NRS 3026 Practice Exam 1 Questions and Answers Already Passed Latest Update 2025-2026
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 - Answersgravida 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 - AnswersEngagement
Uncontrolled maternal hyperventilation during labor results in
a. metabolic acidosis
b. metabolic alkalosis
c.respiratory acidosis
d. respiratory alkalosis - Answersrespiratory 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 - AnswersCervical 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 - Answersflexion
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 - AnswersLightening
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 - Answersactive 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 - Answersumbilical 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 - Answerstotal 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 - Answerslochial 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 - AnswersThe 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 - Answersdocument the findings
Postpartal overdistention of the bladder and urinary retention can lead to which complication?
a. fever and increased blood pressure
b. postpartum hemorrhage and eclampsia
c. urinary tract infection and uterine rupture
d. postpartum hemorrhage and urinary tract infection - Answerspostpartum hemorrhage and
urinary tract infection
A postpartum patient asks, "Will these stretch marks ever go away? Which the nurse responds?
a. NO
b. Yes, eventually
c. They will fade to silvery lines but won't disappear completely
d. They will continue to fade and should be gone by your 6 week checkup - AnswersThey will
fade to silvery lines but won't disappear completely
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 - Answersgravida 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 - AnswersEngagement
Uncontrolled maternal hyperventilation during labor results in
a. metabolic acidosis
b. metabolic alkalosis
c.respiratory acidosis
d. respiratory alkalosis - Answersrespiratory 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 - AnswersCervical 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 - Answersflexion
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 - AnswersLightening
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 - Answersactive 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 - Answersumbilical 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 - Answerstotal 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 - Answerslochial 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 - AnswersThe 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 - Answersdocument the findings
Postpartal overdistention of the bladder and urinary retention can lead to which complication?
a. fever and increased blood pressure
b. postpartum hemorrhage and eclampsia
c. urinary tract infection and uterine rupture
d. postpartum hemorrhage and urinary tract infection - Answerspostpartum hemorrhage and
urinary tract infection
A postpartum patient asks, "Will these stretch marks ever go away? Which the nurse responds?
a. NO
b. Yes, eventually
c. They will fade to silvery lines but won't disappear completely
d. They will continue to fade and should be gone by your 6 week checkup - AnswersThey will
fade to silvery lines but won't disappear completely
