1. A nurse is monitoring the progress of a gravida 3, para 1 client in active labor. Which finding should be reported to a physician immediately?

2. A nurse is assessing the vital signs of a client in labor at the peak of a contraction. Which of the following findings would the nurse expect to see?

3. A client, who is gravida 4, para 2, is admitted to a labor and delivery unit. A nurse performs a vaginal examination and determines that the client’s cervix is 6 cm dilated, 75% effaced, and a +1 station. Based on the nurse’s assessment, in which stage of labor is this client?

4. In addition to breathing with contractions, which of the following actions can help a woman in labor to work with the pain of the first stage of labor?

5. The nurse is assessing the fetal station during a vaginal examination. Which of the following structures should the nurse palpate?

6. The nurse is caring for a mother in labour whose membranes spontaneously rupture. The amniotic fluid is wine-colored. The appropriate action is to?

7. A nurse is caring for a laboring woman who is in transition. Which of the following signs/symptoms would indicate that the woman is progressing into the second stage of labor? Select all that apply.

8. A nurse determines that a client is carrying a fetus in the vertical lie. The nurse’s judgment should be questioned if the fetal presenting part is which of the following?

9. The nurse is monitoring the contractions of a woman in labor. A contraction is recorded as beginning at 10:00 A.M. and ending at 10:01 A.M. Another begins at 10:15 A.M. The nurse recognizes that the frequency of the contractions is?

10. When performing Leopold’s maneuvers, the nurse notes that the fetus is in the left occiput anterior position. Where should the nurse place a fetoscope best to hear the fetal heart beat?

11. The nurse is assessing the Bishop score on a postdates client. Which of the following measurements will the nurse assess? Select all that apply.

12. A client who is at 38 weeks’ gestation presents to labor and delivery and states, “I have water leaking down my legs.” Which assessment by a nurse is most appropriate in this situation?

13. When caring for the mother with premature rupture of the membranes, the nurse monitors the mother and fetus for indications of

14. Which of the following fetal heart rate patterns would the nurse anticipate seeing from a fetus with anencephaly?

15. A primigravid client received Prepidil (dinoprostone) for induction 8 hours ago. The Bishop score is now 10. Which of the following actions by the nurse is appropriate?