Answers
1. A G1P0 client calls the hospital and says to the nurse, "I think I
am having labor pains. When should I come to the hospital?" The
nurse correctly replies that the client should come in when her
contractions are: a. 5-10 minutes apart for 30 minutes. b. 10-15
minutes apart for 1 hour. c. 6-8 minutes apart for 1 hour. d. 5
minutes apart for 1 hour. -
correct answer ✅D
2. A G1P0 client at 39 weeks' gestation arrives at the birthing center
with irregular contractions ranging from 10 to 30 minutes apart.
Assessment reveals 1-2 cm cervical dilation, membranes intact, and
a thick cervix. There are no complications. What treatment decision
would the nurse expect at this time? a. The client will be admitted
to the birthing center. b. The client will be started on hydration with
IV fluids. c. The client will be sent home to ambulate. d. The client
will be monitored with pelvic checks every hour. -
correct answer ✅C
3. A G3P0 client in active labor is admitted to the birthing center.
Which data set should the nurse interpret as being within the
normal range? (Hint: Provision of Care in the First Stage) a.
Temperature 99.4°F and blood pressure 130/80. b. Temperature
98.6°F and pulse 56. c. Temperature 98.4°F and blood pressure
,OB nclex Exam 2 Questions with Verified
Answers
142/90. d. Temperature 99.8°F and pulse 88. -
correct answer ✅A
4. There are four clients in the birthing center. Which client should
the nurse encourage to ambulate? a. G2P1 with ruptured
membranes and 0 engagement. b. G4P3 with ruptured membranes
and 9 cm dilation. c. G3P2 with intact membranes and 4 cm
dilation. d. G5P4 with intact membranes and 8 cm dilation. -
correct answer ✅C
5. A laboring client in the birthing center has a hematocrit of 49.
The nurse should anticipate that this finding is related to: a.
Anemia. b. Dehydration. c. Infection. d. Hemorrhage. -
correct answer ✅B
6. A Hmong client has just given birth to a 5-pound baby girl. What
culturally sensitive nursing action is appropriate at this time? a.
Offer the mother a soft-boiled egg to eat. b. Comment on the
daintiness of her baby girl. c. Assist the mother in bathing the baby.
d. Encourage the client to eat cold foods and drink cold fluids. -
correct answer ✅A
, OB nclex Exam 2 Questions with Verified
Answers
7. The nurse is caring for a client in the transitional stage of labor.
What objective physiologic data would indicate that the client is
having pain? a. Muscle relaxation and decreased blood pressure. b.
Dilated pupils and increased blood pressure. c. Constricted pupils
and decreased blood pressure. d. Decreased respiration and
decreased blood pressure. -
correct answer ✅B
8. The nurse is caring for four laboring clients at Stage 1 of labor.
Which client is demonstrating responses commonly seen during the
latent phase? a. A client who is happy and talkative. b. A client who
has just delivered a healthy newborn. c. A client with increased
fatigue, restlessness, and anxiety. d. A client with increased
irritability and feeling out of control. -
correct answer ✅A
9. A laboring client complains of numbness of nose, fingers, and
toes, and spots before her eyes. What should be the initial action
by the nurse? a. Implement seizure precautions. b. Encourage slow,
shallow breaths. c. Administer oxygen at 5 L per minute. d. Notify
the physician or midwife. -
correct answer ✅B