ESTUDYR
NSG 3500 - EXAM 2 UPDATED WITH MOST TESTED QUESTIONS
AND ANSWERS | GRADED A+ | ASSURED SUCCESS WITH
DETAILED RATIONALES
1. Which fetal monitoring device is used to assess uterine contractions externally?
A. Internal scalp electrode
B. Doppler ultrasound
C. Tocotransducer
D. Fetal ECG lead
Correct Answer: C
Rationale: A tocodynamometer (toco) measures frequency and duration of uterine
contractions externally.
2. A primigravida in early labor is assessed. Which finding is the LOWEST priority?
A. Fetal heart rate
B. Cervical dilation
C. Contraction pattern
D. Gravida status
Correct Answer: D
Rationale: Being a primigravida alone does not indicate risk; physiologic and fetal assessments
take priority.
3. A laboring patient is coached to blow through her mouth during contractions. This
indicates she is likely:
A. Fully dilated
B. In transition
C. Not fully dilated
D. Ready to push
Correct Answer: C
Rationale: Blowing prevents premature pushing before full cervical dilation.
,ESTUDYR
4. When timing uterine contractions, the nurse measures from:
A. Peak to peak
B. End to beginning
C. Beginning of one contraction to the beginning of the next
D. End of one to end of the next
Correct Answer: C
5. Using palpation, which contraction intensity is considered STRONG?
A. Chin
B. Nose
C. Forehead
D. Cheek
Correct Answer: C
Rationale: Forehead firmness = strong; chin = moderate; nose = mild.
6. A fetal heart rate tracing shows absent variability. What is the nurse’s PRIORITY action?
A. Reposition patient
B. Administer oxygen
C. Increase IV fluids
D. Notify the healthcare provider
Correct Answer: D
Rationale: Absent variability suggests fetal compromise and requires immediate provider
notification.
7. A laboring patient has a temperature of 100.3°F (37.9°C). The nurse should FIRST:
A. Administer antibiotics
B. Apply cooling blanket
C. Encourage oral or IV fluids
D. Prepare for cesarean delivery
, ESTUDYR
Correct Answer: C
8. During amnioinfusion, the uterus appears overdistended. What is the nurse’s FIRST action?
A. Stop infusion permanently
B. Increase infusion rate
C. Reassess maternal vital signs and uterine tone
D. Prepare for delivery
Correct Answer: C
9. A globular, spherical uterus during the third stage of labor indicates:
A. Placental retention
B. Uterine rupture
C. Atony
D. Placental separation
Correct Answer: D
10. The expected rate of cervical dilation in a primigravida during active labor is:
A. 0.5 cm/hr
B. 1 cm/hr
C. 1.5 cm/hr
D. 2 cm/hr
Correct Answer: B
11. A client has +4 proteinuria. This finding is MOST consistent with:
A. Gestational hypertension
B. Chronic HTN
C. HELLP syndrome
D. Preeclampsia
Correct Answer: D
NSG 3500 - EXAM 2 UPDATED WITH MOST TESTED QUESTIONS
AND ANSWERS | GRADED A+ | ASSURED SUCCESS WITH
DETAILED RATIONALES
1. Which fetal monitoring device is used to assess uterine contractions externally?
A. Internal scalp electrode
B. Doppler ultrasound
C. Tocotransducer
D. Fetal ECG lead
Correct Answer: C
Rationale: A tocodynamometer (toco) measures frequency and duration of uterine
contractions externally.
2. A primigravida in early labor is assessed. Which finding is the LOWEST priority?
A. Fetal heart rate
B. Cervical dilation
C. Contraction pattern
D. Gravida status
Correct Answer: D
Rationale: Being a primigravida alone does not indicate risk; physiologic and fetal assessments
take priority.
3. A laboring patient is coached to blow through her mouth during contractions. This
indicates she is likely:
A. Fully dilated
B. In transition
C. Not fully dilated
D. Ready to push
Correct Answer: C
Rationale: Blowing prevents premature pushing before full cervical dilation.
,ESTUDYR
4. When timing uterine contractions, the nurse measures from:
A. Peak to peak
B. End to beginning
C. Beginning of one contraction to the beginning of the next
D. End of one to end of the next
Correct Answer: C
5. Using palpation, which contraction intensity is considered STRONG?
A. Chin
B. Nose
C. Forehead
D. Cheek
Correct Answer: C
Rationale: Forehead firmness = strong; chin = moderate; nose = mild.
6. A fetal heart rate tracing shows absent variability. What is the nurse’s PRIORITY action?
A. Reposition patient
B. Administer oxygen
C. Increase IV fluids
D. Notify the healthcare provider
Correct Answer: D
Rationale: Absent variability suggests fetal compromise and requires immediate provider
notification.
7. A laboring patient has a temperature of 100.3°F (37.9°C). The nurse should FIRST:
A. Administer antibiotics
B. Apply cooling blanket
C. Encourage oral or IV fluids
D. Prepare for cesarean delivery
, ESTUDYR
Correct Answer: C
8. During amnioinfusion, the uterus appears overdistended. What is the nurse’s FIRST action?
A. Stop infusion permanently
B. Increase infusion rate
C. Reassess maternal vital signs and uterine tone
D. Prepare for delivery
Correct Answer: C
9. A globular, spherical uterus during the third stage of labor indicates:
A. Placental retention
B. Uterine rupture
C. Atony
D. Placental separation
Correct Answer: D
10. The expected rate of cervical dilation in a primigravida during active labor is:
A. 0.5 cm/hr
B. 1 cm/hr
C. 1.5 cm/hr
D. 2 cm/hr
Correct Answer: B
11. A client has +4 proteinuria. This finding is MOST consistent with:
A. Gestational hypertension
B. Chronic HTN
C. HELLP syndrome
D. Preeclampsia
Correct Answer: D
