MATERNAL CHILD NURSING CARE BY
PERRY 6TH EDITION FINAL PAPER 2026
FULL QUESTIONS WITH CORRECT
ANSWERS GRADED A+
⩥ What are the common signs that are observed in the days preceding
labor? Select all that apply.
1
Persistent low backache
2
Sudden increase in lethargy
3
Blood-tinged cervical mucus
4
Increase in weight up to 1.5 kg
5
Profuse vaginal mucus. Answer: 1, 3, 5
Common signs that precede labor include persistent low backache and
sacroiliac distress as a result of relaxation of the pelvic joints. Brownish
or blood-tinged cervical mucus may be passed. The vaginal mucus
becomes more profuse in response to the extreme congestion of the
vaginal mucous membranes. In the days preceding labor, women
,generally have a sudden surge of energy. They also experience a loss of
0.5 to 1.5 kg in weight. This is caused by water loss resulting from
electrolyte shifts that in turn are produced by changes in estrogen and
progesterone levels.
⩥ Nurses can advise their patients that which of these signs precede
labor? Select all that apply.
1
A return of urinary frequency as a result of increased bladder pressure
2
Persistent low backache from relaxed pelvic joints
3
Stronger and more frequent uterine (Braxton Hicks) contractions
4
A decline in energy, as the body stores up for labor
5
Uterus sinks downward and forward in first-time pregnancies. Answer:
1, 2, 3
After lightening, a return of the frequent need to urinate occurs as the
fetal position causes increased pressure on the bladder. In the run-up to
labor , women often experience persistent low backache and sacroiliac
distress as a result of relaxation of the pelvic joints. Before the onset of
labor, it is common for Braxton Hicks contractions to increase in both
frequency and strength. Bloody show may be passed. A surge of energy
,is a phenomenon that is common in the days preceding labor. In first-
time pregnancies, the uterus sinks downward and forward about 2 weeks
before term.
⩥ During the vaginal examination of a laboring patient, the nurse
analyzes that the fetus is in the right occiput anterior (ROA) position at -
1 station. What is the position of the lowermost portion of the fetal
presenting part?
1
2 cm above the ischial spine.
2
1 cm above the ischial spine.
3
at the level of the ischial spine.
4
1 cm below the ischial spine.. Answer: 2
When the lowermost portion of the presenting part is 1 cm above the
ischial spine, it is noted as being minus (-)1. When positioned 2 cm
above the ischial spine, it is -2 station. At the level of the spines the
station is referred to as 0 (zero). When the presenting part is 1 cm below
the spines, the station is said to be plus (+)1.
⩥ What are the factors that speed up the dilation of the cervix? Select all
that apply.
, 1
Strong uterine contractions
2
Scarring of the cervix
3
Pressure by amniotic fluid
4
Prior infection of the cervix
5
Force by fetal presenting part. Answer: 1, 3, 5
Dilation of the cervix occurs by the drawing upward of the
musculofibrous components of the cervix, which are, in turn, caused by
strong uterine contractions. Pressure exerted by the amniotic fluid while
the membranes are intact or by the force applied by the presenting part
can promote cervical dilation. Scarring of the cervix may occur
following a surgery. Prior infection or surgery may slow cervical
dilation.
⩥ Nurses can help their patients by keeping them informed about the
distinctive stages of labor. What description of the phases of the first
stage of labor is accurate?
1
PERRY 6TH EDITION FINAL PAPER 2026
FULL QUESTIONS WITH CORRECT
ANSWERS GRADED A+
⩥ What are the common signs that are observed in the days preceding
labor? Select all that apply.
1
Persistent low backache
2
Sudden increase in lethargy
3
Blood-tinged cervical mucus
4
Increase in weight up to 1.5 kg
5
Profuse vaginal mucus. Answer: 1, 3, 5
Common signs that precede labor include persistent low backache and
sacroiliac distress as a result of relaxation of the pelvic joints. Brownish
or blood-tinged cervical mucus may be passed. The vaginal mucus
becomes more profuse in response to the extreme congestion of the
vaginal mucous membranes. In the days preceding labor, women
,generally have a sudden surge of energy. They also experience a loss of
0.5 to 1.5 kg in weight. This is caused by water loss resulting from
electrolyte shifts that in turn are produced by changes in estrogen and
progesterone levels.
⩥ Nurses can advise their patients that which of these signs precede
labor? Select all that apply.
1
A return of urinary frequency as a result of increased bladder pressure
2
Persistent low backache from relaxed pelvic joints
3
Stronger and more frequent uterine (Braxton Hicks) contractions
4
A decline in energy, as the body stores up for labor
5
Uterus sinks downward and forward in first-time pregnancies. Answer:
1, 2, 3
After lightening, a return of the frequent need to urinate occurs as the
fetal position causes increased pressure on the bladder. In the run-up to
labor , women often experience persistent low backache and sacroiliac
distress as a result of relaxation of the pelvic joints. Before the onset of
labor, it is common for Braxton Hicks contractions to increase in both
frequency and strength. Bloody show may be passed. A surge of energy
,is a phenomenon that is common in the days preceding labor. In first-
time pregnancies, the uterus sinks downward and forward about 2 weeks
before term.
⩥ During the vaginal examination of a laboring patient, the nurse
analyzes that the fetus is in the right occiput anterior (ROA) position at -
1 station. What is the position of the lowermost portion of the fetal
presenting part?
1
2 cm above the ischial spine.
2
1 cm above the ischial spine.
3
at the level of the ischial spine.
4
1 cm below the ischial spine.. Answer: 2
When the lowermost portion of the presenting part is 1 cm above the
ischial spine, it is noted as being minus (-)1. When positioned 2 cm
above the ischial spine, it is -2 station. At the level of the spines the
station is referred to as 0 (zero). When the presenting part is 1 cm below
the spines, the station is said to be plus (+)1.
⩥ What are the factors that speed up the dilation of the cervix? Select all
that apply.
, 1
Strong uterine contractions
2
Scarring of the cervix
3
Pressure by amniotic fluid
4
Prior infection of the cervix
5
Force by fetal presenting part. Answer: 1, 3, 5
Dilation of the cervix occurs by the drawing upward of the
musculofibrous components of the cervix, which are, in turn, caused by
strong uterine contractions. Pressure exerted by the amniotic fluid while
the membranes are intact or by the force applied by the presenting part
can promote cervical dilation. Scarring of the cervix may occur
following a surgery. Prior infection or surgery may slow cervical
dilation.
⩥ Nurses can help their patients by keeping them informed about the
distinctive stages of labor. What description of the phases of the first
stage of labor is accurate?
1
