Question 1

Which statement regarding the care of a client in labor is correct and important to the nurse as he or she formulates the plan of care?

Accepted Answer

A)  The woman's blood pressure will increase during contractions and fall back to prelabor normal levels between contractions. 
B)  The 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)  Endogenous endorphins released during labor will raise the woman's pain threshold and produce sedation. 
A)  The woman's blood pressure will increase during contractions and fall back to prelabor normal levels between contractions. 
B)  The 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)  Endogenous endorphins released during labor will raise the woman's pain threshold and produce sedation.

Question 2

Nurses should be cognizant of what regarding the mechanism of labor?

Accepted Answer

A)  Seven critical movements must progress in a more or less orderly sequence. 
B)  Asynclitism is sometimes achieved by means of the Leopold's maneuver. 
C)  Effects of the forces determining descent are modified by the shape of the woman's pelvis and the size of the fetal head. 
D)  At birth, the baby is said to achieve "restitution"; that is, a return to the C-shape of the womb. 
A)  Seven critical movements must progress in a more or less orderly sequence. 
B)  Asynclitism is sometimes achieved by means of the Leopold's maneuver. 
C)  Effects of the forces determining descent are modified by the shape of the woman's pelvis and the size of the fetal head. 
D)  At birth, the baby is said to achieve "restitution"; that is, a return to the C-shape of the womb.

Question 3

Which presentation is accurately described in terms of both the resenting part and the frequency of occurrence?

Accepted Answer

A)  Cephalic: occiput, at least 96% 
B)  Breech: sacrum, 10% to 15% 
C)  Shoulder: scapula, 10% to 15% 
D)  Cephalic: cranial, 80% to 85% 
A)  Cephalic: occiput, at least 96% 
B)  Breech: sacrum, 10% to 15% 
C)  Shoulder: scapula, 10% to 15% 
D)  Cephalic: cranial, 80% to 85%

Question 4

Which basic type of pelvis includes the correct description and percentage of occurrence in women?

Accepted Answer

A)  Gynecoid: classic female pelvis; heart shaped; 75% 
B)  Android: resembling the male pelvis; wide oval; 15% 
C)  Anthropoid: resembling the pelvis of the ape; narrow; 10% 
D)  Platypelloid: flattened, wide, and shallow pelvis; 3% 
A)  Gynecoid: classic female pelvis; heart shaped; 75% 
B)  Android: resembling the male pelvis; wide oval; 15% 
C)  Anthropoid: resembling the pelvis of the ape; narrow; 10% 
D)  Platypelloid: flattened, wide, and shallow pelvis; 3%

Question 5

The nurse has received a report regarding a client in labor.The woman's last vaginal examination was recorded as 3 cm,30%,and -2.What is the nurse's interpretation of this assessment?

Accepted Answer

A)  Cervix is effaced 3 cm and dilated 30%; the presenting part is 2 cm above the ischial spines. 
B)  Cervix is dilated 3 cm and effaced 30%; the presenting part is 2 cm above the ischial spines. 
C)  Cervix is effaced 3 cm and dilated 30%; the presenting part is 2 cm below the ischial spines. 
D)  Cervix is dilated 3 cm and effaced 30%; the presenting part is 2 cm below the ischial spines. 
A)  Cervix is effaced 3 cm and dilated 30%; the presenting part is 2 cm above the ischial spines. 
B)  Cervix is dilated 3 cm and effaced 30%; the presenting part is 2 cm above the ischial spines. 
C)  Cervix is effaced 3 cm and dilated 30%; the presenting part is 2 cm below the ischial spines. 
D)  Cervix is dilated 3 cm and effaced 30%; the presenting part is 2 cm below the ischial spines.

Question 6

What is the correct term describing the slight overlapping of cranial bones or shaping of the fetal head during labor?

Accepted Answer

A)  Lightening 
B)  Molding 
C)  Ferguson reflex 
D)  Valsalva maneuver 
A)  Lightening 
B)  Molding 
C)  Ferguson reflex 
D)  Valsalva maneuver

Question 7

A new mother asks the nurse when the "soft spot" on her son's head will go away.What is the nurse's best response,based upon her understanding of when the anterior frontal closes?

Accepted Answer

A)  2 months 
B)  8 months 
C)  12 months 
D)  18 months 
A)  2 months 
B)  8 months 
C)  12 months 
D)  18 months

Question 8

At least five factors affect the process of labor and birth.These are easily remembered as the five Ps.Which factors are included in this process?
(Select all that apply).

Accepted Answer

A)  Passenger 
B)  Passageway 
C)  Powers 
D)  Pressure 
E)  Psychologic response 
A)  Passenger 
B)  Passageway 
C)  Powers 
D)  Pressure 
E)  Psychologic response

Exam 16: Labor and Birth Processes

Which statement regarding the care of a client in labor is correct and important to the nurse as he or she formulates the plan of care?

Nurses should be cognizant of what regarding the mechanism of labor?

Which presentation is accurately described in terms of both the resenting part and the frequency of occurrence?

Which basic type of pelvis includes the correct description and percentage of occurrence in women?

The nurse has received a report regarding a client in labor.The woman's last vaginal examination was recorded as 3 cm,30%,and -2.What is the nurse's interpretation of this assessment?

What is the correct term describing the slight overlapping of cranial bones or shaping of the fetal head during labor?

A new mother asks the nurse when the "soft spot" on her son's head will go away.What is the nurse's best response,based upon her understanding of when the anterior frontal closes?

At least five factors affect the process of labor and birth.These are easily remembered as the five Ps.Which factors are included in this process? (Select all that apply).

21st Century Maternity and Women’s Health Nursing

Community Care: The Family and Culture

Nursing and Genomics

Assessment and Health Promotion

Violence Against Women

Reproductive System Concerns

Sexually Transmitted and Other Infections

Contraception and Abortion

Infertility

Problems of the Breast

Structural Disorders and Neoplasms of the Reproductive System

Conception and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care of the Family During Pregnancy

Maternal and Fetal Nutrition

Maximizing Comfort for the Laboring Woman

Fetal Assessment During Labor

Nursing Care of the Family During Labor and Birth

Postpartum Physiologic Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Physiologic and Behavioral Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

Assessment of High Risk Pregnancy

Hypertensive Disorders

Hemorrhagic Disorders

Endocrine and Metabolic Disorders

Medical-Surgical Disorders

Mental Health Disorders and Substance Abuse

Labor and Birth Complications

Postpartum Complications

Nursing Care of the High Risk Newborn

Acquired Problems of the Newborn

Hemolytic Disorders and Congenital Anomalies

Perinatal Loss, Bereavement, and Grief

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