NCLEX CRUSADE ACADEMY TEST - 8 INTRAPARTUM CARE

1. Stage 1 of labor begins with: Placental delivery. Onset of contractions until 10 cm dilation. Full dilation to fetal birth. 14 hours postpartum.

2. Stage 2 of labor is defined as: 010 cm dilation. Placental expulsion. Full dilation to fetal delivery. Postpartum recovery.

3. Stage 3 of labor involves: Effacement. Fetal descent. Placental expulsion. Cervical dilation.

4. Stage 4 of labor is critical for: Cervical dilation. Placental attachment. Hemostatic stabilization and monitoring. Fetal descent.

5. Effacement refers to: Cervical widening. Cervical thinning/shortening. Fetal descent. Contraction strength.

6. Full readiness for birth requires: 5 cm dilation. 8 cm dilation. 10 cm dilation + 100% effacement. Station 0 only.

7. Station 0 indicates: Fetus above ischial spines. Fetus level with ischial spines. Fetus crowning. Fetus high in uterus.

8. Positive station numbers (+1, +2) indicate: Fetus floating. No descent. Descent toward birth. Cervical dilation.

9. True labor is confirmed when: Pain relieved by walking. Cervix unchanged. Regular contractions with cervical change. Irregular contractions.

10. False labor is suggested when: Cervix dilates. Pain persists with walking. Pain relieved by walking/rest and cervix unchanged. Contractions increase.

11. RhoGAM is indicated for: Rh+ mother. Rh- mother exposed to Rh+ blood. All deliveries. Rh- baby only.

12. Therapeutic communication should prioritize: Personal reassurance. Religious statements. Evidence-based factual reassurance. Redirecting to physician.

13. Critical question in suspected ectopic pregnancy is: Number of pregnancies. Allergies. First day of last menstrual period (LMP). Past deliveries.

14. Gestational age 89 weeks is significant for: Labor onset. Placenta previa. Ectopic rupture window. Full dilation.

15. In a 24-week pregnant patient with headache, priority assessment is: Fundal height. Allergies. Blood pressure. Discuss stressors.

16. According to Maslow prioritization in pregnancy, prioritize: Psychosocial needs. Physiological safety (ABCs). Documentation. Education first.

17. Walking test diagnostic rule states: Walking worsens false labor. If walking relieves pain and cervix unchanged discharge. All pain is true labor. Contractions stop in true labor.

18. Stage 4 monitoring duration is approximately: 30 minutes. 14 hours. 8 hours. 24 hours.

19. Therapeutic communication eliminates responses that: Provide facts. Focus on nurse or personal beliefs. Address anxiety. Explain procedure.

20. Intrapartum strategy emphasizes combining: Physiology only. Strategy only. Knowledge + strategic frameworks. Documentation only.