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Maternity Test Bank Exam 1 CHILDBIRTH PROCESS.pdf

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Maternity Test Bank Exam 1 CHILDBIRTH PROCESS.pdf

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Maternity Test Bank Exam 1

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2. When assessing a woman in labor, c. Attitude.
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.


3. When assessing the fetus using c. RSA
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

,4. The nurse has received report b. The cervix is 3 cm dilated, it is effaced 30%, and
regarding her patient in labor. The the presenting part is 2 cm above the ischial spines.
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.


5. To care for a laboring woman a. First
adequately, the nurse understands
that the __________ stage of labor varies
the most in length?
a. First c. Third
b. Second d. Fourth


6. The nurse would expect which a. Increased cardiac output
maternal cardiovascular finding
during labor?
a. Increased cardiac output
b. Decreased pulse rate
c. Decreased white blood cell (WBC)
count
d. Decreased blood pressure

,7. The factors that affect the process d. Pressure.
of labor and birth, known commonly
as the five Ps, include all except:
a. Passenger. c. Powers.
b. Passageway. d. Pressure.


8. The slight overlapping of cranial b. Molding.
bones or shaping of the fetal head
during labor is called:
a. Lightening. c. Ferguson reflex.
b. Molding. d. Valsalva maneuver.


9. Which presentation is described a. Cephalic: occiput; at least 95%
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%

, 10. With regard to factors that affect c. The normal attitude of the fetus is called general
how the fetus moves through the flexion.
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.


11. As relates to fetal positioning b. Birth is imminent when the presenting part is at +4
during labor, nurses should be aware to +5 cm below the spine.
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.
d. Engagement is the term used to
describe the beginning of labor.

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