NUR 230 Exam 2 – Maternal-Newborn Nursing / Obstetrics | Practice Questions with 100% Correct Answers | 2026–2027 Updated Edition

This comprehensive NUR 230 Exam 2 Study Guide contains practice questions with verified correct answers — fully updated for the 2026–2027 academic year. Perfect for nursing students (ADN, BSN, or pre‑licensure programs) preparing for their maternal‑newborn nursing or obstetrics examination. Content covers all major exam topics including: Stages & Phases of Labor – first stage (latent, active, transition), second stage (birth of infant, median duration: nullipara 50–60 min, multipara 20–30 min), third stage (placental separation), fourth stage, cervical dilation and effacement (e.g., SVE 6/80/-1 indicates active phase of first stage) True vs. False Labor – true labor contractions continue and get stronger with relaxation/shower; false labor decreases with ambulation Fetal Heart Rate (FHR) Monitoring – baseline FHR (normal 110–160 bpm), bradycardia, tachycardia, variability (moderate), accelerations, decelerations (early – head compression; variable – cord compression; late – uteroplacental insufficiency), Category I tracing (reassuring), recurrent late decelerations (discontinue oxytocin, lateral position, oxygen) Oxytocin Administration – contraindications (significant variable decelerations, late decelerations); discontinue for FHR 180 with absent variability Epidural & Spinal Anesthesia – complications (hypotension, urinary retention, itching; NOT precipitous labor – usually slows labor); preanesthetic fluid bolus to prevent maternal hypotension; side‑lying position with head elevated for cardiac conditions (mitral stenosis) Fetal Station & Position – ischial spines as zero station; fetal position (LOP – left occiput posterior); cardinal movements of labor (engagement, descent, flexion, internal rotation, extension, external rotation, expulsion) Placental Separation Signs – firm globular fundus, gush of dark red blood Nursing Interventions – priority action for “feeling like pushing” (perform sterile vaginal exam); for late decelerations (place client in lateral position); for prolapsed cord (knee‑chest position); for umbilical cord compression (variable decelerations); palpate fundus when toco monitor not registering contractions; counterpressure for back labor Preterm Labor & PROM – dexamethasone for fetal lung maturation; preterm labor interventions (empty bladder, drink fluids, go to hospital – NOT supine position); PROM management (assess fetal movement daily) Postpartum Hemorrhage – oxytocin treatment Maternal Conditions – thrombophlebitis prevention (gentle lower extremity exercises); VBAC criteria (clinically adequate pelvis, previous low transverse incision, no history of uterine rupture); contraindications (classical vertical incision) Normal Labor Findings – fetal station 0 (at ischial spines); adequate fetal oxygen supply (130 bpm); biparietal diameter as largest transverse diameter of fetal skull All answers are verified and tested — ideal for exam 2 review, clinical rotation preparation, and NCLEX‑RN success