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

Question 2

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. C

Question 3

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. A

Question 4

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 5

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 6

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 7

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 8

A woman is admitted in active labor,and the nurse assesses the fetal heart rate (FHR)at 124 beats/min.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 health care provider 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 health care provider at once.

Question 9

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 10

During the second stage of labor,how often should the nurse should monitor the fetal heart rate?

Accepted Answer

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

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

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

Question 13

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 14

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 15

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 16

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

Question 17

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 18

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

Accepted Answer

The answer of A primigravida has a pelvis of the...

Question 19

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 20

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

Exam 27: 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.

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

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

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

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

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

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?

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

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

During the second stage of labor,how often should the nurse should monitor the fetal heart rate?

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 is the largest diameter of the fetal skull?

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

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?

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

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?

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

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

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?

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

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