INTRAPARTUM NCLEX STYLE
QUESTIONS 2026 COMPLETE REVIEW
WITH VERIFIED ANSWERS| GRADED A+
| GUARANTEED SUCCESS
Updated 2026 Questions and Answers | 100% Verified
Exam Prep and Comprehensive Rationales Included
, A client in labor is transported to the delivery room and is 4. Vena cava and descending aorta compression by the pregnant uterus impedes
prepared for a cesarean delivery. The client is transferred blood return from the lower trunk and extremities. This leads to decreasing
to the delivery room table, and the nurse places the cardiac return, cardiac output, and blood flow to the uterus and the fetus. The
client in the: best position to prevent this would be side-lying with the uterus displaced off of
1.Trendelenburg's position with the legs in stirrups abdominal vessels. Positioning for abdominal surgery necessitates a supine
2.Semi-Fowler position with a pillow under the knees position; however, a wedge placed under the right hip provides displacement of
3.Prone position with the legs separated and elevated the uterus.
4.Supine position with a wedge under the right hip
A nurse is caring for a client in labor and prepares to 4. The nurse simultaneously should palpate the maternal radial or carotid pulse
auscultate the fetal heart rate by using a Doppler and auscultate the fetal heart rate to differentiate the two. If the fetal and maternal
ultrasound device. The nurse most accurately determines heart rates are similar, the nurse may mistake the maternal heart rate for the fetal
that the fetal heart sounds are heard by: heart rate. Leopold's maneuvers may help the examiner locate the position of the
1.Noting if the heart rate is greater than 140 BPM fetus but will not ensure a distinction between the two rates.
2.Placing the diaphragm of the Doppler on the mother
abdomen
3.Performing Leopold's maneuvers first to determine the
location of the fetal heart
4.Palpating the maternal radial pulse while listening to the
fetal heart rate
A nurse is caring for a client in labor who is receiving 2. A normal fetal heart rate is 120-160 BPM. Bradycardia or late or variable
Pitocin by IV infusion to stimulate uterine contractions. decelerations indicate fetal distress and the need to discontinue to pitocin. The
Which assessment finding would indicate to the nurse goal of labor augmentation is to achieve three good-quality contractions in a 10-
that the infusion needs to be discontinued? minute period.
1.Three contractions occurring within a 10-minute period
2.A fetal heart rate of 90 beats per minute
3.Adequate resting tone of the uterus palpated between
contractions
4.Increased urinary output
A nurse is beginning to care for a client in labor. The 2. Continuous electronic fetal monitoring should be implemented during an IV
physician has prescribed an IV infusion of Pitocin. The infusion of Pitocin.
nurse ensures that which of the following is implemented
before initiating the infusion?
1.Placing the client on complete bed rest
2.Continuous electronic fetal monitoring
3.An IV infusion of antibiotics
4.Placing a code cart at the client's bedside
A nurse is monitoring a client in active labor and notes 4. A normal fetal heart rate is 120-160 beats per minute. Fetal bradycardia between
that the client is having contractions every 3 minutes that contractions may indicate the need for immediate medical management, and the
last 45 seconds. The nurse notes that the fetal heart rate physician or nurse mid-wife needs to be notified.
between contractions is 100 BPM. Which of the following
nursing actions is most appropriate?
1.Encourage the client's coach to continue to encourage
breathing exercises
2.Encourage the client to continue pushing with each
contraction
3.Continue monitoring the fetal heart rate
4.Notify the physician or nurse mid-wife
QUESTIONS 2026 COMPLETE REVIEW
WITH VERIFIED ANSWERS| GRADED A+
| GUARANTEED SUCCESS
Updated 2026 Questions and Answers | 100% Verified
Exam Prep and Comprehensive Rationales Included
, A client in labor is transported to the delivery room and is 4. Vena cava and descending aorta compression by the pregnant uterus impedes
prepared for a cesarean delivery. The client is transferred blood return from the lower trunk and extremities. This leads to decreasing
to the delivery room table, and the nurse places the cardiac return, cardiac output, and blood flow to the uterus and the fetus. The
client in the: best position to prevent this would be side-lying with the uterus displaced off of
1.Trendelenburg's position with the legs in stirrups abdominal vessels. Positioning for abdominal surgery necessitates a supine
2.Semi-Fowler position with a pillow under the knees position; however, a wedge placed under the right hip provides displacement of
3.Prone position with the legs separated and elevated the uterus.
4.Supine position with a wedge under the right hip
A nurse is caring for a client in labor and prepares to 4. The nurse simultaneously should palpate the maternal radial or carotid pulse
auscultate the fetal heart rate by using a Doppler and auscultate the fetal heart rate to differentiate the two. If the fetal and maternal
ultrasound device. The nurse most accurately determines heart rates are similar, the nurse may mistake the maternal heart rate for the fetal
that the fetal heart sounds are heard by: heart rate. Leopold's maneuvers may help the examiner locate the position of the
1.Noting if the heart rate is greater than 140 BPM fetus but will not ensure a distinction between the two rates.
2.Placing the diaphragm of the Doppler on the mother
abdomen
3.Performing Leopold's maneuvers first to determine the
location of the fetal heart
4.Palpating the maternal radial pulse while listening to the
fetal heart rate
A nurse is caring for a client in labor who is receiving 2. A normal fetal heart rate is 120-160 BPM. Bradycardia or late or variable
Pitocin by IV infusion to stimulate uterine contractions. decelerations indicate fetal distress and the need to discontinue to pitocin. The
Which assessment finding would indicate to the nurse goal of labor augmentation is to achieve three good-quality contractions in a 10-
that the infusion needs to be discontinued? minute period.
1.Three contractions occurring within a 10-minute period
2.A fetal heart rate of 90 beats per minute
3.Adequate resting tone of the uterus palpated between
contractions
4.Increased urinary output
A nurse is beginning to care for a client in labor. The 2. Continuous electronic fetal monitoring should be implemented during an IV
physician has prescribed an IV infusion of Pitocin. The infusion of Pitocin.
nurse ensures that which of the following is implemented
before initiating the infusion?
1.Placing the client on complete bed rest
2.Continuous electronic fetal monitoring
3.An IV infusion of antibiotics
4.Placing a code cart at the client's bedside
A nurse is monitoring a client in active labor and notes 4. A normal fetal heart rate is 120-160 beats per minute. Fetal bradycardia between
that the client is having contractions every 3 minutes that contractions may indicate the need for immediate medical management, and the
last 45 seconds. The nurse notes that the fetal heart rate physician or nurse mid-wife needs to be notified.
between contractions is 100 BPM. Which of the following
nursing actions is most appropriate?
1.Encourage the client's coach to continue to encourage
breathing exercises
2.Encourage the client to continue pushing with each
contraction
3.Continue monitoring the fetal heart rate
4.Notify the physician or nurse mid-wife
