NSG 3500 EXAM 2
Nursing Practice - Maternal
Health - Galen
Actual Questions and Answers
100% Guarantee Pass
This Exam contains:
Galen College Of Nursing Exam 2
100% Guarantee Pass.
Each Question Includes The Correct Answer
Expert-Verified explanation
,1. What is the longest stage of labor?:
Answer: 1st stage
Explanation: The first stage of labor, which consists of the latent, active,
and transition phases, is the longest stage. It begins with the onset of
regular contractions and ends with full cervical dilation (10 cm), often
lasting anywhere from several hours to over 12 hours in nulliparous
women.
---
2. A woman must be how effaced and dilated to begin pushing?:
Answer: Fully effaced and 10cm dilated
Explanation: Effective pushing occurs only after the cervix is fully effaced
(completely thinned out) and dilated to 10 cm, allowing the fetal presenting
part to descend and the maternal expulsive efforts to assist delivery.
---
3. Sick role behavior includes either::
Answer: Being stoic or showing pain
Explanation: Sick role behavior refers to how individuals express or cope
with illness or discomfort. In labor, women may either be stoic, minimizing
pain expression, or may openly show pain; both are normal behavioral
responses.
---
,4. Collaboration with the healthcare team is important. Who is
especially important?:
Answer: Anesthesiologist for epidural
Explanation: The anesthesiologist plays a critical role in labor pain
management, especially when an epidural is administered, requiring close
coordination for dosing and monitoring maternal-fetal well-being.
---
5. Location of the point of auscultation of the FHR is::
Answer: Depends on position but usually on fetal back
Explanation: The fetal heart rate is best heard over the fetal back because
fetal heart sounds are loudest here due to proximity of the heart; correct
auscultation site varies with fetal lie and position.
---
6. Vaginal exams during labor should be limited due to introduction
of::
Answer: Bacteria
Explanation: Limiting vaginal exams reduces risk of introducing bacteria
into the sterile uterine environment, preventing infections such as
chorioamnionitis, especially after membranes rupture.
---
, 7. Continuous electronic fetal monitoring (EFM) is indicated for which
patients? *can be internal or external (like a toco):
Answer:
- History of stillbirth
- Preeclampsia/eclampsia
- Placenta previa/abruptio
- Multiple gestation
- Prolonged labor or PROM (premature rupture of membranes)
- Induction of labor with oxytocin
Explanation: Continuous EFM is used for high-risk pregnancies or
situations where fetal compromise risk is increased, allowing for ongoing
assessment of fetal tolerance during labor.
---
8. Internal EFM is only reserved for high-risk pregnancies. It requires::
Answer: Membranes to be ruptured and full dilation
Explanation: Internal fetal monitoring (Fetal Scalp Electrode) requires
ruptured membranes for electrode placement on fetal scalp and usually at
least 2 cm dilation to allow placement of intrauterine pressure catheter
(IUPC).
---
9. Intermittent auscultation of the FHR is used in what type of births?:
Answer: Low-risk and no risk factors
Nursing Practice - Maternal
Health - Galen
Actual Questions and Answers
100% Guarantee Pass
This Exam contains:
Galen College Of Nursing Exam 2
100% Guarantee Pass.
Each Question Includes The Correct Answer
Expert-Verified explanation
,1. What is the longest stage of labor?:
Answer: 1st stage
Explanation: The first stage of labor, which consists of the latent, active,
and transition phases, is the longest stage. It begins with the onset of
regular contractions and ends with full cervical dilation (10 cm), often
lasting anywhere from several hours to over 12 hours in nulliparous
women.
---
2. A woman must be how effaced and dilated to begin pushing?:
Answer: Fully effaced and 10cm dilated
Explanation: Effective pushing occurs only after the cervix is fully effaced
(completely thinned out) and dilated to 10 cm, allowing the fetal presenting
part to descend and the maternal expulsive efforts to assist delivery.
---
3. Sick role behavior includes either::
Answer: Being stoic or showing pain
Explanation: Sick role behavior refers to how individuals express or cope
with illness or discomfort. In labor, women may either be stoic, minimizing
pain expression, or may openly show pain; both are normal behavioral
responses.
---
,4. Collaboration with the healthcare team is important. Who is
especially important?:
Answer: Anesthesiologist for epidural
Explanation: The anesthesiologist plays a critical role in labor pain
management, especially when an epidural is administered, requiring close
coordination for dosing and monitoring maternal-fetal well-being.
---
5. Location of the point of auscultation of the FHR is::
Answer: Depends on position but usually on fetal back
Explanation: The fetal heart rate is best heard over the fetal back because
fetal heart sounds are loudest here due to proximity of the heart; correct
auscultation site varies with fetal lie and position.
---
6. Vaginal exams during labor should be limited due to introduction
of::
Answer: Bacteria
Explanation: Limiting vaginal exams reduces risk of introducing bacteria
into the sterile uterine environment, preventing infections such as
chorioamnionitis, especially after membranes rupture.
---
, 7. Continuous electronic fetal monitoring (EFM) is indicated for which
patients? *can be internal or external (like a toco):
Answer:
- History of stillbirth
- Preeclampsia/eclampsia
- Placenta previa/abruptio
- Multiple gestation
- Prolonged labor or PROM (premature rupture of membranes)
- Induction of labor with oxytocin
Explanation: Continuous EFM is used for high-risk pregnancies or
situations where fetal compromise risk is increased, allowing for ongoing
assessment of fetal tolerance during labor.
---
8. Internal EFM is only reserved for high-risk pregnancies. It requires::
Answer: Membranes to be ruptured and full dilation
Explanation: Internal fetal monitoring (Fetal Scalp Electrode) requires
ruptured membranes for electrode placement on fetal scalp and usually at
least 2 cm dilation to allow placement of intrauterine pressure catheter
(IUPC).
---
9. Intermittent auscultation of the FHR is used in what type of births?:
Answer: Low-risk and no risk factors
