Intrapartum NCLEX Complete Mock
Exam Questions and Answers |100%
Correct| 2025/2026 Latest Version!!
What is the primary purpose of monitoring fetal heart rate during labor?
To assess fetal well-being and identify any signs of distress.
During the first stage of labor, what is the typical ...
Intrapartum NCLEX Complete Mock
Exam Questions and Answers |100%
Correct| 2025/2026 Latest Version!!
What is the primary purpose of monitoring fetal heart rate during labor?
To assess fetal well-being and identify any signs of distress.
During the first stage of labor, what is the typical duration for nulliparous women?
Approximately 12 to 18 hours.
Which position is most beneficial for a laboring woman to enhance uteroplacental perfusion?
A. Supine
B. Lithotomy
C. Left lateral
D. Standing
C. Left lateral.
What is the expected change in cervical dilation during active labor?
Cervical dilation typically progresses from 6 to 10 cm.
What is the appropriate nursing action when a woman in labor reports sudden, intense abdominal
pain and vaginal bleeding?
Assess the fetal heart rate and prepare for potential emergency interventions.
1
,Which of the following is a sign that the second stage of labor has begun?
A. Complete cervical dilation
B. Rupture of membranes
C. Increased frequency of contractions
D. Transition phase
A. Complete cervical dilation.
What is the primary purpose of administering an epidural during labor?
To provide effective pain relief for the laboring woman.
What should a nurse do if she notices variable decelerations in the fetal heart rate?
A. Increase the infusion rate of IV fluids
B. Change the mother's position to alleviate cord compression
C. Prepare for an emergency cesarean section
D. Document the findings and continue monitoring
B. Change the mother's position to alleviate cord compression.
During the labor process, which maternal vital sign is most critical to monitor for potential
complications?
Maternal blood pressure.
What is the typical frequency of contractions during the transition phase of labor?
2
,A. Every 5 to 7 minutes
B. Every 1 to 2 minutes
C. Every 3 to 4 minutes
D. Every 10 minutes
B. Every 1 to 2 minutes.
What is the primary intervention when the fetal heart rate drops to below 110 bpm during labor?
Reposition the mother to optimize fetal oxygenation.
What is the best way to support a woman who is experiencing back labor?
Applying counterpressure to the lower back during contractions.
What does the term "crowning" refer to during the labor process?
A. The complete dilation of the cervix
B. The emergence of the fetal head at the vaginal opening
C. The rupture of membranes
D. The beginning of contractions
B. The emergence of the fetal head at the vaginal opening.
What is the most common fetal heart rate pattern associated with fetal distress?
Late decelerations.
What is the primary risk factor for shoulder dystocia during delivery?
3
, A. Maternal obesity
B. Multiparity
C. Macrosomia
D. Advanced maternal age
C. Macrosomia.
When assessing the fetal heart rate, which finding is considered reassuring?
A. Decreased variability
B. Early decelerations
C. Accelerations with fetal movement
D. Persistent tachycardia
C. Accelerations with fetal movement.
What is the purpose of the "Bishop score" in labor assessment?
To evaluate cervical readiness for labor induction.
During the third stage of labor, what is the primary goal for the nurse?
To monitor for signs of placental separation and control bleeding.
What position can help facilitate effective fetal positioning during labor?
A. Supine
B. Squatting
C. Trendelenburg
4
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