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MATERNITY TEST BANK EXAM 1/443 QUESTIONS AND ANSWERS (A+)
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MATERNITY TEST BANK EXAM1/443 QUESTIONS AND
ANSWERS (A+)
Chapter 13: Labor and Birth Processes
Quiz :1. A new mother asks the nurse when the soft
spot on her sons head will go away. The nurses answer
is based on the knowledge that the anterior fontanel
closes after birth by _____ months.
a. 2 c. 12
b. 8 d. 18 - √Answer:d. 18
Quiz :2. When assessing a woman in labor, the nurse is
aware that the relationship of the fetal body parts to one
another is called fetal:
a. Lie. c. Attitude.
b. Presentation. d. Position. - √Answer:c. Attitude.
Quiz :3. When assessing the fetus using Leopold
maneuvers, the nurse feels a round, firm, movable fetal
part in the fundal portion of the uterus and a long,
smooth surface in the mothers right side close to
midline. What is the likely position of the fetus?
a. ROA c. RSA
b. LSP d. LOA - √Answer:c. RSA
Quiz :4. The nurse has received report regarding her
patient in labor. The womans last vaginal examination
was recorded as 3 cm, 30%, and ?2-2. The nurses
interpretation of this assessment is that:
,a. The cervix is effaced 3 cm, it is dilated 30%, and the
presenting part is 2 cm above the ischial spines.
b. The cervix is 3 cm dilated, it is effaced 30%, and the
presenting part is 2 cm above the ischial spines.
c. The cervix is effaced 3 cm, it is dilated 30%, and the
presenting part is 2 cm below the ischial spines.
d. The cervix is dilated 3 cm, it is effaced 30%, and the
presenting part is 2 cm below the ischial spines. -
√Answer:b. The cervix is 3 cm dilated, it is effaced 30%,
and the presenting part is 2 cm above the ischial spines.
Quiz :5. To care for a laboring woman adequately, the
nurse understands that the __________ stage of labor
varies the most in length?
a. First c. Third
b. Second d. Fourth - √Answer:a. First
Quiz :6. The nurse would expect which maternal
cardiovascular finding during labor?
a. Increased cardiac output
b. Decreased pulse rate
c. Decreased white blood cell (WBC) count
d. Decreased blood pressure - √Answer:a. Increased
cardiac output
Quiz :7. The factors that affect the process of labor and
birth, known commonly as the five Ps, include all
except:
a. Passenger. c. Powers.
b. Passageway. d. Pressure. - √Answer:d. Pressure.
Quiz :8. The slight overlapping of cranial bones or
shaping of the fetal head during labor is called:
,a. Lightening. c. Ferguson reflex.
b. Molding. d. Valsalva maneuver. - √Answer:b.
Molding.
Quiz :9. Which presentation is described accurately in
terms of both presenting part and frequency of
occurrence?
a. Cephalic: occiput; at least 95% c. Shoulder: scapula;
10% to 15%
b. Breech: sacrum; 10% to 15% d. Cephalic: cranial;
80% to 85% - √Answer:a. Cephalic: occiput; at least
95%
Quiz :10. With regard to factors that affect how the fetus
moves through the birth canal, nurses should be aware
that:
a. The fetal attitude describes the angle at which the
fetus exits the uterus.
b. Of the two primary fetal lies, the horizontal lie is that
in which the long axis of the fetus is parallel to the long
axis of the mother.
c. The normal attitude of the fetus is called general
flexion.
d. The transverse lie is preferred for vaginal birth. -
√Answer:c. The normal attitude of the fetus is called
general flexion.
Quiz :11. As relates to fetal positioning during labor,
nurses should be aware that:
a. Position is a measure of the degree of descent of the
presenting part of the fetus through the birth canal.
b. Birth is imminent when the presenting part is at +4 to
+5 cm below the spine.
, c. The largest transverse diameter of the presenting part
is the suboccipitobregmatic diameter.
d. Engagement is the term used to describe the
beginning of labor. - √Answer:b. Birth is imminent when
the presenting part is at +4 to +5 cm below the spine.
Quiz :12. Which basic type of pelvis includes the correct
description and percentage of occurrence in women?
a. Gynecoid: classic female; heart shaped; 75%
b. Android: resembling the male; wider oval; 15%
c. Anthropoid: resembling the ape; narrower; 10%
d. Platypelloid: flattened, wide, shallow; 3% -
√Answer:d. Platypelloid: flattened, wide, shallow; 3%
Quiz :13. In relation to primary and secondary powers,
the maternity nurse comprehends that:
a. Primary powers are responsible for effacement and
dilation of the cervix.
b. Effacement generally is well ahead of dilation in
women giving birth for the first time; they are closer
together in subsequent pregnancies.
c. Scarring of the cervix caused by a previous infection
or surgery may make the delivery a bit more painful, but
it should not slow or inhibit dilation.
d. Pushing in the second stage of labor is more effective
if the woman can breathe deeply and control some of
her involuntary needs to push, as the nurse directs. -
√Answer:a. Primary powers are responsible for
effacement and dilation of the cervix
Quiz :14. While providing care to a patient in active
labor, the nurse should instruct the woman that:
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