RNSG 1412 Exam 3 – Sample (Questions 1-5 shown as placeholder)
1. A client in active labor reports increasing rectal pressure. What is the priority nursing action?
A. Reassure the patient
B. Check for full cervical dilation
C. Offer ice chips
D. Apply oxygen
Answer: B
Rationale: Rectal pressure suggests descent and possible full dilation; verify before pushing.
2. A newborn exhibits nasal flaring and intercostal retractions. What does this indicate?
A. Normal adaptation
B. Respiratory distress
C. Hypothermia
D. Cardiac defect
Answer: B
Rationale: Nasal flaring and retractions indicate increased work of breathing.
3. A postpartum woman complains of severe perineal pain and inability to sit. What should the nurse
assess for?
A. Engorgement
B. Hematoma
C. Hemorrhoids
D. Endometritis
Answer: B
Rationale: A hematoma causes intense localized pain and swelling.
4. Late decelerations on the fetal monitor suggest:
A. Cord compression
B. Head compression
C. Uteroplacental insufficiency
D. Normal variability
Answer: C
Rationale: Late decelerations indicate decreased placental oxygen exchange.
5. Which action promotes effective breastfeeding latch?
A. Frequent switching sides
B. Proper alignment of infant nose to nipple
C. Short, timed feedings
D. Supplemental formula
Answer: B
1. A client in active labor reports increasing rectal pressure. What is the priority nursing action?
A. Reassure the patient
B. Check for full cervical dilation
C. Offer ice chips
D. Apply oxygen
Answer: B
Rationale: Rectal pressure suggests descent and possible full dilation; verify before pushing.
2. A newborn exhibits nasal flaring and intercostal retractions. What does this indicate?
A. Normal adaptation
B. Respiratory distress
C. Hypothermia
D. Cardiac defect
Answer: B
Rationale: Nasal flaring and retractions indicate increased work of breathing.
3. A postpartum woman complains of severe perineal pain and inability to sit. What should the nurse
assess for?
A. Engorgement
B. Hematoma
C. Hemorrhoids
D. Endometritis
Answer: B
Rationale: A hematoma causes intense localized pain and swelling.
4. Late decelerations on the fetal monitor suggest:
A. Cord compression
B. Head compression
C. Uteroplacental insufficiency
D. Normal variability
Answer: C
Rationale: Late decelerations indicate decreased placental oxygen exchange.
5. Which action promotes effective breastfeeding latch?
A. Frequent switching sides
B. Proper alignment of infant nose to nipple
C. Short, timed feedings
D. Supplemental formula
Answer: B
