OB 4280 Sherpath_Week 2 Exam GRADED A+ QUESTIONS AND CORRECT ANSWERS
100% VERIFIED 2025-2026
A patient reports a feeling of lightness in her abdomen, increasing whitish,
thin, and odorless vaginal discharge, and occasional contractions that go
away after an hour or so. Which action would the nurse take next?
A. Advise Pt. to birthing center
B. Suggest routine STI
C. Call ambulance because she is experiencing an emergency
D. Educate patient on premonitory signs of labor
D. Educate the patient on the premonitory signs of labor.
The nurse would educate the patient on premonitory signs of labor and counsel the
patient that what she is experiencing is normal. The nurse would also educate on
true versus false labor signs.
The nurse understands that which hormonal changes are thought to
encourage the onset of labor?
**Select all
A. Rising estrogen counteracts relaxing effect of progesterone on the uterus
B. FSH is secreted in large quantities by Anterior Pit
C. Prostaglandins are secreted by fetal membranes preparing the uterus
D. The fetus secretes cortisol which may act as additional uterine stimulant
E. TSH is enhanced and helps uterus contract
F. Oxytocin is secreted by mother, causing contractions
A, C, D, F
The nurse recognizes that the patient understands the teaching when she
makes which statement?
A. "Premonitory labor signs include rupture of membranes."
,B. "I will know I'm in labor when I lose my mucous plug."
C. "Increasing clear vaginal secretions could mean labor will begin soon."
D. "Bright red bleeding is considered bloody show and means labor will begin
soon."
C. Increasing clear vaginal secretions could mean labor will begin soon
A woman at 37 weeks gestation calls and reports, "My water broke and I have
bloody show. I am changing my pad every 10 minutes." Which advice would
the nurse provide in response?
A. Engage in activities, such as walking
B. Call her health care provider and go to the hospital or birthing center
C. Advise woman that overreacting not good for her or the baby and to call
back when she is in true labor.
D. Remain home and only come to the hospital in contractions are regular,
frequency, and intense
B. Call her healthcare provider and go to hospital or birthing center for vaginal
evaluation.
The nurse midwife writes in the progress note that the baby is in the occiput
posterior presentation. The nurse knows that which maternal position will help
facilitate rotation of the fetal head?
A. Side Lying
B. Hands and Knees
C. Semi-Recumbent
D. Lithotomy
B. Hands and Knees
This position pulls the fetus back forward and allows for better rotation of the fetal
head
A woman is 10 cm dilated and feels occasional rectal pressure at the peak of a
contraction, and the fetal station is 0. There is a reassuring fetal heart tracing.
Which nursing action is appropriate at this time?
A. Recheck the cervical dilation to ensure she is 10 cm.
B. Allow the woman to labor down for passive descent
, C. Encourage the woman to push with every contraction
D. Prepare for cesarean delivery for cephalopelvic disproportion
B. Allow the woman to labor down for passive descent
The Latent Phase may also be referred to as laboring down, delayed pushing, or
passive descent.
Which observations suggest that a woman is the latent phase of the second
stage of labor?
**Select all
A. The Fetus is at 0 station
B. There is an irregular na inconsistent urge to bear down with contractions
C. The woman exhibits loud, songlike vocalizations with every contraction
D. The fetus is at +3 station.
E. The woman sleeps between contractions.
F. The woman is pushing involuntarily.
A. The fetus is at 0 station
B. there is an irregular and inconsistent urge to bear down with contractions
E. The woman sleeps between contractions.
.During the fourth stage of labor, the nurse notes an increased amount of
bleeding. The uterine fundus consistency is boggy. Which is the most
appropriate initial nursing action?
A. Alert the health care provider that the patient is experiencing postpartum
hemorrhage.
B. Massage the uterine fundus and observe for change in consistency.
C. Administer uterotonic medications to increase uterine tone.
D. Do nothing, as this is a normal finding in the fourth stage of labor and the
tone is transient.
B. Massage the uterine funds and observe for change in consistency
While awaiting the delivery of the placenta in the third stage of labor, the nurse
observes a large gush of blood and an increase in the length of the umbilical
cord. Which event would the nurse recognize has probably occurred?
A. Placental separation from uterine wall
100% VERIFIED 2025-2026
A patient reports a feeling of lightness in her abdomen, increasing whitish,
thin, and odorless vaginal discharge, and occasional contractions that go
away after an hour or so. Which action would the nurse take next?
A. Advise Pt. to birthing center
B. Suggest routine STI
C. Call ambulance because she is experiencing an emergency
D. Educate patient on premonitory signs of labor
D. Educate the patient on the premonitory signs of labor.
The nurse would educate the patient on premonitory signs of labor and counsel the
patient that what she is experiencing is normal. The nurse would also educate on
true versus false labor signs.
The nurse understands that which hormonal changes are thought to
encourage the onset of labor?
**Select all
A. Rising estrogen counteracts relaxing effect of progesterone on the uterus
B. FSH is secreted in large quantities by Anterior Pit
C. Prostaglandins are secreted by fetal membranes preparing the uterus
D. The fetus secretes cortisol which may act as additional uterine stimulant
E. TSH is enhanced and helps uterus contract
F. Oxytocin is secreted by mother, causing contractions
A, C, D, F
The nurse recognizes that the patient understands the teaching when she
makes which statement?
A. "Premonitory labor signs include rupture of membranes."
,B. "I will know I'm in labor when I lose my mucous plug."
C. "Increasing clear vaginal secretions could mean labor will begin soon."
D. "Bright red bleeding is considered bloody show and means labor will begin
soon."
C. Increasing clear vaginal secretions could mean labor will begin soon
A woman at 37 weeks gestation calls and reports, "My water broke and I have
bloody show. I am changing my pad every 10 minutes." Which advice would
the nurse provide in response?
A. Engage in activities, such as walking
B. Call her health care provider and go to the hospital or birthing center
C. Advise woman that overreacting not good for her or the baby and to call
back when she is in true labor.
D. Remain home and only come to the hospital in contractions are regular,
frequency, and intense
B. Call her healthcare provider and go to hospital or birthing center for vaginal
evaluation.
The nurse midwife writes in the progress note that the baby is in the occiput
posterior presentation. The nurse knows that which maternal position will help
facilitate rotation of the fetal head?
A. Side Lying
B. Hands and Knees
C. Semi-Recumbent
D. Lithotomy
B. Hands and Knees
This position pulls the fetus back forward and allows for better rotation of the fetal
head
A woman is 10 cm dilated and feels occasional rectal pressure at the peak of a
contraction, and the fetal station is 0. There is a reassuring fetal heart tracing.
Which nursing action is appropriate at this time?
A. Recheck the cervical dilation to ensure she is 10 cm.
B. Allow the woman to labor down for passive descent
, C. Encourage the woman to push with every contraction
D. Prepare for cesarean delivery for cephalopelvic disproportion
B. Allow the woman to labor down for passive descent
The Latent Phase may also be referred to as laboring down, delayed pushing, or
passive descent.
Which observations suggest that a woman is the latent phase of the second
stage of labor?
**Select all
A. The Fetus is at 0 station
B. There is an irregular na inconsistent urge to bear down with contractions
C. The woman exhibits loud, songlike vocalizations with every contraction
D. The fetus is at +3 station.
E. The woman sleeps between contractions.
F. The woman is pushing involuntarily.
A. The fetus is at 0 station
B. there is an irregular and inconsistent urge to bear down with contractions
E. The woman sleeps between contractions.
.During the fourth stage of labor, the nurse notes an increased amount of
bleeding. The uterine fundus consistency is boggy. Which is the most
appropriate initial nursing action?
A. Alert the health care provider that the patient is experiencing postpartum
hemorrhage.
B. Massage the uterine fundus and observe for change in consistency.
C. Administer uterotonic medications to increase uterine tone.
D. Do nothing, as this is a normal finding in the fourth stage of labor and the
tone is transient.
B. Massage the uterine funds and observe for change in consistency
While awaiting the delivery of the placenta in the third stage of labor, the nurse
observes a large gush of blood and an increase in the length of the umbilical
cord. Which event would the nurse recognize has probably occurred?
A. Placental separation from uterine wall
