1. Question Name: 0001 Type: MC Objective: CH 13: Labor and Birth ProcessesLabor and Birth Pr Item Bank: Perry Maternal Child Nursing Care 5th edition
A
... [Show More] new mother asks the nurse when the “soft spot” on her son’s head will go away. The nurse’s answer is based on the knowledge that the anterior fontanel closes after birth by
months.
A. 2
B. 8
C. 12
* D. 18
Correct Answer: D Explanation/Rationale:
ANS: D
The larger of the two fontanels, the anterior fontanel, closes by 18 months after birth.
2. Question Name: 0002 Type: MC Objective: CH 13: Labor and Birth ProcessesLabor and Birth Pr Item Bank: Perry Maternal Child Nursing Care 5th edition
When assessing a woman in labor, the nurse is aware that the relationship of the fetal body parts to one another is called fetal:
A. Lie.
B. Presentation.
* C. Attitude.
D. Position.
Correct Answer: C Explanation/Rationale:
ANS: C
Attitude is the relation of the fetal body parts to one another. Lie is the relation of the long axis (spine) of the fetus to the long axis (spine) of the mother. Presentation refers to the part of the fetus that enters the pelvic inlet first and leads through the birth canal during labor at term. Position is the relation of the presenting part to the four quadrants of the mother’s pelvis.
3. Question Name: 0003 Type: MC Objective: CH 13: Labor and Birth ProcessesLabor and Birth Pr Item Bank: Perry Maternal Child Nursing Care 5th edition
When assessing the fetus using Leopold maneuvers, the nurse feels a round, firm, movable fetal part in the fundal portion of the uterus and a long, smooth surface in the mother’s right side close to midline. What is the likely position of the fetus?
A. ROA
B. LSP
* C. RSA
D. LOA
Correct Answer: C Explanation/Rationale:
ANS: C
The fetus is positioned anteriorly in the right side of the maternal pelvis with the sacrum as the presenting part. RSA is the correct three-letter abbreviation to indicate this fetal position. The first letter indicates the presenting part in either the right or left side of the maternal pelvis. The second letter indicates the anatomic presenting part of the fetus. The third letter stands for the location of the presenting part in relation to the anterior, posterior, or transverse portion of the maternal pelvis. Palpation of a round, firm fetal part in the fundal portion of the uterus would be the fetal head, indicating that the fetus is in a breech position with the sacrum as the presenting part in the maternal pelvis. Palpation of the fetal spine along the mother’s right side denotes the location of the presenting part in the mother’s pelvis. The ability to palpate the fetal spine indicates that the fetus is anteriorly positioned in the maternal pelvis.
4. Question Name: 0004 Type: MC Objective: CH 13: Labor and Birth ProcessesLabor and Birth Pr Item Bank: Perry Maternal Child Nursing Care 5th edition
The nurse has received report regarding her patient in labor. The woman’s last vaginal examination was recorded as 3 cm, 30%, and ?2-2. The nurse’s interpretation of this assessment is that:
A. The cervix is effaced 3 cm, it is dilated 30%, and the presenting part is 2 cm above the ischial spines.
* B. The cervix is 3 cm dilated, it is effaced 30%, and the presenting part is 2 cm above the ischial spines.
C. The cervix is effaced 3 cm, it is dilated 30%, and the presenting part is 2 cm below the ischial spines.
D. The cervix is dilated 3 cm, it is effaced 30%, and the presenting part is 2 cm below the ischial spines.
Correct Answer: B Explanation/Rationale:
ANS: B
The correct description of the vaginal examination for this woman in labor is the cervix is 3 cm dilated, it is effaced 30%, and the presenting part is 2 cm above the ischial spines.
The sterile vaginal examination is recorded as centimeters of cervical dilation, percentage of cervical dilation, and the relationship of the presenting part to the ischial spines (either above or below).
5. Question Name: 0005 Type: MC Objective: CH 13: Labor and Birth ProcessesLabor and Birth Pr Item Bank: Perry Maternal Child Nursing Care 5th edition
To care for a laboring woman adequately, the nurse understands that the stage of labor varies the most in length?
* A. First
B. Second
C. Third
D. Fourth
Correct Answer: A Explanation/Rationale:
ANS: A
The first stage of labor is considered to last from the onset of regular uterine contractions to full dilation of the cervix. The first stage is much longer than the second and third stages combined. In a first-time pregnancy the first stage of labor can take up to 20 hours. The second stage of labor lasts from the time the cervix is fully dilated to the birth of the fetus. The average length is 20 minutes for a multiparous woman and 50 minutes for a nulliparous woman. The third stage of labor lasts from the birth of the fetus until the placenta is delivered. This stage may be as short as 3 minutes or as long as 1 hour. The fourth stage of labor, recovery, lasts about 2 hours after delivery of the placenta.
6. Question Name: 0006 Type: MC Objective: CH 13: Labor and Birth ProcessesLabor and Birth Pr Item Bank: Perry Maternal Child Nursing Care 5th edition
The nurse would expect which maternal cardiovascular finding during labor?
* A. Increased cardiac output
B. Decreased pulse rate
C. Decreased white blood cell (WBC) count
D. Decreased blood pressure
Correct Answer: A Explanation/Rationale:
ANS: A
During each contraction, 400 mL of blood is emptied from the uterus into the maternal vascular system. This increases cardiac output by about 51% above baseline pregnancy values at term. The heart rate increases slightly during labor. The WBC count can increase during labor. During the first stage of labor, uterine contractions cause systolic readings to increase by about 10 mm Hg. During the second stage, contractions may
cause systolic pressures to increase by 30 mm Hg and diastolic readings to increase by 25 mm Hg.
7. Question Name: 0007 Type: MC Objective: CH 13: Labor and Birth ProcessesLabor and Birth Pr Item Bank: Perry Maternal Child Nursing Care 5th edition
The factors that affect the process of labor [Show Less]