Question 1

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 D

Question 2

Which type of monitor will assesses the intensity of contractions?

Accepted Answer

A) External monitor 
B) Fetal monitor 
C) Maternal monitor 
D) Internal monitor 
A) External monitor 
B) Fetal monitor 
C) Maternal monitor 
D) Internal monitor D

Question 3

The nurse is alarmed as she assesses a protruding umbilical cord from the vagina.What immediate action should the nurse take?

Accepted Answer

A) Monitor intensity of contractions 
B) Place the patient in the knee-chest position 
C) Notify the charge nurse 
D) Ask the patient to perform a Valsalva maneuver 
A) Monitor intensity of contractions 
B) Place the patient in the knee-chest position 
C) Notify the charge nurse 
D) Ask the patient to perform a Valsalva maneuver B

Question 4

A primigravida has a pelvis of the android type,which usually means the delivery will be a _______________.

Accepted Answer

cesarean
The narrow

Question 5

A nurse is teaching a group of primigravidas that during delivery,pressure on the fetal skull may produce changes in the shape of the skull.What is the reshaping of the skull called?

Accepted Answer

A) Pressure response 
B) Overlapping 
C) Molding 
D) Spacing 
A) Pressure response 
B) Overlapping 
C) Molding 
D) Spacing

Question 6

What area of the uterus provides the force during a contraction?

Accepted Answer

A) Lower portion 
B) Middle portion 
C) Upper portion 
D) Cervical portion 
A) Lower portion 
B) Middle portion 
C) Upper portion 
D) Cervical portion

Question 7

How do Braxton-Hicks contractions,which may begin in the first trimester and become increasingly stronger during the pregnancy,differ from labor contractions?

Accepted Answer

A) Last several minutes 
B) Are always regular 
C) Do not dilate the cervix 
D) Are only mild 
A) Last several minutes 
B) Are always regular 
C) Do not dilate the cervix 
D) Are only mild

Question 8

A nurse is assessing the printout from the fetal monitor.What is the legal responsibility of the nurse?

Accepted Answer

A) Correctly identifying abnormal FHR patterns and prescribing medication 
B) Correctly identifying abnormal FHR patterns and notifying the health care provider 
C) The nurse is not legally responsible for fetal monitoring 
D) Providing technical assessment to the monitor technicians 
A) Correctly identifying abnormal FHR patterns and prescribing medication 
B) Correctly identifying abnormal FHR patterns and notifying the health care provider 
C) The nurse is not legally responsible for fetal monitoring 
D) Providing technical assessment to the monitor technicians

Question 9

A primigravida patient is admitted to the labor and delivery unit.During initial assessment,the baby is found to be engaged.Which statement is true?

Accepted Answer

A) The narrowest diameter of the presenting part has reached the pelvic outlet. 
B) The descending part is being initiated through the midpelvis. 
C) The widest diameter of the presenting part crosses the pelvic inlet. 
D) The narrowest diameter of the presenting part is at the ischial spines. 
A) The narrowest diameter of the presenting part has reached the pelvic outlet. 
B) The descending part is being initiated through the midpelvis. 
C) The widest diameter of the presenting part crosses the pelvic inlet. 
D) The narrowest diameter of the presenting part is at the ischial spines.

Question 10

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 11

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 12

An infant presents 5 minutes after delivery with a heart rate of 105,is crying,has some flexion in the arms,sneezes,and has a pink body and blue limbs.What Apgar score should be assigned to this infant?

Accepted Answer

A) 5 
B) 7 
C) 8 
D) 10 
A) 5 
B) 7 
C) 8 
D) 10

Question 13

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 14

When trying to differentiate false labor from true labor,the nurse realizes which of the following statements regarding true labor is correct?

Accepted Answer

A) Discomfort of the contraction is in the fundus. 
B) Contractions do not follow a pattern. 
C) Contractions get stronger with ambulation. 
D) Contractions may stop with ambulation. 
A) Discomfort of the contraction is in the fundus. 
B) Contractions do not follow a pattern. 
C) Contractions get stronger with ambulation. 
D) Contractions may stop with ambulation.

Question 15

For the first hour following delivery,how often should the nurse assess the mother?

Accepted Answer

A) Every 5 minutes 
B) Every 10 minutes 
C) Every 15 minutes 
D) Every 30 minutes 
A) Every 5 minutes 
B) Every 10 minutes 
C) Every 15 minutes 
D) Every 30 minutes

Question 16

A mother has entered the second stage of labor.When does the second stage of labor end?

Accepted Answer

A) When the mother begins to push 
B) When the baby's head crowns 
C) With delivery of the baby 
D) With delivery of the placenta 
A) When the mother begins to push 
B) When the baby's head crowns 
C) With delivery of the baby 
D) With delivery of the placenta

Question 17

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 18

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 19

A woman is admitted in active labor,and the nurse assesses the fetal heart rate (FHR)at 124 bpm.What action should the nurse take based on the assessment?

Accepted Answer

A) Position patient on her left side 
B) Start oxygen per nasal cannula 
C) Reassure the mother the rate is normal 
D) Notify the physician at once 
A) Position patient on her left side 
B) Start oxygen per nasal cannula 
C) Reassure the mother the rate is normal 
D) Notify the physician at once

Question 20

What is the largest diameter of the fetal skull?

Accepted Answer

A) Temporal 
B) Biparietal 
C) Lateral 
D) Frontal-occipital 
A) Temporal 
B) Biparietal 
C) Lateral 
D) Frontal-occipital

Exam 26: Labor and Delivery

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

Which type of monitor will assesses the intensity of contractions?

The nurse is alarmed as she assesses a protruding umbilical cord from the vagina.What immediate action should the nurse take?

A primigravida has a pelvis of the android type,which usually means the delivery will be a _______________.

A nurse is teaching a group of primigravidas that during delivery,pressure on the fetal skull may produce changes in the shape of the skull.What is the reshaping of the skull called?

What area of the uterus provides the force during a contraction?

How do Braxton-Hicks contractions,which may begin in the first trimester and become increasingly stronger during the pregnancy,differ from labor contractions?

A nurse is assessing the printout from the fetal monitor.What is the legal responsibility of the nurse?

A primigravida patient is admitted to the labor and delivery unit.During initial assessment,the baby is found to be engaged.Which statement is true?

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?

An infant presents 5 minutes after delivery with a heart rate of 105,is crying,has some flexion in the arms,sneezes,and has a pink body and blue limbs.What Apgar score should be assigned to this infant?

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?

When trying to differentiate false labor from true labor,the nurse realizes which of the following statements regarding true labor is correct?

For the first hour following delivery,how often should the nurse assess the mother?

A mother has entered the second stage of labor.When does the second stage of labor end?

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

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

A woman is admitted in active labor,and the nurse assesses the fetal heart rate (FHR)at 124 bpm.What action should the nurse take based on the assessment?

What is the largest diameter of the fetal skull?

Evolution of Nursing

Legal and Ethical Aspects of Nursing

Documentation

Communication

Nursing Process and Critical Thinking

Cultural and Ethnic Considerations

Asepsis and Infection Control

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Hygiene and Care of the Patient’s Environment

Safety

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Admission, Transfer, and Discharge

Surgical Wound Care

Specimen Collection and Diagnostic Testing

Care of Patients Experiencing Urgent Alterations in Health

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Pain Management, Comfort, Rest, and Sleep

Nutritional Concepts and Related Therapies

Fluids and Electrolytes

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Care of Patients with Alterations in Health

Life Span Development

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Health Promotion and Pregnancy

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Health Promotion for the Infant, Child, and Adolescent

Basic Pediatric Nursing Care

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