©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
NURS 326 Exam #2 Practice Questions
and Answers
A reactive non-stress test is a determined by the following criteria?
a. Three FHR accelerations lasting 15 minutes and 15 beats above baseline in a 30 minute period.
b. Three FHR accelerations of any duration in a 30 minute period.
c. Two FHR accelerations lasting 15 seconds and 15 beats above baseline in a 20 minute period.
d. Two FHR accelerations of any duration in a 20 minute period. - Ans:✔✔-c. Two FHR accelerations
lasting 15 seconds and 15 beats above baseline in a 20 minute period.
A client calls a provider's office and reports having contractions for 2 hrs that increased w/ activity & did
not decrease w/ rest. The client denies leaking of vaginal fluid but did notice blood when wiping after
voiding. Which of the following is the client experiencing?
a. Braxton Hicks contractions
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b. Rupture of membranes
c. Fetal descent
d. True contractions - Ans:✔✔-d. True contractions
A nurse is caring for a client having contractions every 8 min that are 30 to 40 seconds in duration. The
client's cervix is 2 cm dilated, 50% effaced, and the fetus is at -2 station with a FHR around 140/min.
Which of the following phases of labor is the client experiencing?
a. First stage, latent phase
b. First stage, active phase
c. First stage, transition phase
d. Second stage of labor - Ans:✔✔-a. First stage, latent phase
A nurse is caring for a client who is 40 weeks gestation and reports a large gush of fluid from the vagina
while walking to the bathroom. Which of the following actions should the nurse take first?
a. Examine the amniotic fluid for meconium
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b. Check the FHR
c. Dry the client & make them comfortable
d. Apply a tocotransducer - Ans:✔✔-b. Check the FHR
A nurse is completing an admission assessment for a client who is 39 weeks of gestation & reports fluid
leaking from the vagina for 2 days. Which of the following conditions is the client at risk for developing?
a. Cord prolapse
b. Infection
c. Postpartum hemorrhage
d. Hydramnios - Ans:✔✔-b. Infection
A nurse is caring for a client who is in active labor, irritable, and reports the urge to have a bowel
movement. The client vomits & states, "I've had enough. I can't do this anymore." Which of the following
stages of labor is the client experiencing?
a. Second stage
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FIRST PUBLISH OCTOBER 2024
b. Fourth stage
c. Transition stage
d. Latent phase - Ans:✔✔-c. Transition stage
A nurse is caring for a client who is 40 weeks gestation and experiencing contractions every 3 to 5
minutes and increasing. A vaginal exam reveals the client's cervix is 3 cm dilated, 80% effaced, and -1
station. The client asks for pain medication. Which of the following actions should the nurse take? Select
all that apply.
a. Encourage use of patterned breathing
b. Insert urinary catheter
c. Administer opioid analgesics
d. Suggest application of cold
e. Provide ice chips - Ans:✔✔-c and d
A nurse is caring for a client in a active labor. The cervix is dilated 5 cm & membranes are intact. Based
on external fetal monitoring, the FHR is 115 to 125/min with occasional increased up to 150 - 155/min
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FIRST PUBLISH OCTOBER 2024
NURS 326 Exam #2 Practice Questions
and Answers
A reactive non-stress test is a determined by the following criteria?
a. Three FHR accelerations lasting 15 minutes and 15 beats above baseline in a 30 minute period.
b. Three FHR accelerations of any duration in a 30 minute period.
c. Two FHR accelerations lasting 15 seconds and 15 beats above baseline in a 20 minute period.
d. Two FHR accelerations of any duration in a 20 minute period. - Ans:✔✔-c. Two FHR accelerations
lasting 15 seconds and 15 beats above baseline in a 20 minute period.
A client calls a provider's office and reports having contractions for 2 hrs that increased w/ activity & did
not decrease w/ rest. The client denies leaking of vaginal fluid but did notice blood when wiping after
voiding. Which of the following is the client experiencing?
a. Braxton Hicks contractions
Page 1/59
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
b. Rupture of membranes
c. Fetal descent
d. True contractions - Ans:✔✔-d. True contractions
A nurse is caring for a client having contractions every 8 min that are 30 to 40 seconds in duration. The
client's cervix is 2 cm dilated, 50% effaced, and the fetus is at -2 station with a FHR around 140/min.
Which of the following phases of labor is the client experiencing?
a. First stage, latent phase
b. First stage, active phase
c. First stage, transition phase
d. Second stage of labor - Ans:✔✔-a. First stage, latent phase
A nurse is caring for a client who is 40 weeks gestation and reports a large gush of fluid from the vagina
while walking to the bathroom. Which of the following actions should the nurse take first?
a. Examine the amniotic fluid for meconium
Page 2/59
, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
b. Check the FHR
c. Dry the client & make them comfortable
d. Apply a tocotransducer - Ans:✔✔-b. Check the FHR
A nurse is completing an admission assessment for a client who is 39 weeks of gestation & reports fluid
leaking from the vagina for 2 days. Which of the following conditions is the client at risk for developing?
a. Cord prolapse
b. Infection
c. Postpartum hemorrhage
d. Hydramnios - Ans:✔✔-b. Infection
A nurse is caring for a client who is in active labor, irritable, and reports the urge to have a bowel
movement. The client vomits & states, "I've had enough. I can't do this anymore." Which of the following
stages of labor is the client experiencing?
a. Second stage
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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED
FIRST PUBLISH OCTOBER 2024
b. Fourth stage
c. Transition stage
d. Latent phase - Ans:✔✔-c. Transition stage
A nurse is caring for a client who is 40 weeks gestation and experiencing contractions every 3 to 5
minutes and increasing. A vaginal exam reveals the client's cervix is 3 cm dilated, 80% effaced, and -1
station. The client asks for pain medication. Which of the following actions should the nurse take? Select
all that apply.
a. Encourage use of patterned breathing
b. Insert urinary catheter
c. Administer opioid analgesics
d. Suggest application of cold
e. Provide ice chips - Ans:✔✔-c and d
A nurse is caring for a client in a active labor. The cervix is dilated 5 cm & membranes are intact. Based
on external fetal monitoring, the FHR is 115 to 125/min with occasional increased up to 150 - 155/min
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