Exam (elaborations)
Maternity Newborn And Women Health Nursing-Case Based 2024
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- Rasmussen College
Maternity Newborn And Women Health Nursing-Case Based 2024
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Maternity Test Bank Exam 11. Chapter 13: Labor and Birth Processes:
2. 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: d. 18
3. 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.: c. Attitude.
4. 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: c. RSA
5. 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.: b. The cervix is 3 cm dilated, it is effaced 30%, and
the presenting part is 2 cm above the ischial spines.
6. 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: a. First
7. 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: a. Increased cardiac output
8. 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.: d. Pressure.
9. 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.: b. Molding.
10. 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%: a. Cephalic:
occiput; at least 95%
11. 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.: c. The normal attitude of the
fetus is called general flexion.
12. 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 suboccipito-
bregmatic diameter.
d. Engagement is the term used to describe the beginning of labor.: b. Birth is
imminent when the presenting part is at +4 to +5 cm below the spine.
13. 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%
, Maternity Test Bank Exam 1
c. Anthropoid: resembling the ape; narrower; 10%
d. Platypelloid: flattened, wide, shallow; 3%: d. Platypelloid: flattened, wide,
shallow; 3%
14. 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.: a. Primary powers are responsible for effacement and dilation of
the cervix
15. 14. While providing care to a patient in active labor, the nurse should
instruct the woman that:
a. The supine position commonly used in the United States increases blood
flow.
b. The all fours position, on her hands and knees, is hard on her back.
c. Frequent changes in position will help relieve her fatigue and increase her
comfort.
d. In a sitting or squatting position, her abdominal muscles will have to work
harder: c. Frequent changes in position will help relieve her fatigue and increase
her comfort.
16. 15. Which description of the four stages of labor is correct for both
definition and duration?
a. First stage: onset of regular uterine contractions to full dilation; less than
1 hour to 20 hours
b. Second stage: full effacement to 4 to 5 cm; visible presenting part; 1 to
2 hours
c. Third state: active pushing to birth; 20 minutes (multiparous women), 50
minutes (first-timer)
, d. Fourth stage: delivery of the placenta to recovery; 30 minutes to 1 hour:
a. First stage: onset of regular uterine contractions to full dilation; less than 1 hour
to 20 hours
17. 16. With regard to the turns and other adjustments of the fetus during the
birth process, known as the mechanism of labor, nurses should be aware
that: a. The seven critical movements must progress in a more or less orderly
sequence.
b. Asynclitism sometimes is achieved by means of the Leopold maneuver.
c. The effects of the forces determining descent are modified by the shape of
the womans pelvis and the size of the fetal head.
d. At birth the baby is said to achieve restitution (i.e., a return to the C-shape
of the womb).: c. The effects of the forces determining descent are modified by
the shape of the womans pelvis and the size of the fetal head.
18. 17. In order to evaluate the condition of the patient accurately during labor,
the nurse should be aware that:
a. The womans blood pressure will increase during contractions and fall back
to prelabor normal between contractions.
b. Use of the Valsalva maneuver is encouraged during the second stage of
labor to relieve fetal hypoxia.
c. Having the woman point her toes will reduce leg cramps.
d. The endogenous endorphins released during labor will raise the womans
pain threshold and produce sedation.: d. The endogenous endorphins
released during labor will raise the womans pain threshold and produce sedation.
19. 18. The maternity nurse understands that as the uterus contracts
during labor, maternal-fetal exchange of oxygen and waste products:
a. Continues except when placental functions are reduced.
b. Increases as blood pressure decreases.
c. Diminishes as the spiral arteries are compressed.
d. Is not significantly affected.: c. Diminishes as the spiral arteries are
compressed.
20. 19. Which statement is the best rationale for assessing maternal vital
signs between contractions?
a. During a contraction, assessing fetal heart rates is the priority.
b. Maternal circulating blood volume increases temporarily during contrac-
tions.
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