Question 1

A nurse shows the patient an x-ray of the fetal spine in parallel alignment with the mother's to demonstrate a ________ lie.

Accepted Answer

longitudinal
A longitudinal li

Question 2

When the nurse performs the Nitrazine test on vaginal secretions of a patient who thinks her membranes have ruptured, the paper turns yellow. What does this finding indicate?

Accepted Answer

A)  Acidic discharge, membranes intact 
B)  Acidic discharge, membranes have ruptured 
C)  Neutral, not enough discharge to measure 
D)  Alkaline, membranes have ruptured 
A)  Acidic discharge, membranes intact 
B)  Acidic discharge, membranes have ruptured 
C)  Neutral, not enough discharge to measure 
D)  Alkaline, membranes have ruptured

Question 3

What is the ideal attitude for the fetal body during labor?

Accepted Answer

A)  Extension 
B)  Lateral 
C)  Flexion 
D)  Transverse 
A)  Extension 
B)  Lateral 
C)  Flexion 
D)  Transverse

Question 4

A woman who is 38 weeks pregnant tells the nurse that the baby has dropped and she is having urinary frequency again. What do these symptoms describe?

Accepted Answer

A)  Lightening 
B)  Braxton-Hicks contractions 
C)  Initiation of labor 
D)  Engagement 
A)  Lightening 
B)  Braxton-Hicks contractions 
C)  Initiation of labor 
D)  Engagement

Question 5

What method is used to visualize soft tissue and to determine adequacy of the pelvis with no detrimental effects to the fetus?

Accepted Answer

A)  Pelvimetry 
B)  Palpation 
C)  Ultrasonography 
D)  X-ray 
A)  Pelvimetry 
B)  Palpation 
C)  Ultrasonography 
D)  X-ray

Question 6

A patient arrives at the hospital having contractions. How should the nurse determine that the patient is in true labor?

Accepted Answer

A)  There is no dilation 
B)  The contractions are in the fundus 
C)  The cervix has softened and effaced 
D)  The contractions are irregular 
A)  There is no dilation 
B)  The contractions are in the fundus 
C)  The cervix has softened and effaced 
D)  The contractions are irregular

Question 7

Which assessment findings suggest probable fetal distress? (Select all that apply.)

Accepted Answer

A)  Fetal heart rate (FHR) of 120 
B)  Meconium-stained amniotic fluid 
C)  Decreased FHR during contractions 
D)  Strong contractions 10 seconds apart 
E)  Slow return of FHR to baseline 
A)  Fetal heart rate (FHR) of 120 
B)  Meconium-stained amniotic fluid 
C)  Decreased FHR during contractions 
D)  Strong contractions 10 seconds apart 
E)  Slow return of FHR to baseline

Question 8

After the delivery of a newborn, what is the priority action of the nurse?

Accepted Answer

A)  Place the newborn on the right side 
B)  Cover the cord stump 
C)  Dry the infant immediately 
D)  Suction nose and mouth 
A)  Place the newborn on the right side 
B)  Cover the cord stump 
C)  Dry the infant immediately 
D)  Suction nose and mouth

Question 9

Why is oxytocin administered in the third stage of labor?

Accepted Answer

A)  To stimulate lactation 
B)  To relieve postpartum pain 
C)  To stimulate uterine contractions 
D)  To sedate the mother so she can rest 
A)  To stimulate lactation 
B)  To relieve postpartum pain 
C)  To stimulate uterine contractions 
D)  To sedate the mother so she can rest

Question 10

A pregnant woman is discussing her desire to have her baby in a birthing center. Which factors could exclude the patient from delivering in a birthing center? (Select all that apply.)

Accepted Answer

A)  The patient is a primigravida. 
B)  The patient will be having a planned cesarean delivery. 
C)  The mother has preeclampsia. 
D)  The baby is a boy. 
E)  The mother has no support system. 
A)  The patient is a primigravida. 
B)  The patient will be having a planned cesarean delivery. 
C)  The mother has preeclampsia. 
D)  The baby is a boy. 
E)  The mother has no support system.

Question 11

Why is the size and shape of the true pelvis more important than that of the false pelvis?

Accepted Answer

A)  The fetal head must be able to pass through the true pelvis. 
B)  The true pelvis are the mother's measurements. 
C)  The size of the false pelvis can change. 
D)  The size of the true pelvis needs to be larger. 
A)  The fetal head must be able to pass through the true pelvis. 
B)  The true pelvis are the mother's measurements. 
C)  The size of the false pelvis can change. 
D)  The size of the true pelvis needs to be larger.

Question 12

Using Leopold maneuvers to assess fetal position, the nurse finds a soft rounded prominence at the level of the fundus, a hard round prominence just above the symphysis pubis, and nodulations on the left side of the uterus. How should the nurse document the fetal position?

Accepted Answer

A)  Right occiput anterior (RO
A) , vertex 
B)  Left occiput anterior (LO
A) , vertex 
C)  Right occiput transverse (ROT), breech 
D)  Left occiput anterior (LO
A) , breech 
A)  Right occiput anterior (RO
A) , vertex 
B)  Left occiput anterior (LO
A) , vertex 
C)  Right occiput transverse (ROT), breech 
D)  Left occiput anterior (LO
A) , breech

Question 13

The nurse explains to the patient whose membranes ruptured an hour ago that delivery is usually accomplished in ____ to _____ hours postrupture.

Accepted Answer

18, 24
eighteen, twenty-four
A

Question 14

In the illustration below, which item depicts the LOT position?

Accepted Answer

A)  1 
B)  2 
C)  3 
D)  4 
E)  5
F) 6 
A)  1 
B)  2 
C)  3 
D)  4 
E)  5
F) 6

Question 15

The nurse is admitting a patient to the labor and delivery unit. While performing the initial assessment, which assessment is the priority?

Accepted Answer

A)  The number of previous pregnancies 
B)  When the baby is due 
C)  When the patient last ate 
D)  The timing of contractions 
A)  The number of previous pregnancies 
B)  When the baby is due 
C)  When the patient last ate 
D)  The timing of contractions

Question 16

The patient's membranes have just ruptured. What is the first priority of the nurse?

Accepted Answer

A)  Turn the patient on the left side 
B)  Perform a Nitrazine test 
C)  Check the fetal heart rate (FHR) 
D)  Perform a vaginal examination 
A)  Turn the patient on the left side 
B)  Perform a Nitrazine test 
C)  Check the fetal heart rate (FHR) 
D)  Perform a vaginal examination

Exam 26: Labor and Delivery

A nurse shows the patient an x-ray of the fetal spine in parallel alignment with the mother's to demonstrate a ________ lie.

When the nurse performs the Nitrazine test on vaginal secretions of a patient who thinks her membranes have ruptured, the paper turns yellow. What does this finding indicate?

What is the ideal attitude for the fetal body during labor?

A woman who is 38 weeks pregnant tells the nurse that the baby has dropped and she is having urinary frequency again. What do these symptoms describe?

What method is used to visualize soft tissue and to determine adequacy of the pelvis with no detrimental effects to the fetus?

A patient arrives at the hospital having contractions. How should the nurse determine that the patient is in true labor?

Which assessment findings suggest probable fetal distress? (Select all that apply.)

After the delivery of a newborn, what is the priority action of the nurse?

Why is oxytocin administered in the third stage of labor?

A pregnant woman is discussing her desire to have her baby in a birthing center. Which factors could exclude the patient from delivering in a birthing center? (Select all that apply.)

Why is the size and shape of the true pelvis more important than that of the false pelvis?

Using Leopold maneuvers to assess fetal position, the nurse finds a soft rounded prominence at the level of the fundus, a hard round prominence just above the symphysis pubis, and nodulations on the left side of the uterus. How should the nurse document the fetal position?

The nurse explains to the patient whose membranes ruptured an hour ago that delivery is usually accomplished in ____ to _____ hours postrupture.

In the illustration below, which item depicts the LOT position?

The nurse is admitting a patient to the labor and delivery unit. While performing the initial assessment, which assessment is the priority?

The patient's membranes have just ruptured. What is the first priority of the nurse?

Evolution of Nursing

Legal and Ethical Aspects of Nursing

Documentation

Communication

Nursing Process and Critical Thinking

Cultural and Ethnic Considerations

Asepsis and Infection Control

Body Mechanics and Patient Mobility

Hygiene and Care of the Patient’s Environment

Safety

Vital Signs

Physical Assessment

Admission, Transfer, and Discharge

Surgical Wound Care

Specimen Collection and Diagnostic Testing

Care of Patients Experiencing Urgent Alterations in Health

Complementary and Alternative Therapies

Pain Management, Comfort, Rest, and Sleep

Nutritional Concepts and Related Therapies

Fluids and Electrolytes

Mathematics and Medication Administration

Care of Patients with Alterations in Health

Life Span Development

Loss, Grief, Dying, and Death

Health Promotion and Pregnancy

Care of the Mother and Newborn

Care of the High-Risk Mother, Newborn, and Family with Special Needs

Health Promotion for the Infant, Child, and Adolescent

Basic Pediatric Nursing Care

Care of the Child with a Physical and Mental or Cognitive Disorder

Health Promotion and Care of the Older Adult

Concepts of Mental Health

Care of the Patient with a Psychiatric Disorder

Care of the Patient with an Addictive Personality

Home Health Nursing

Long-Term Care

Rehabilitation Nursing

Hospice Care

Introduction to Anatomy and Physiology

Care of the Surgical Patient

Care of the Patient with an Integumentary Disorder

Care of the Patient with a Musculoskeletal Disorder

Care of the Patient with a Gastrointestinal Disorder

Care of the Patient with a Gallbladder, Liver, Biliary Tract, or Exocrine Pancreatic Disorder

Care of the Patient with a Blood or Lymphatic Disorder

Care of the Patient with a Cardiovascular or a Peripheral Vascular Disorder

Care of the Patient with a Respiratory Disorder

Care of the Patient with a Urinary Disorder

Care of the Patient with an Endocrine Disorder

Care of the Patient with a Reproductive Disorder

Care of the Patient with a Sensory Disorder

Care of the Patient with a Neurologic Disorder

Care of the Patient with an Immune Disorder

Care of the Patient with HIV/AIDS

Care of the Patient with Cancer

Professional Roles and Leadership

Filters

The nurse explains to the patient whose membranes ruptured an hour ago that delivery is usually accomplished in to _ hours postrupture.