Maternity Test Bank Exam 1 ACTUAL 55 QUESTIONS WITH DETAILED VERIFIED ANSWERS AND RATIONALE /A+ GRADE ASSURD

Maternity Test Bank Exam 1
ACTUAL 55 QUESTIONS WITH
DETAILED VERIFIED
ANSWERS AND RATIONALE
/A+ GRADE ASSURD
Chapter 13: Labor and Birth Processes -
ANSWER-
1. A new mother asks the nurse when the soft
spot on her sons head will go away. The nurses
answer is based on the knowledge that the
anterior fontanel closes after birth by _____
months.
a. 2 c. 12
b. 8 d. 18 - ANSWER-d. 18
2. 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. c. Attitude.
b. Presentation. d. Position. - ANSWER-c.
Attitude.
3. 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
mothers right side close to midline. What is the
likely position of the fetus?
a. ROA c. RSA
b. LSP d. LOA - ANSWER-c. RSA
4. The nurse has received report regarding her
patient in labor. The womans last vaginal
examination was recorded as 3 cm, 30%, and
?2-2. The nurses 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. - ANSWER-b. The cervix is 3 cm dilated, it
is effaced 30%, and the presenting part is 2 cm
above the ischial spines.
5. To care for a laboring woman adequately, the
nurse understands that the __________ stage
of labor varies the most in length?
a. First c. Third
b. Second d. Fourth - ANSWER-a. First
6. 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 - ANSWER-a.
Increased cardiac output
7. The factors that affect the process of labor
and birth, known commonly as the five Ps,
include all except:
a. Passenger. c. Powers.
b. Passageway. d. Pressure. - ANSWER-d.
Pressure.
8. The slight overlapping of cranial bones or
shaping of the fetal head during labor is called:
a. Lightening. c. Ferguson reflex.
b. Molding. d. Valsalva maneuver. - ANSWER-b.
Molding.
9. Which presentation is described accurately in
terms of both presenting part and frequency of
occurrence?
a. Cephalic: occiput; at least 95% c. Shoulder:
scapula; 10% to 15%
b. Breech: sacrum; 10% to 15% d. Cephalic:
cranial; 80% to 85% - ANSWER-a. Cephalic:
occiput; at least 95%
10. With regard to factors that affect how the
fetus moves through the birth canal, nurses
should be aware that:
a. The fetal attitude describes the angle at
which the fetus exits the uterus.
b. Of the two primary fetal lies, the horizontal lie
is that in which the long axis of the fetus is
parallel to the long axis of the mother.
c. The normal attitude of the fetus is called
general flexion.
d. The transverse lie is preferred for vaginal
birth. - ANSWER-c. The normal attitude of the
fetus is called general flexion.