NRS 3026 EXAM QUESTIONS
2024.2025 |GUARANTEED PASS
Which patient would be most likely to have severe afterbirth pains an
request a narcotic analgesic?
a. gravida 5, para 5
b. primipara who delivered a 7lb boy
c. patient who is bottle feeding her child
d. patient who is breastfeeding h her second child - ACCURATE
ANSWERS✔✔ gravida 5, para 5
Which mechanism of labor occurs when the largest diameter of the fetal
presenting part passes the pelvic inlet?
a. External Rotation
b. Engagement
c. Extension
d. Internal rotation - ACCURATE ANSWERS✔✔ Engagement
Uncontrolled maternal hyperventilation during labor results in
a. metabolic acidosis
b. metabolic alkalosis
c.respiratory acidosis
d. respiratory alkalosis - ACCURATE ANSWERS✔✔ respiratory
alkalosis
,Which physiologic event is the key indicator of the commencement of
true labor?
a. bloody show
B. Cervical dilation and effacement
C. fetal descent into the pelvic inlet
d. Uterine contractions every 7 minutes - ACCURATE ANSWERS✔✔
Cervical dilation and effacement
Which factor ensures that the smallest anterior-posterior diameter of the
fetal head enters the pelvis?
a. station
b. flexion
c. descent
d. engagement - ACCURATE ANSWERS✔✔ flexion
An increase of urinary frequency and leg cramps after the 36th week of
pregnancy are indication of
a. lightening
b. breech presentation
c. urinary tract infection
d. onset of Braxton-Hicks contractions - ACCURATE ANSWERS✔✔
Lightening
,A patient whose cervix is dilated to 6 cm is considered to be in which
phase of labor?
a. latent phase
b. active phase
c. second stage
d. third stage - ACCURATE ANSWERS✔✔ active phase
A patient in labor presents with a breech presentation. The nurse
understands that this is associated with
a. more rapid labor
b. a high risk of infection
c. maternal perineal trauma
d. umbilical cord compression - ACCURATE ANSWERS✔✔ umbilical
cord compression
The primary difference between labor of a nullipara and that of a
multipara is
a. total duration of labor
b. level pain experienced
c. amount of cervical dialation
d. sequence of labor mechanisms - ACCURATE ANSWERS✔✔ total
duration of labor
Which maternal event is abnormal in the early postpartal period?
a. diuresis and diaphoresis
, b. flatulence and constipation
c. extreme hunger and thirst
d. lochial color cchanges from rubra to alba - ACCURATE
ANSWERS✔✔ lochial changes from rubra to alba
Which fundal assessment findings at 12 hours after birth requires further
assessment?
a. The fundus is palpable at the level of the umbilicus
b. The fundus is palpable two fingerbreadths above the umbilicus
c. The fundus is palpable one fingerbreadth below the umbilicus
d. The fundus is palpable two finger breaths below the umbilicus -
ACCURATE ANSWERS✔✔ The fundus is palpable two fingerbreadths
above the umbilicus
If the patient's white blood cell count is 25,000 on her second
postpartum day, which action should the nurse take?
a. document the findings
b. inform the health care provider
c. begin antibiotic therapy
d. have the lab draw blood for reanalysis - ACCURATE ANSWERS✔✔
document the findings
Postpartal overdistention of the bladder and urinary retention can lead to
which complication?
a. fever and increased blood pressure
2024.2025 |GUARANTEED PASS
Which patient would be most likely to have severe afterbirth pains an
request a narcotic analgesic?
a. gravida 5, para 5
b. primipara who delivered a 7lb boy
c. patient who is bottle feeding her child
d. patient who is breastfeeding h her second child - ACCURATE
ANSWERS✔✔ gravida 5, para 5
Which mechanism of labor occurs when the largest diameter of the fetal
presenting part passes the pelvic inlet?
a. External Rotation
b. Engagement
c. Extension
d. Internal rotation - ACCURATE ANSWERS✔✔ Engagement
Uncontrolled maternal hyperventilation during labor results in
a. metabolic acidosis
b. metabolic alkalosis
c.respiratory acidosis
d. respiratory alkalosis - ACCURATE ANSWERS✔✔ respiratory
alkalosis
,Which physiologic event is the key indicator of the commencement of
true labor?
a. bloody show
B. Cervical dilation and effacement
C. fetal descent into the pelvic inlet
d. Uterine contractions every 7 minutes - ACCURATE ANSWERS✔✔
Cervical dilation and effacement
Which factor ensures that the smallest anterior-posterior diameter of the
fetal head enters the pelvis?
a. station
b. flexion
c. descent
d. engagement - ACCURATE ANSWERS✔✔ flexion
An increase of urinary frequency and leg cramps after the 36th week of
pregnancy are indication of
a. lightening
b. breech presentation
c. urinary tract infection
d. onset of Braxton-Hicks contractions - ACCURATE ANSWERS✔✔
Lightening
,A patient whose cervix is dilated to 6 cm is considered to be in which
phase of labor?
a. latent phase
b. active phase
c. second stage
d. third stage - ACCURATE ANSWERS✔✔ active phase
A patient in labor presents with a breech presentation. The nurse
understands that this is associated with
a. more rapid labor
b. a high risk of infection
c. maternal perineal trauma
d. umbilical cord compression - ACCURATE ANSWERS✔✔ umbilical
cord compression
The primary difference between labor of a nullipara and that of a
multipara is
a. total duration of labor
b. level pain experienced
c. amount of cervical dialation
d. sequence of labor mechanisms - ACCURATE ANSWERS✔✔ total
duration of labor
Which maternal event is abnormal in the early postpartal period?
a. diuresis and diaphoresis
, b. flatulence and constipation
c. extreme hunger and thirst
d. lochial color cchanges from rubra to alba - ACCURATE
ANSWERS✔✔ lochial changes from rubra to alba
Which fundal assessment findings at 12 hours after birth requires further
assessment?
a. The fundus is palpable at the level of the umbilicus
b. The fundus is palpable two fingerbreadths above the umbilicus
c. The fundus is palpable one fingerbreadth below the umbilicus
d. The fundus is palpable two finger breaths below the umbilicus -
ACCURATE ANSWERS✔✔ The fundus is palpable two fingerbreadths
above the umbilicus
If the patient's white blood cell count is 25,000 on her second
postpartum day, which action should the nurse take?
a. document the findings
b. inform the health care provider
c. begin antibiotic therapy
d. have the lab draw blood for reanalysis - ACCURATE ANSWERS✔✔
document the findings
Postpartal overdistention of the bladder and urinary retention can lead to
which complication?
a. fever and increased blood pressure
