Question 1

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. C

Question 2

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 C

Question 3

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

Question 4

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's maneuver.

Question 5

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.

Question 6

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.

Question 7

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

Question 8

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

The answer of A nurse shows the patient an x-ray...

Question 9

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

Question 10

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

Question 11

Which type of monitor will assesses the intensity of contractions?

Accepted Answer

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

Question 12

A mother is in early labor and asks the nurse how long the labor will last.The nurse explains that the first stage of labor lasts from the beginning of regular contractions until when?

Accepted Answer

A)  The cervix is completely effaced.
B)  The baby is in position.
C)  The cervix is fully dilated.
D)  The woman begins pushing.

Question 13

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

Question 14

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

Question 15

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

Question 16

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

Question 17

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

Question 18

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

Question 19

What is the largest diameter of the fetal skull?

Accepted Answer

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

Question 20

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.

Exam 27: Labor and Delivery