Question 1

The slight overlapping of cranial bones or shaping of the fetal head during labor is called:

Accepted Answer

A)  lightening. 
B)  molding. 
C)  Ferguson reflex. 
D)  Valsalva maneuver. 
A)  lightening. 
B)  molding. 
C)  Ferguson reflex. 
D)  Valsalva maneuver. B

Question 2

MATCHING
For vaginal birth to be successful, the fetus must adapt to the birth canal during the descent. The turns and other adjustments necessary in the human birth process are termed the "mechanism of labor." Please list the seven cardinal movements in the mechanism of labor in the correct order.

-Three

Accepted Answer

A) Flexion 
B) Internal rotation 
C) External rotation 
D) Expulsion 
E) Engagement
F)Descent
G)Extension 
A) Flexion 
B) Internal rotation 
C) External rotation 
D) Expulsion 
E) Engagement
F)Descent
G)Extension A

Question 3

The maternity nurse understands that as the uterus contracts during labor,maternal-fetal exchange of oxygen and waste products:

Accepted Answer

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. 
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

Question 4

As relates to fetal positioning during labor,nurses should be aware that:

Accepted Answer

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. 
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.

Question 5

Which occurrence is associated with cervical dilation and effacement?

Accepted Answer

A)  Bloody show 
B)  False labor 
C)  Lightening 
D)  Bladder distention 
A)  Bloody show 
B)  False labor 
C)  Lightening 
D)  Bladder distention

Question 6

Which statement is the best rationale for assessing maternal vital signs between contractions?

Accepted Answer

A)  During a contraction, assessing fetal heart rates is the priority. 
B)  Maternal circulating blood volume increases temporarily during contractions. 
C)  Maternal blood flow to the heart is reduced during contractions. 
D)  Vital signs taken during contractions are not accurate. 
A)  During a contraction, assessing fetal heart rates is the priority. 
B)  Maternal circulating blood volume increases temporarily during contractions. 
C)  Maternal blood flow to the heart is reduced during contractions. 
D)  Vital signs taken during contractions are not accurate.

Question 7

MATCHING
For vaginal birth to be successful, the fetus must adapt to the birth canal during the descent. The turns and other adjustments necessary in the human birth process are termed the "mechanism of labor." Please list the seven cardinal movements in the mechanism of labor in the correct order.

-Two

Accepted Answer

A) Flexion 
B) Internal rotation 
C) External rotation 
D) Expulsion 
E) Engagement
F)Descent
G)Extension 
A) Flexion 
B) Internal rotation 
C) External rotation 
D) Expulsion 
E) Engagement
F)Descent
G)Extension

Question 8

The nurse would expect which maternal cardiovascular finding during labor?

Accepted Answer

A)  Increased cardiac output 
B)  Decreased pulse rate 
C)  Decreased white blood cell (WB
C)  count 
D)  Decreased blood pressure 
A)  Increased cardiac output 
B)  Decreased pulse rate 
C)  Decreased white blood cell (WB
C)  count 
D)  Decreased blood pressure

Question 9

Which factors influence cervical dilation? (Select all that apply.)

Accepted Answer

A)  Strong uterine contractions. 
B)  The force of the presenting fetal part against the cervix. 
C)  The size of the female pelvis. 
D)  The pressure applied by the amniotic sac. 
E)  Scarring of the cervix. 
A)  Strong uterine contractions. 
B)  The force of the presenting fetal part against the cervix. 
C)  The size of the female pelvis. 
D)  The pressure applied by the amniotic sac. 
E)  Scarring of the cervix.

Question 10

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

Accepted Answer

A)  Cephalic: occiput; at least 95% 
B)  Breech: sacrum; 10% to 15% 
C)  Shoulder: scapula; 10% to 15% 
D)  Cephalic: cranial; 80% to 85% 
A)  Cephalic: occiput; at least 95% 
B)  Breech: sacrum; 10% to 15% 
C)  Shoulder: scapula; 10% to 15% 
D)  Cephalic: cranial; 80% to 85%

Question 11

MATCHING
For vaginal birth to be successful, the fetus must adapt to the birth canal during the descent. The turns and other adjustments necessary in the human birth process are termed the "mechanism of labor." Please list the seven cardinal movements in the mechanism of labor in the correct order.

-Five

Accepted Answer

A) Flexion 
B) Internal rotation 
C) External rotation 
D) Expulsion 
E) Engagement
F)Descent
G)Extension 
A) Flexion 
B) Internal rotation 
C) External rotation 
D) Expulsion 
E) Engagement
F)Descent
G)Extension

Question 12

MATCHING
For vaginal birth to be successful, the fetus must adapt to the birth canal during the descent. The turns and other adjustments necessary in the human birth process are termed the "mechanism of labor." Please list the seven cardinal movements in the mechanism of labor in the correct order.

-One

Accepted Answer

A) Flexion 
B) Internal rotation 
C) External rotation 
D) Expulsion 
E) Engagement
F)Descent
G)Extension 
A) Flexion 
B) Internal rotation 
C) External rotation 
D) Expulsion 
E) Engagement
F)Descent
G)Extension

Question 13

While providing care to a patient in active labor,the nurse should instruct the woman that:

Accepted Answer

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. 
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.

Question 14

The factors that affect the process of labor and birth,known commonly as the five Ps,include all except:

Accepted Answer

A)  passenger. 
B)  passageway. 
C)  powers. 
D)  pressure. 
A)  passenger. 
B)  passageway. 
C)  powers. 
D)  pressure.

Question 15

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 mother's right side close to midline.What is the likely position of the fetus?

Accepted Answer

A)  ROA 
B)  LSP 
C)  RSA 
D)  LOA 
A)  ROA 
B)  LSP 
C)  RSA 
D)  LOA

Question 16

A new mother asks the nurse when the "soft spot" on her son's head will go away.The nurse's answer is based on the knowledge that the anterior fontanel closes after birth by _____ months.

Accepted Answer

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

Question 17

The nurse has received report regarding her patient in labor.The woman's last vaginal examination was recorded as 3 cm,30%,and -2.The nurse's interpretation of this assessment is that:

Accepted Answer

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. 
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.

Question 18

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:

Accepted Answer

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 woman's 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). 
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 woman's 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).

Question 19

Which description of the four stages of labor is correct for both definition and duration?

Accepted Answer

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 
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

Question 20

With regard to factors that affect how the fetus moves through the birth canal,nurses should be aware that:

Accepted Answer

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. 
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.

Exam 13: Labor and Birth Processes

The slight overlapping of cranial bones or shaping of the fetal head during labor is called:

The maternity nurse understands that as the uterus contracts during labor,maternal-fetal exchange of oxygen and waste products:

As relates to fetal positioning during labor,nurses should be aware that:

Which occurrence is associated with cervical dilation and effacement?

Which statement is the best rationale for assessing maternal vital signs between contractions?

The nurse would expect which maternal cardiovascular finding during labor?

Which factors influence cervical dilation? (Select all that apply.)

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

While providing care to a patient in active labor,the nurse should instruct the woman that:

The factors that affect the process of labor and birth,known commonly as the five Ps,include all except:

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 mother's right side close to midline.What is the likely position of the fetus?

A new mother asks the nurse when the "soft spot" on her son's head will go away.The nurse's answer is based on the knowledge that the anterior fontanel closes after birth by _____ months.

The nurse has received report regarding her patient in labor.The woman's last vaginal examination was recorded as 3 cm,30%,and -2.The nurse's interpretation of this assessment is that:

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:

Which description of the four stages of labor is correct for both definition and duration?

With regard to factors that affect how the fetus moves through the birth canal,nurses should be aware that:

21st Century Maternity Nursing

The Family, culture, spirituality, and Home Care

Assessment and Health Promotion

Reproductive System Concerns

Infertility, contraception, and Abortion

Genetics, conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care of the Family During Pregnancy

Maternal and Fetal Nutrition

Assessment of High-Risk Pregnancy

High-Risk Perinatal Care: Preexisting Conditions

High-Risk Perinatal Care: Gestational Conditions

Maximizing Comfort for the Laboring Woman

Fetal Assessment During Labor

Nursing Care of the Family During Labor and Birth

Labor and Birth Complications

Postpartum Physiologic Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Postpartum Complications

Physiologic and Behavioral Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

The High-Risk Newborn

21st Century Pediatric Nursing

Family, social, cultural, and Religious Influences on Child Health Promotion

Developmental and Genetic Influences on Child Health Promotion

Communication and Physical Assessment of the Child and Family

Pain Assessment and Management in Children

The Infant and Family

The Toddler and Family

The Preschooler and Family

The School-Age Child and Family

The Adolescent and Family

Impact of Chronic Illness, disability, or End-Of-Life Care for the Child and Family

Impact of Cognitive or Sensory Impairment on the Child and Family

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Variations of Nursing Interventions

The Child With Respiratory Dysfunction

The Child With Gastrointestinal Dysfunction

The Child With Cardiovascular Dysfunction

The Child With Hematologic or Immunologic Dysfunction

The Child With Cancer

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