Let $\mathds{k}$ be a real quadratic number field. Denote by $\mathrm{Cl}_2(\mathds{k})$ its $2$-class group and by $\mathds{k}_2^{(1)}$ (resp. $\mathds{k}_2^{(2)}$) its first (resp. second) Hilbert $2$-class field. The aim of this paper is to study, for a real quadratic number field whose discriminant is divisible by one prime number congruent to $3$ modulo 4, the metacyclicity of $G=\mathrm{Gal}(\mathds{k}_2^{(2)}/\mathds{k})$ and the cyclicity of $\mathrm{Gal}(\mathds{k}_2^{(2)}/\mathds{k}_2^{(1)})$ whenever the rank of $\mathrm{Cl}_2(\mathds{k})$ is $2$, and the $4$-rank of $\mathrm{Cl}_2(\mathds{k})$ is $1$.