Question 1

The nurse clarifies that the type of monitor that will assess the intensity of the contractions is a(n):

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.

Question 2

A patient arrives at the hospital and is not sure if she is in true labor.The nurse does an assessment and assures her she is in true labor because:

Accepted Answer

A)  there is no dilatation. 
B)  the contractions are in the fundus. 
C)  the cervix has softened and effaced. 
D)  the contractions are irregular. 
A)  there is no dilatation. 
B)  the contractions are in the fundus. 
C)  the cervix has softened and effaced. 
D)  the contractions are irregular.

Question 3

The physician has decided to induce labor with prostaglandin gel and an amniotomy.The nurse assures the patient that labor will probably start in:

Accepted Answer

A)  1 hour. 
B)  4 hours. 
C)  8 hours. 
D)  12 hours. 
A)  1 hour. 
B)  4 hours. 
C)  8 hours. 
D)  12 hours.

Question 4

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 5

After the delivery of a newborn,the nurse's first action to meet the priority need of the newborn is to:

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 6

Following delivery,the nurse must assess the mother to identify physiological changes during this stage.For the first hour,this assessment is done every:

Accepted Answer

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

Question 7

The nurse plans to use a picture to show the area of the uterus that provides the force during a contraction,which is the:

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 8

The nurse reassures the patient that the method used to determine the size of the true pelvis for over 20 years with no detrimental effects to the fetus is:

Accepted Answer

A)  pelvimetry. 
B)  palpation. 
C)  ultrasonography. 
D)  x-ray. 
A)  pelvimetry. 
B)  palpation. 
C)  ultrasonography. 
D)  x-ray.

Question 9

When the nurse performs the Nitrazine test on vaginal secretions of a primigravida who thinks her membranes have ruptured,the paper turns yellow.The nurse assesses this finding to 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 10

A woman is admitted in active labor,and the nurse assesses the fetal heart rate (FHR)at 124 beats per minute.Based on that assessment,the nurse should:

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 11

The 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 12

The nurse differentiates false from true labor by explaining that in true labor:

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 13

The nurse is admitting a patient to the labor and delivery unit.While performing the initial assessment,it is most important to assess:

Accepted Answer

A)  food and drug allergies. 
B)  when the baby is due. 
C)  when the patient last ate. 
D)  the timing of contractions. 
A)  food and drug allergies. 
B)  when the baby is due. 
C)  when the patient last ate. 
D)  the timing of contractions.

Question 14

A primigravida patient is admitted to the labor and delivery unit.During initial assessment,the baby is found to be engaged.The nurse recognizes this means that the:

Accepted Answer

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

Question 15

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

Accepted Answer

5
five
The LOT posit

Question 16

After the delivery of the baby,the placenta is delivered in the third stage of labor.Oxytocin is administered.The nurse explains that the purpose of the drug is to:

Accepted Answer

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

Question 17

The nurse is assessing the printout from the fetal monitor.The nurse is legally responsible for:

Accepted Answer

A)  recognizing deviations and taking appropriate action to prevent harm to the fetus. 
B)  recognizing deviations and notifying the physician. 
C)  recognizing and documenting deviations. 
D)  providing technical assessment. 
A)  recognizing deviations and taking appropriate action to prevent harm to the fetus. 
B)  recognizing deviations and notifying the physician. 
C)  recognizing and documenting deviations. 
D)  providing technical assessment.

Exam 26: Labor and Delivery

The nurse clarifies that the type of monitor that will assess the intensity of the contractions is a(n):

A patient arrives at the hospital and is not sure if she is in true labor.The nurse does an assessment and assures her she is in true labor because:

The physician has decided to induce labor with prostaglandin gel and an amniotomy.The nurse assures the patient that labor will probably start in:

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

After the delivery of a newborn,the nurse's first action to meet the priority need of the newborn is to:

Following delivery,the nurse must assess the mother to identify physiological changes during this stage.For the first hour,this assessment is done every:

The nurse plans to use a picture to show the area of the uterus that provides the force during a contraction,which is the:

The nurse reassures the patient that the method used to determine the size of the true pelvis for over 20 years with no detrimental effects to the fetus is:

When the nurse performs the Nitrazine test on vaginal secretions of a primigravida who thinks her membranes have ruptured,the paper turns yellow.The nurse assesses this finding to indicate:

A woman is admitted in active labor,and the nurse assesses the fetal heart rate (FHR)at 124 beats per minute.Based on that assessment,the nurse should:

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

The nurse differentiates false from true labor by explaining that in true labor:

The nurse is admitting a patient to the labor and delivery unit.While performing the initial assessment,it is most important to assess:

A primigravida patient is admitted to the labor and delivery unit.During initial assessment,the baby is found to be engaged.The nurse recognizes this means that the:

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

After the delivery of the baby,the placenta is delivered in the third stage of labor.Oxytocin is administered.The nurse explains that the purpose of the drug is to:

The nurse is assessing the printout from the fetal monitor.The nurse is legally responsible for:

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