NUR 316 Exam 3 Maternal Infant Test
Questions and All Correct Answers
2025-2026 Edition.
Nursing care for the 2nd stage of labor - Answer Assessments
Signs of Fetal Descent (uncontrollable urge to push, bulging of the perineum, anal changes,
introitus opens, crowning, burning/stretching sensation in perineum)
Effacement - Answer The thinning and stretching of the cervix
Dilatation - Answer Expansion of the external os from an opening a few millimeters in size to
an opening large enough allow the passage of the neonate
Engagement - Answer Entrance of the fetal presenting part into the superior pelvic strait and
the beginning of the descent through the pelvic canal
Lie - Answer Relationship of the spinal column of the fetus to the spinal column of the mother
Presentation - Answer fetal body part that enters the maternal pelvis first
What are the three types of presentations? - Answer cephalic, shoulder, and breech
Position - Answer
Station - Answer Relationship of the presenting fetal part to an imaginary line drawn between
the pelvic ischial spines during labor
Lightening - Answer Moving of the fetus and uterus downward into the pelvic cavity
Flexed attitude - Answer
What to do during the 1st stage of labor? - Answer assessment
, When do you check BP, Temperature, Uterine activity, FHR, Vaginal Show, and Behavior,
appearance, and energy level when they are at 0-3cm of dilation - Answer Check everything
every thirty to 30-60 minutes except for temp which is every 4 hours
When do you check BP, Temperature, Uterine activity, FHR, Vaginal Show, and Behavior,
appearance, and energy level when they are at 4-7cm of dilation - Answer BP and vaginal
show: every 30 min
Temp: q4h
Uterine activity and FHR: q15-30min
Vaginal show: q30min
Behavior, appearance, energy level: q15min
When do you check BP, Temperature, Uterine activity, FHR, Vaginal Show, and Behavior,
appearance, and energy level when they are at 8-10cm dilation - Answer BP: q15-30 min
Temp: q4h
Uterine Activity: q10-15 min
FHR: q15-30min
Vaginal show: q15min
Behavior, appearance, energy level: q5min
Common behaviors of the mother during the second stage of labor - Answer less irritated,
very focused on work of birth, more cooperative, dose off between contractions, may be
exhausted
When do we assess the FHR? - Answer AFTER: AROM (artificial rupture of membranes), SROM
(spontaneous rupture of membranes)
BEFORE: starting pitocin for induction (throughout induction)
BEFORE and AFTER: analgesia/anesthesia
What are the 3 stages of the 1st stage of labor? - Answer Latent phase, Active phase,
transition phase
Characteristics of the latent phase? - Answer Dilated 0-3 cms
Questions and All Correct Answers
2025-2026 Edition.
Nursing care for the 2nd stage of labor - Answer Assessments
Signs of Fetal Descent (uncontrollable urge to push, bulging of the perineum, anal changes,
introitus opens, crowning, burning/stretching sensation in perineum)
Effacement - Answer The thinning and stretching of the cervix
Dilatation - Answer Expansion of the external os from an opening a few millimeters in size to
an opening large enough allow the passage of the neonate
Engagement - Answer Entrance of the fetal presenting part into the superior pelvic strait and
the beginning of the descent through the pelvic canal
Lie - Answer Relationship of the spinal column of the fetus to the spinal column of the mother
Presentation - Answer fetal body part that enters the maternal pelvis first
What are the three types of presentations? - Answer cephalic, shoulder, and breech
Position - Answer
Station - Answer Relationship of the presenting fetal part to an imaginary line drawn between
the pelvic ischial spines during labor
Lightening - Answer Moving of the fetus and uterus downward into the pelvic cavity
Flexed attitude - Answer
What to do during the 1st stage of labor? - Answer assessment
, When do you check BP, Temperature, Uterine activity, FHR, Vaginal Show, and Behavior,
appearance, and energy level when they are at 0-3cm of dilation - Answer Check everything
every thirty to 30-60 minutes except for temp which is every 4 hours
When do you check BP, Temperature, Uterine activity, FHR, Vaginal Show, and Behavior,
appearance, and energy level when they are at 4-7cm of dilation - Answer BP and vaginal
show: every 30 min
Temp: q4h
Uterine activity and FHR: q15-30min
Vaginal show: q30min
Behavior, appearance, energy level: q15min
When do you check BP, Temperature, Uterine activity, FHR, Vaginal Show, and Behavior,
appearance, and energy level when they are at 8-10cm dilation - Answer BP: q15-30 min
Temp: q4h
Uterine Activity: q10-15 min
FHR: q15-30min
Vaginal show: q15min
Behavior, appearance, energy level: q5min
Common behaviors of the mother during the second stage of labor - Answer less irritated,
very focused on work of birth, more cooperative, dose off between contractions, may be
exhausted
When do we assess the FHR? - Answer AFTER: AROM (artificial rupture of membranes), SROM
(spontaneous rupture of membranes)
BEFORE: starting pitocin for induction (throughout induction)
BEFORE and AFTER: analgesia/anesthesia
What are the 3 stages of the 1st stage of labor? - Answer Latent phase, Active phase,
transition phase
Characteristics of the latent phase? - Answer Dilated 0-3 cms
