding would contraindicate epidural
placement at this time?
A) Maternal platelet count of 180,000/mm³
B) Maternal temperature of 37.2°C (99°F)
C) Maternal international normalized ratio (INR) of 2.5
D) Fetal heart rate baseline of 140 beats/min with
moderate variability
Correct Answer: C
Rationale: An INR of 2.5 indicates coagulopathy (normal <1.2).
Epidural placement is contraindicated in the presence of
coagulopathy, thrombocytopenia (platelets <70,000–100,000),
or anticoagulant use due to the risk of epidural hematoma.
Options A, B, and D are not contraindications.
4. The nurse is monitoring a client receiving oxytocin (Pitocin)
for labor augmentation. Which finding requires immediate
discontinuation of the oxytocin infusion?
A) Contractions every 2–3 minutes lasting 60 seconds
3
, B) Fetal heart rate decelerations with recurrent late
decelerations
C) Maternal blood pressure 120/80 mmHg
D) Cervical dilation of 6 cm
Correct Answer: B
Rationale: Recurrent late decelerations indicate uteroplacental
insufficiency and fetal hypoxia. Oxytocin should be discontinued
immediately, the client positioned on her side, oxygen
administered, and the provider notified. Options A and D are
expected findings. Option C is normal blood pressure.
5. A client at 40 weeks gestation is admitted in active labor.
The nurse notes that the fetal heart rate baseline is 170
beats/min. The nurse’s priority action is to:
A) Document the finding as normal
B) Administer oxygen via face mask at 10 L/min
C) Increase the IV fluid rate
D) Assess maternal temperature to rule out infection
Correct Answer: D
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