NUR 202 / NUR202 Exam 2 Actual Exam
2026/2027 | Maternal-Newborn Nursing
| Fortis | Questions with Verified Answers
| 100% Correct | Pass Guaranteed
Q1. The nurse is caring for a pregnant client from the Muslim culture. Which
question/statement by the nurse best demonstrates cultural relativism?
A. "You must wear a hospital gown during delivery."
B. "What are you most comfortable wearing during delivery?"
C. "All patients wear the same thing for safety reasons."
D. "Your cultural dress is not allowed in the delivery room."
Correct ,,,answer,,,: B
Rationale: Cultural relativism occurs when the nurse learns about the client's
culture and applies standards to activities within that culture. Asking "What are
you most comfortable wearing during delivery?" allows the nurse to learn the
client's viewpoints and beliefs and then plan care related to the client's culture .
This approach respects cultural practices while maintaining safety.
Q2. A nurse is preparing to administer oxytocin to a client for labor induction.
The nurse reviews the Bishop score, which is 6. Based on this score, what is
the most appropriate action?
,A. Proceed with the administration of oxytocin
B. Discuss cesarean section as the plan of care
C. Delay induction until the Bishop score is 8 or higher
D. Administer prostaglandin gel to ripen the cervix further
Correct ,,,answer,,,: A
Rationale: A Bishop score of 6 indicates that the cervix is moderately favorable
for induction. The Bishop score evaluates cervical inducibility based on position,
consistency, effacement, dilation, and station. A score of 6 or higher is generally
considered favorable for induction with oxytocin .
Q3. During delivery, the nurse notes that the cord is visible and pulsating
outside of the vagina. What should the nurse do first?
A. Insert a gloved hand into the vagina to push the presenting part off the cord
B. Call for assistance and prepare for an emergency cesarean section
C. Perform a fundal pressure maneuver to facilitate delivery
D. Administer oxytocin to expedite delivery
Correct ,,,answer,,,: A
Rationale: In the case of cord prolapse, the presenting part of the fetus must be
relieved from pressure on the cord to restore blood flow and prevent fetal hypoxia.
The nurse should immediately insert a gloved hand into the vagina and push the
presenting part off the cord while calling for assistance .
,Q4. A nurse is caring for a client with preeclampsia. Which of the following
findings indicates the need for immediate intervention?
A. Platelet count of 100,000/mm³
B. Urine output of 30 mL/hr
C. Severe epigastric pain
D. Blood pressure of 140/90 mm Hg
Correct ,,,answer,,,: C
Rationale: Severe epigastric pain can indicate liver involvement (HELLP
syndrome), which is a serious complication of preeclampsia requiring immediate
intervention. This pain typically occurs in the right upper quadrant and is caused
by liver distension and ischemia .
Q5. A client with gestational diabetes asks how to manage blood glucose levels
after delivery. What is the most appropriate response?
A. "You will need to continue insulin therapy until you are no longer pregnant."
B. "Your blood sugar will return to normal right after delivery."
C. "You will need to monitor your blood glucose levels for several weeks
postpartum."
D. "You should stop monitoring your blood sugar levels once the baby is born."
Correct ,,,answer,,,: C
Rationale: Gestational diabetes usually resolves postpartum, but women should
monitor blood glucose for several weeks to ensure it normalizes and to detect any
underlying type 2 diabetes that was previously unrecognized .
, Q6. A nurse caring for a client in preterm labor prepares to administer
betamethasone (Celestone). What is the primary goal of this medication?
A. To enhance uterine contractions
B. To promote lung maturity in the fetus
C. To prevent infection during labor
D. To relax the uterus and stop contractions
Correct ,,,answer,,,: B
Rationale: Betamethasone is a corticosteroid given to promote fetal lung maturity
when preterm delivery is anticipated. It accelerates the production of surfactant in
the fetal lungs, reducing the risk of respiratory distress syndrome .
Q7. A postpartum client is diagnosed with uterine atony and excessive
bleeding. What is the nurse's first action?
A. Begin administering oxytocin IV
B. Perform a manual removal of placental fragments
C. Assess the fundus and massage if necessary
D. Prepare for a blood transfusion
Correct ,,,answer,,,: C
Rationale: Uterine atony is the most common cause of postpartum hemorrhage.
The nurse should first assess the fundus and massage it if it is boggy. Fundal
massage helps stimulate uterine contractions and control bleeding. This is the
initial intervention before administering medications .
2026/2027 | Maternal-Newborn Nursing
| Fortis | Questions with Verified Answers
| 100% Correct | Pass Guaranteed
Q1. The nurse is caring for a pregnant client from the Muslim culture. Which
question/statement by the nurse best demonstrates cultural relativism?
A. "You must wear a hospital gown during delivery."
B. "What are you most comfortable wearing during delivery?"
C. "All patients wear the same thing for safety reasons."
D. "Your cultural dress is not allowed in the delivery room."
Correct ,,,answer,,,: B
Rationale: Cultural relativism occurs when the nurse learns about the client's
culture and applies standards to activities within that culture. Asking "What are
you most comfortable wearing during delivery?" allows the nurse to learn the
client's viewpoints and beliefs and then plan care related to the client's culture .
This approach respects cultural practices while maintaining safety.
Q2. A nurse is preparing to administer oxytocin to a client for labor induction.
The nurse reviews the Bishop score, which is 6. Based on this score, what is
the most appropriate action?
,A. Proceed with the administration of oxytocin
B. Discuss cesarean section as the plan of care
C. Delay induction until the Bishop score is 8 or higher
D. Administer prostaglandin gel to ripen the cervix further
Correct ,,,answer,,,: A
Rationale: A Bishop score of 6 indicates that the cervix is moderately favorable
for induction. The Bishop score evaluates cervical inducibility based on position,
consistency, effacement, dilation, and station. A score of 6 or higher is generally
considered favorable for induction with oxytocin .
Q3. During delivery, the nurse notes that the cord is visible and pulsating
outside of the vagina. What should the nurse do first?
A. Insert a gloved hand into the vagina to push the presenting part off the cord
B. Call for assistance and prepare for an emergency cesarean section
C. Perform a fundal pressure maneuver to facilitate delivery
D. Administer oxytocin to expedite delivery
Correct ,,,answer,,,: A
Rationale: In the case of cord prolapse, the presenting part of the fetus must be
relieved from pressure on the cord to restore blood flow and prevent fetal hypoxia.
The nurse should immediately insert a gloved hand into the vagina and push the
presenting part off the cord while calling for assistance .
,Q4. A nurse is caring for a client with preeclampsia. Which of the following
findings indicates the need for immediate intervention?
A. Platelet count of 100,000/mm³
B. Urine output of 30 mL/hr
C. Severe epigastric pain
D. Blood pressure of 140/90 mm Hg
Correct ,,,answer,,,: C
Rationale: Severe epigastric pain can indicate liver involvement (HELLP
syndrome), which is a serious complication of preeclampsia requiring immediate
intervention. This pain typically occurs in the right upper quadrant and is caused
by liver distension and ischemia .
Q5. A client with gestational diabetes asks how to manage blood glucose levels
after delivery. What is the most appropriate response?
A. "You will need to continue insulin therapy until you are no longer pregnant."
B. "Your blood sugar will return to normal right after delivery."
C. "You will need to monitor your blood glucose levels for several weeks
postpartum."
D. "You should stop monitoring your blood sugar levels once the baby is born."
Correct ,,,answer,,,: C
Rationale: Gestational diabetes usually resolves postpartum, but women should
monitor blood glucose for several weeks to ensure it normalizes and to detect any
underlying type 2 diabetes that was previously unrecognized .
, Q6. A nurse caring for a client in preterm labor prepares to administer
betamethasone (Celestone). What is the primary goal of this medication?
A. To enhance uterine contractions
B. To promote lung maturity in the fetus
C. To prevent infection during labor
D. To relax the uterus and stop contractions
Correct ,,,answer,,,: B
Rationale: Betamethasone is a corticosteroid given to promote fetal lung maturity
when preterm delivery is anticipated. It accelerates the production of surfactant in
the fetal lungs, reducing the risk of respiratory distress syndrome .
Q7. A postpartum client is diagnosed with uterine atony and excessive
bleeding. What is the nurse's first action?
A. Begin administering oxytocin IV
B. Perform a manual removal of placental fragments
C. Assess the fundus and massage if necessary
D. Prepare for a blood transfusion
Correct ,,,answer,,,: C
Rationale: Uterine atony is the most common cause of postpartum hemorrhage.
The nurse should first assess the fundus and massage it if it is boggy. Fundal
massage helps stimulate uterine contractions and control bleeding. This is the
initial intervention before administering medications .
