NUR 230 EXAM 2 LATEST ACTUAL EXAM ALL 50 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED
A+
When caring for a nulliparous client in labor, the nurse knows that the experience for
a nulliparous client is different from that of a multiparous client in what way?
The nulliparous client experiences less sensory pain during labor.
The nulliparous client experiences greater sensory pain during the second stage of
labor.
The nulliparous client experiences greater fatigue as a result of longer duration of
labor.
The nulliparous client experiences greater affective pain in the second stage of labor.
- ANSWER: The nulliparous client experiences greater fatigue as a result of longer
duration of labor.
When assessing uterine activity, the nurse is aware of which consideration?
The examiner's hand should be placed on the fundus before, during, and after
contractions.
The frequency and duration of contractions are measured in seconds for consistency.
Contraction intensity is given a judgement number of 1-7 by the nurse and client
together.
The resting tone between contractions is described as either placid or turbulent. -
ANSWER: The examiner's hand should be placed on the fundus before, during, and
after contractions.
Which condition is occurring in a multiparous client who has just given birth, her
fundus is firm and globular, and she has a gush of dark red blood from her vagina?
The placenta has separated.
A cervical tear occurred during birth.
The client is beginning to hemorrhage.
Clots have formed in the upper uterine segment. - ANSWER: The placenta has
separated.
Which is characteristic of true labor contractions?
Subsides when walking around.
Causes discomfort over the top of the uterus.
Continues and gets stronger, even if the client relaxes and takes a shower.
Remains irregular but becomes stronger. - ANSWER: Continues and gets stronger,
even if the client relaxes and takes a shower.
Which stage of labor is indicated for a client who has been laboring for several hours,
whose cervix is dilated 9 cm, and who is having strong uterine contractions, each
lasting for 45-90 seconds?
Latent phase of the first stage of labor.
Active phase of the first stage of labor.
Active stage of the second stage of labor.
, Transition phase of the first stage of labor. - ANSWER: Transition phase of the first
stage of labor.
Which nursing instruction would reduce the risk of urinary retention in a client
during labor?
"Void in a lateral position."
"Increase your fluid intake."
"Empty your bladder every 4 hours."
"I can show you some techniques to help stimulate voiding." - ANSWER: "I can show
you some techniques to help stimulate voiding."
Which characteristic is associated with false labor contractions?
Painless
Decrease in intensity with ambulation.
Regular pattern of frequency established.
Progressive in terms of intensity and duration. - ANSWER: Decrease in intensity with
ambulation.
Which are characteristics of the second stage of labor? Select all that apply.
A. The second stage of labor is the stage in which the infant is born.
B. In this stage, the birthing table is usually set up for the nulliparous client
C. The progress of labor is enhanced when the client changes position frequently
during this stage of labor.
D. This stage begins with full cervical dilation (10 cm) and complete effacement
(100%) and ends with the baby's birth.
E. The force exerted by uterine contractions, gravity, and maternal bearing-down
efforts facilitates achievement of the expected outcome of a spontaneous,
uncomplicated vaginal birth.
F. The median duration of this stage of labor is 50-60 minutes in nulliparous clients
and 20-30 minutes in multiparous clients. - ANSWER: A, D, E, F
When assessing fetal station during a vaginal examination the nurse should assess
which pelvic structure?
Cervical OS
Pelvic Inlet
Ischial Spines
Ischial Tuberosity - ANSWER: Ischial Spines
The biparietal diameter is the largest <blank> diameter of the fetal skull.
Transverse
Longitudinal
Vertical - ANSWER: Transverse
A client with a SVE of 6/80/-1 is in which stage and phase of labor?
First stage, latent phase
First stage, active phase
Second stage latent phase
CORRECT DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED
A+
When caring for a nulliparous client in labor, the nurse knows that the experience for
a nulliparous client is different from that of a multiparous client in what way?
The nulliparous client experiences less sensory pain during labor.
The nulliparous client experiences greater sensory pain during the second stage of
labor.
The nulliparous client experiences greater fatigue as a result of longer duration of
labor.
The nulliparous client experiences greater affective pain in the second stage of labor.
- ANSWER: The nulliparous client experiences greater fatigue as a result of longer
duration of labor.
When assessing uterine activity, the nurse is aware of which consideration?
The examiner's hand should be placed on the fundus before, during, and after
contractions.
The frequency and duration of contractions are measured in seconds for consistency.
Contraction intensity is given a judgement number of 1-7 by the nurse and client
together.
The resting tone between contractions is described as either placid or turbulent. -
ANSWER: The examiner's hand should be placed on the fundus before, during, and
after contractions.
Which condition is occurring in a multiparous client who has just given birth, her
fundus is firm and globular, and she has a gush of dark red blood from her vagina?
The placenta has separated.
A cervical tear occurred during birth.
The client is beginning to hemorrhage.
Clots have formed in the upper uterine segment. - ANSWER: The placenta has
separated.
Which is characteristic of true labor contractions?
Subsides when walking around.
Causes discomfort over the top of the uterus.
Continues and gets stronger, even if the client relaxes and takes a shower.
Remains irregular but becomes stronger. - ANSWER: Continues and gets stronger,
even if the client relaxes and takes a shower.
Which stage of labor is indicated for a client who has been laboring for several hours,
whose cervix is dilated 9 cm, and who is having strong uterine contractions, each
lasting for 45-90 seconds?
Latent phase of the first stage of labor.
Active phase of the first stage of labor.
Active stage of the second stage of labor.
, Transition phase of the first stage of labor. - ANSWER: Transition phase of the first
stage of labor.
Which nursing instruction would reduce the risk of urinary retention in a client
during labor?
"Void in a lateral position."
"Increase your fluid intake."
"Empty your bladder every 4 hours."
"I can show you some techniques to help stimulate voiding." - ANSWER: "I can show
you some techniques to help stimulate voiding."
Which characteristic is associated with false labor contractions?
Painless
Decrease in intensity with ambulation.
Regular pattern of frequency established.
Progressive in terms of intensity and duration. - ANSWER: Decrease in intensity with
ambulation.
Which are characteristics of the second stage of labor? Select all that apply.
A. The second stage of labor is the stage in which the infant is born.
B. In this stage, the birthing table is usually set up for the nulliparous client
C. The progress of labor is enhanced when the client changes position frequently
during this stage of labor.
D. This stage begins with full cervical dilation (10 cm) and complete effacement
(100%) and ends with the baby's birth.
E. The force exerted by uterine contractions, gravity, and maternal bearing-down
efforts facilitates achievement of the expected outcome of a spontaneous,
uncomplicated vaginal birth.
F. The median duration of this stage of labor is 50-60 minutes in nulliparous clients
and 20-30 minutes in multiparous clients. - ANSWER: A, D, E, F
When assessing fetal station during a vaginal examination the nurse should assess
which pelvic structure?
Cervical OS
Pelvic Inlet
Ischial Spines
Ischial Tuberosity - ANSWER: Ischial Spines
The biparietal diameter is the largest <blank> diameter of the fetal skull.
Transverse
Longitudinal
Vertical - ANSWER: Transverse
A client with a SVE of 6/80/-1 is in which stage and phase of labor?
First stage, latent phase
First stage, active phase
Second stage latent phase
