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Maternity Test Bank Exam 1 Questions and Answers Guaranteed Success Latest Update 2024, Exams of Nursing

California Career SchoolNursing

Maternity Test Bank Exam 1 Questions and Answers Guaranteed Success Latest Update 2024Maternity Test Bank Exam 1 Questions and Answers Guaranteed Success Latest Update 2024Maternity Test Bank Exam 1 Questions and Answers Guaranteed Success Latest Update 2024Maternity Test Bank Exam 1 Questions and Answers Guaranteed Success Latest Update 2024Maternity Test Bank Exam 1 Questions and Answers Guaranteed Success Latest Update 2024

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Maternity Test Bank Exam 1
Questions and Answers
Guaranteed Success Latest
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1. A new mother asks the nurse when the soft spot on her sons head will go away. The nurses
Correct Answer is based on the knowledge that the anterior fontanel closes after birth by
_____ months.
a. 2 c. 12
b. 8 d. 18 - Correct 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. - Correct 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 - Correct Answer c. RSA
Maternity Test Bank Exam 1
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Download Maternity Test Bank Exam 1 Questions and Answers Guaranteed Success Latest Update 2024 and more Exams Nursing in PDF only on Docsity!

Questions and Answers

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  1. A new mother asks the nurse when the soft spot on her sons head will go away. The nurses Correct Answer is based on the knowledge that the anterior fontanel closes after birth by _____ months. a. 2 c. 12 b. 8 d. 18 - Correct 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. - Correct 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 - Correct Answer c. RSA

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  1. 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. - Correct Answer b. The cervix is 3 cm dilated, it is effaced 30%, and the presenting part is 2 cm above the ischial spines.
  2. 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 - Correct Answer a. First
  3. The nurse would expect which maternal cardiovascular finding during labor?

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b. Breech: sacrum; 10% to 15% d. Cephalic: cranial; 80% to 85% - Correct Answer a. Cephalic: occiput; at least 95%

  1. 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. - Correct Answer c. The normal attitude of the fetus is called general flexion.
  2. As relates to fetal positioning during labor, nurses should be aware that: a. Position is a measure of the degree of descent of the presenting part of the fetus through the birth canal. b. Birth is imminent when the presenting part is at +4 to +5 cm below the spine. c. The largest transverse diameter of the presenting part is the suboccipitobregmatic diameter.

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d. Engagement is the term used to describe the beginning of labor. - Correct Answer b. Birth is imminent when the presenting part is at +4 to +5 cm below the spine.

  1. Which basic type of pelvis includes the correct description and percentage of occurrence in women? a. Gynecoid: classic female; heart shaped; 75% b. Android: resembling the male; wider oval; 15% c. Anthropoid: resembling the ape; narrower; 10% d. Platypelloid: flattened, wide, shallow; 3% - Correct Answer d. Platypelloid: flattened, wide, shallow; 3%
  2. In relation to primary and secondary powers, the maternity nurse comprehends that: a. Primary powers are responsible for effacement and dilation of the cervix. b. Effacement generally is well ahead of dilation in women giving birth for the first time; they are closer together in subsequent pregnancies. c. Scarring of the cervix caused by a previous infection or surgery may make the delivery a bit more painful, but it should not slow or inhibit dilation.

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  1. With regard to the turns and other adjustments of the fetus during the birth process, known as the mechanism of labor, nurses should be aware that: a. The seven critical movements must progress in a more or less orderly sequence. b. Asynclitism sometimes is achieved by means of the Leopold maneuver. c. The effects of the forces determining descent are modified by the shape of the womans pelvis and the size of the fetal head. d. At birth the baby is said to achieve restitution (i.e., a return to the C-shape of the womb). - Correct Answer c. The effects of the forces determining descent are modified by the shape of the womans pelvis and the size of the fetal head.
  2. In order to evaluate the condition of the patient accurately during labor, the nurse should be aware that: a. The womans blood pressure will increase during contractions and fall back to prelabor normal between contractions. b. Use of the Valsalva maneuver is encouraged during the second stage of labor to relieve fetal hypoxia. c. Having the woman point her toes will reduce leg cramps.

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d. The endogenous endorphins released during labor will raise the womans pain threshold and produce sedation. - Correct Answer d. The endogenous endorphins released during labor will raise the womans pain threshold and produce sedation.

  1. The maternity nurse understands that as the uterus contracts during labor, maternal-fetal exchange of oxygen and waste products: a. Continues except when placental functions are reduced. b. Increases as blood pressure decreases. c. Diminishes as the spiral arteries are compressed. d. Is not significantly affected. - Correct Answer c. Diminishes as the spiral arteries are compressed.
  2. Which statement is the best rationale for assessing maternal vital signs between contractions? a. During a contraction, assessing fetal heart rates is the priority. b. Maternal circulating blood volume increases temporarily during contractions. c. Maternal blood flow to the heart is reduced during contractions.

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a. Bloody show c. Lightening b. False labor d. Bladder distention - Correct Answer a. Bloody show

  1. The primary difference between the labor of a nullipara and that of a multipara is the: a. Amount of cervical dilation. c. Level of pain experienced. b. Total duration of labor. d. Sequence of labor mechanisms. - Correct Answer b. Total duration of labor.
  2. A primigravida at 39 weeks of gestation is observed for 2 hours in the intrapartum unit. The fetal heart rate has been normal. Contractions are 5 to 9 minutes apart, 20 to 30 seconds in duration, and of mild intensity. Cervical dilation is 1 to 2 cm and uneffaced (unchanged from admission). Membranes are intact. The nurse should expect the woman to be: a. Admitted and prepared for a cesarean birth. b. Admitted for extended observation. c. Discharged home with a sedative. d. Discharged home to await the onset of true labor. - Correct Answer d. Discharged home to await the onset of true labor.

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  1. Which nursing assessment indicates that a woman who is in second-stage labor is almost ready to give birth? a. The fetal head is felt at 0 station during vaginal examination. b. Bloody mucus discharge increases. c. The vulva bulges and encircles the fetal head. d. The membranes rupture during a contraction. - Correct Answer c. The vulva bulges and encircles the fetal head. MULTIPLE RESPONSES
  2. Signs that precede labor include (Select all that apply): a. Lightening. b. Exhaustion. c. Bloody show. d. Rupture of membranes. e. Decreased fetal movement. - Correct Answer a. Lightening. c. Bloody show. d. Rupture of membranes.

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f. Descent c. External rotation g. Extension d. Expulsion

  1. One
  2. Two
  3. Three
  4. Four
  5. Five
  6. Six
  7. Seven - Correct Answer 28. E
  8. F
  9. A
  10. B
  11. G
  12. C
  13. D

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Chapter 14: Pain Management - Correct Answer

  1. An 18-year-old pregnant woman, gravida 1, is admitted to the labor and birth unit with moderate contractions every 5 minutes that last 40 seconds. The woman states, My contractions are so strong that I dont know what to do with myself. The nurse should: a. Assess for fetal well-being. b. Encourage the woman to lie on her side. c. Disturb the woman as little as possible. d. Recognize that pain is personalized for each individual. - Correct Answer d. Recognize that pain is personalized for each individual.
  2. Nursing care measures are commonly offered to women in labor. Which nursing measure reflects application of the gate-control theory? a. Massaging the womans back b. Changing the womans position c. Giving the prescribed medication

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a. Limit parenteral fluids. b. Monitor the fetus for possible tachycardia. c. Monitor the maternal blood pressure for possible hypotension. d. Monitor the maternal pulse for possible bradycardia. - Correct Answer c. Monitor the maternal blood pressure for possible hypotension.

  1. The nurse should be aware that an effective plan to achieve adequate pain relief without maternal risk is most effective if: a. The mother gives birth without any analgesic or anesthetic. b. The mother and familys priorities and preferences are incorporated into the plan. c. The primary health care provider decides the best pain relief for the mother and family. d. The nurse informs the family of all alternative methods of pain relief available in the hospital setting. - Correct Answer b. The mother and familys priorities and preferences are incorporated into the plan.
  2. A woman in the active phase of the first stage of labor is using a shallow pattern of breathing, which is about twice the normal adult breathing rate. She starts to complain about feeling lightheaded and dizzy and states that her fingers are tingling. The nurse should:

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a. Notify the womans physician. b. Tell the woman to slow the pace of her breathing. c. Administer oxygen via a mask or nasal cannula. d. Help her breathe into a paper bag - Correct Answer d. Help her breathe into a paper bag

  1. A woman is experiencing back labor and complains of intense pain in her lower back. An effective relief measure would be to use: a. Counterpressure against the sacrum. b. Pant-blow (breaths and puffs) breathing techniques. c. Effleurage. d. Conscious relaxation or guided imagery. - Correct Answer a. Counterpressure against the sacrum.
  2. If an opioid antagonist is administered to a laboring woman, she should be told that: a. Her pain will decrease. b. Her pain will return. c. She will feel less anxious.

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  1. A first-time mother is concerned about the type of medications she will receive during labor. She is in a fair amount of pain and is nauseous. In addition, she appears to be very anxious. You explain that opioid analgesics often are used with sedatives because: a. The two together work the best for you and your baby. b. Sedatives help the opioid work better, and they also will assist you to relax and relieve your nausea. c. They work better together so you can sleep until you have the baby. d. This is what the doctor has ordered for you. - Correct Answer b. Sedatives help the opioid work better, and they also will assist you to relax and relieve your nausea.
  2. To help clients manage discomfort and pain during labor, nurses should be aware that: a. The predominant pain of the first stage of labor is the visceral pain located in the lower portion of the abdomen. b. Referred pain is the extreme discomfort between contractions. c. The somatic pain of the second stage of labor is more generalized and related to fatigue. d. Pain during the third stage is a somewhat milder version of the second stage. - Correct Answer a. The predominant pain of the first stage of labor is the visceral pain located in the lower portion of the abdomen.

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  1. Which statement correctly describes the effects of various pain factors? a. Higher prostaglandin levels arising from dysmenorrhea can blunt the pain of childbirth. b. Upright positions in labor increase the pain factor because they cause greater fatigue. c. Women who move around trying different positions are experiencing more pain. d. Levels of pain-mitigating b-endorphins are higher during a spontaneous, natural childbirth. - Correct Answer d. Levels of pain-mitigating b-endorphins are higher during a spontaneous, natural childbirth.
  2. Nurses with an understanding of cultural differences regarding likely reactions to pain may be better able to help clients. Nurses should know that _____ women may be stoic until late in labor, when they may become vocal and request pain relief. a. Chinese c. Hispanic b. Arab or Middle Eastern d. African-American - Correct Answer c. Hispanic
  3. With regard to a pregnant womans anxiety and pain experience, nurses should be aware that: a. Even mild anxiety must be treated.

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