4/4/25, 6:08 NR327 VCAS Review for EXAM 2 |
PM
NR327 VCAS REVIEW FOR EXAM 2 QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
Terms in this set (221)
1. A nurse is teaching a prenatal Correct Answers: A, C, D, F
class
about childbirth preparation. Which topics
should be included in the teaching?
(Select all that apply)
A. Pain management techniques
B.Signs of postpartum depression
C. Breathing techniques for labor
D.The process of labor and delivery
E.The golden hour after delivery
F.Postpartum expectations
2. The nurse is assessing a client Correct Answers: A, B, C, E, F
in labor. What should the nurse
include in this assessment? (Select
all that apply)
A. Maternal well-being
B.Fetal well-being
C. Obstetric history
D.Birth preferences
E.Current labor symptoms
F.Psychosocial factors
G. Postpartum care plan
1/26
,4/4/25, 6:08 NR327 VCAS Review for EXAM 2 |
PM
3.A nurse is caring for a client in Correct Answers: A, B, C, E
labor who is a survivor of sexual
abuse. What nursing interventions are
appropriate? (Select all that apply)
A. Provide privacy and emotional support
B.Allow the client control over
decisions when possible
C. Use clear and concise communication
D.Encourage the client to discuss
past trauma during labor
E. Help the client associate
uncomfortable experiences with
childbirth rather than past abuse
F.Minimize the number of staff involved
in care
4.A labor and delivery nurse is Correct Answers: A, B, D, F
administering oxytocin to a client
to induce labor. Which actions
are
appropriate? (Select all that apply)
A. Start the infusion as a secondary IV
line using a pump
B.Monitor maternal and fetal well-being
continuously
C. Increase the dosage until contractions
occur every minute
D.Assess for uterine tachysystole
and fetal distress
E.Administer oxytocin bolus if
contractions slow down
F.Stop the infusion if
contractions become too
strong
5.What are potential adverse effects of Correct Answers: A, B, D, E, F
oxytocin administration? (Select all that
apply)
A. Uterine tachysystole
B.Fetal hypoxia
C. Maternal hypotension
D.Water intoxication
E. Nausea and vomiting
F.Cardiac dysrhythmias
6.A client receiving oxytocin Correct Answers: A, B, C, D, E
develops contractions that are lasting
longer than two minutes with no
resting tone. What
actions should the nurse take? (Select all
that apply)
A. Stop the oxytocin infusion immediately
B.Notify the healthcare provider
C. Administer oxygen to the client
D.Increase IV fluid infusion
E. Reassess the maternal and fetal status
F.Encourage the client to walk
2/26
, 4/4/25, 6:08 NR327 VCAS Review for EXAM 2 |
PM
1. A nurse is educating a Correct Answers: A, B, D, E, F, H
prenatal client about the signs of
impending labor. Which signs should
the nurse include in the teaching?
(Select all that apply)
A. Lightening
B.Increased urinary frequency
C. Loss of appetite
D.Backaches
E. Bloody show
F.Relief of pressure and easier breathing
G. Persistent vomiting
H. Nausea and diarrhea
2. A pregnant client reports Correct Answers: A, B, C, E
feeling fluid leaking from her vagina.
What actions
should the nurse take? (Select all that
apply)
A. Use Nitrazine paper to test for the
presence of amniotic fluid
B. Ask if the client feels fetal
movement
C. Assess for other signs of labor
D.Advise the client to monitor leakage for
24 hours before seeking care
E. Educate the client that amniotic
fluid leakage requires immediate
medical
attention
F.Reassure the client that leaking fluid
is always normal during late
pregnancy
3.What findings might be observed Correct Answers: A, B, D, E
during a vaginal examination late
in
pregnancy to assess for impending labor?
(Select all that apply)
A. Cervical ripening and softening
B.Cervical effacement
C. Presence of a mucous plug
blocking the cervix
D.Cervical dilation
E. Presence of blood-tinged
vaginal discharge (bloody show)
F.Membranes intact with no leakage
4. A nurse is explaining the Correct Answers: A, B, D, F
differences between true and false
labor to a client. Which statements
about true labor are correct? (Select
all that apply)
A. Contractions occur at regular intervals
B.Contractions increase in duration
and intensity over time
C. Discomfort begins in the abdomen and
radiates to the back
D.Cervical changes occur, including
dilation and effacement
E.Comfort measures such as walking
or resting reduce contraction
intensity
F.Contractions continue to shorten in
frequency as labor progresses
3/26
PM
NR327 VCAS REVIEW FOR EXAM 2 QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
Terms in this set (221)
1. A nurse is teaching a prenatal Correct Answers: A, C, D, F
class
about childbirth preparation. Which topics
should be included in the teaching?
(Select all that apply)
A. Pain management techniques
B.Signs of postpartum depression
C. Breathing techniques for labor
D.The process of labor and delivery
E.The golden hour after delivery
F.Postpartum expectations
2. The nurse is assessing a client Correct Answers: A, B, C, E, F
in labor. What should the nurse
include in this assessment? (Select
all that apply)
A. Maternal well-being
B.Fetal well-being
C. Obstetric history
D.Birth preferences
E.Current labor symptoms
F.Psychosocial factors
G. Postpartum care plan
1/26
,4/4/25, 6:08 NR327 VCAS Review for EXAM 2 |
PM
3.A nurse is caring for a client in Correct Answers: A, B, C, E
labor who is a survivor of sexual
abuse. What nursing interventions are
appropriate? (Select all that apply)
A. Provide privacy and emotional support
B.Allow the client control over
decisions when possible
C. Use clear and concise communication
D.Encourage the client to discuss
past trauma during labor
E. Help the client associate
uncomfortable experiences with
childbirth rather than past abuse
F.Minimize the number of staff involved
in care
4.A labor and delivery nurse is Correct Answers: A, B, D, F
administering oxytocin to a client
to induce labor. Which actions
are
appropriate? (Select all that apply)
A. Start the infusion as a secondary IV
line using a pump
B.Monitor maternal and fetal well-being
continuously
C. Increase the dosage until contractions
occur every minute
D.Assess for uterine tachysystole
and fetal distress
E.Administer oxytocin bolus if
contractions slow down
F.Stop the infusion if
contractions become too
strong
5.What are potential adverse effects of Correct Answers: A, B, D, E, F
oxytocin administration? (Select all that
apply)
A. Uterine tachysystole
B.Fetal hypoxia
C. Maternal hypotension
D.Water intoxication
E. Nausea and vomiting
F.Cardiac dysrhythmias
6.A client receiving oxytocin Correct Answers: A, B, C, D, E
develops contractions that are lasting
longer than two minutes with no
resting tone. What
actions should the nurse take? (Select all
that apply)
A. Stop the oxytocin infusion immediately
B.Notify the healthcare provider
C. Administer oxygen to the client
D.Increase IV fluid infusion
E. Reassess the maternal and fetal status
F.Encourage the client to walk
2/26
, 4/4/25, 6:08 NR327 VCAS Review for EXAM 2 |
PM
1. A nurse is educating a Correct Answers: A, B, D, E, F, H
prenatal client about the signs of
impending labor. Which signs should
the nurse include in the teaching?
(Select all that apply)
A. Lightening
B.Increased urinary frequency
C. Loss of appetite
D.Backaches
E. Bloody show
F.Relief of pressure and easier breathing
G. Persistent vomiting
H. Nausea and diarrhea
2. A pregnant client reports Correct Answers: A, B, C, E
feeling fluid leaking from her vagina.
What actions
should the nurse take? (Select all that
apply)
A. Use Nitrazine paper to test for the
presence of amniotic fluid
B. Ask if the client feels fetal
movement
C. Assess for other signs of labor
D.Advise the client to monitor leakage for
24 hours before seeking care
E. Educate the client that amniotic
fluid leakage requires immediate
medical
attention
F.Reassure the client that leaking fluid
is always normal during late
pregnancy
3.What findings might be observed Correct Answers: A, B, D, E
during a vaginal examination late
in
pregnancy to assess for impending labor?
(Select all that apply)
A. Cervical ripening and softening
B.Cervical effacement
C. Presence of a mucous plug
blocking the cervix
D.Cervical dilation
E. Presence of blood-tinged
vaginal discharge (bloody show)
F.Membranes intact with no leakage
4. A nurse is explaining the Correct Answers: A, B, D, F
differences between true and false
labor to a client. Which statements
about true labor are correct? (Select
all that apply)
A. Contractions occur at regular intervals
B.Contractions increase in duration
and intensity over time
C. Discomfort begins in the abdomen and
radiates to the back
D.Cervical changes occur, including
dilation and effacement
E.Comfort measures such as walking
or resting reduce contraction
intensity
F.Contractions continue to shorten in
frequency as labor progresses
3/26
