INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 50
Chapter 06: Nursing Care of Mother and Infant During Labor and Birth
MULTIPLE CHOICE
1. What does the nurse note when measuring the frequency of a laboring womans contractions?
a. How long the patient states the contractions last
b. The time between the end of one contraction and the beginning of the next
c. The time between the beginning and the end of one contraction
d. The time between the beginning of one contraction and the beginning of the next
ANS: D
The frequency of contractions is the elapsed time from the beginning of one contraction to the beginning of the
next contraction.
DIF: Cognitive Level: Comprehension REF: Page 126
TOP: Frequency of Contractions KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
2. Why is the relaxation phase between contractions important?
a. The laboring woman needs to rest.
b. The uterine muscles fatigue without relaxation.
c. The contractions can interfere with fetal oxygenation.
d. The infant progresses toward delivery at these times.
ANS: C
Blood flow from the mother into the placenta gradually decreases during contractions. During the interval
between contractions, the placenta refills with oxygenated blood for the fetus.
DIF: Cognitive Level: Comprehension REF: Page 127
OBJ: 6 TOP: Interval KEY: Nursing Process Step: N/A
NURSINGTB.COM
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
3. What contraction duration and interval does the nurse recognize could result in fetal compromise?
a. Duration shorter than 30 seconds, interval longer than 75 seconds
b. Duration shorter than 90 seconds, interval longer than 120 seconds
c. Duration longer than 90 seconds, interval shorter than 60 seconds
d. Duration longer than 60 seconds, interval shorter than 90 seconds
ANS: C
Persistent contraction durations longer than 90 seconds or contraction intervals less than 60 seconds may
reduce fetal oxygen supply.
DIF: Cognitive Level: Comprehension REF: Page 128
OBJ: 9 TOP: Contraction/Fetal Compromise
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Reduction of Risk
4. Vaginal examination reveals the presenting part is the infants head, which is well flexed on the chest. What
is this presentation?
a. Vertex
b. Military
c. Brow
d. Face
ANS: A
In the vertex presentation, the fetal head is the presenting part. The head is fully flexed on the chest.
DIF: Cognitive Level: Comprehension REF: Page 128
OBJ: 9 TOP: Fetal Position
NURSINGTB.COM
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 51
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
5. What does meconium-stained amniotic fluid indicate when the infant is in a vertex presentation?
a. Fetal distress
b. Fetal maturity
c. Intact gastrointestinal tract
d. Dehydration in the mother
ANS: A
Green-stained amniotic fluid means that the fetus passed the first stool before birth, and it is an indicator of
fetal compromise.
DIF: Cognitive Level: Comprehension REF: Page 143
TOP: Meconium-Stained Amniotic Fluid KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
6. It is determined that the presenting part of the fetus is the buttocks. At delivery the fetuss hips are flexed and
the knees are extended. How would the nurse record this presentation?
a. Complete breech
b. Frank breech
c. Double footling
d. Buttocks presentation
ANS: B
When a fetus presents in a frank breech position, the legs are flexed at the hips and extend toward the
shoulders.
DIF: Cognitive Level: Application REF: Page 129
OBJ: 9 TOP: Components of the Birth ProcessNURSINGTB.COM
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
7. At a prenatal visit, a primigravida asks the nurse how she will know her labor has started. The nurse knows
that what indicates the beginning of true labor?
a. Contractions that are relieved by walking
b. Discomfort in the abdomen and groin
c. A decrease in vaginal discharge
d. Regular contractions becoming more frequent and intense
ANS: D
In true labor, contractions gradually develop a regular pattern and become more frequent, longer, and more
intense.
DIF: Cognitive Level: Application REF: Page 137
OBJ: 7 TOP: Initiation of Labor
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
8. While discussing labor and delivery during a prenatal visit, a primigravida asks the nurse when she should
go to the hospital. What is the nurses most informative response?
a. When you feel increased fetal movement
b. When contractions are 10 minutes apart
c. When membranes have ruptured
d. When abdominal or groin discomfort occurs
ANS: C
Ruptured membranes are an indication that the woman should go to the hospital or birthing center.
NURSINGTB.COM
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 50
Chapter 06: Nursing Care of Mother and Infant During Labor and Birth
MULTIPLE CHOICE
1. What does the nurse note when measuring the frequency of a laboring womans contractions?
a. How long the patient states the contractions last
b. The time between the end of one contraction and the beginning of the next
c. The time between the beginning and the end of one contraction
d. The time between the beginning of one contraction and the beginning of the next
ANS: D
The frequency of contractions is the elapsed time from the beginning of one contraction to the beginning of the
next contraction.
DIF: Cognitive Level: Comprehension REF: Page 126
TOP: Frequency of Contractions KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
2. Why is the relaxation phase between contractions important?
a. The laboring woman needs to rest.
b. The uterine muscles fatigue without relaxation.
c. The contractions can interfere with fetal oxygenation.
d. The infant progresses toward delivery at these times.
ANS: C
Blood flow from the mother into the placenta gradually decreases during contractions. During the interval
between contractions, the placenta refills with oxygenated blood for the fetus.
DIF: Cognitive Level: Comprehension REF: Page 127
OBJ: 6 TOP: Interval KEY: Nursing Process Step: N/A
NURSINGTB.COM
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
3. What contraction duration and interval does the nurse recognize could result in fetal compromise?
a. Duration shorter than 30 seconds, interval longer than 75 seconds
b. Duration shorter than 90 seconds, interval longer than 120 seconds
c. Duration longer than 90 seconds, interval shorter than 60 seconds
d. Duration longer than 60 seconds, interval shorter than 90 seconds
ANS: C
Persistent contraction durations longer than 90 seconds or contraction intervals less than 60 seconds may
reduce fetal oxygen supply.
DIF: Cognitive Level: Comprehension REF: Page 128
OBJ: 9 TOP: Contraction/Fetal Compromise
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Reduction of Risk
4. Vaginal examination reveals the presenting part is the infants head, which is well flexed on the chest. What
is this presentation?
a. Vertex
b. Military
c. Brow
d. Face
ANS: A
In the vertex presentation, the fetal head is the presenting part. The head is fully flexed on the chest.
DIF: Cognitive Level: Comprehension REF: Page 128
OBJ: 9 TOP: Fetal Position
NURSINGTB.COM
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 51
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
5. What does meconium-stained amniotic fluid indicate when the infant is in a vertex presentation?
a. Fetal distress
b. Fetal maturity
c. Intact gastrointestinal tract
d. Dehydration in the mother
ANS: A
Green-stained amniotic fluid means that the fetus passed the first stool before birth, and it is an indicator of
fetal compromise.
DIF: Cognitive Level: Comprehension REF: Page 143
TOP: Meconium-Stained Amniotic Fluid KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
6. It is determined that the presenting part of the fetus is the buttocks. At delivery the fetuss hips are flexed and
the knees are extended. How would the nurse record this presentation?
a. Complete breech
b. Frank breech
c. Double footling
d. Buttocks presentation
ANS: B
When a fetus presents in a frank breech position, the legs are flexed at the hips and extend toward the
shoulders.
DIF: Cognitive Level: Application REF: Page 129
OBJ: 9 TOP: Components of the Birth ProcessNURSINGTB.COM
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
7. At a prenatal visit, a primigravida asks the nurse how she will know her labor has started. The nurse knows
that what indicates the beginning of true labor?
a. Contractions that are relieved by walking
b. Discomfort in the abdomen and groin
c. A decrease in vaginal discharge
d. Regular contractions becoming more frequent and intense
ANS: D
In true labor, contractions gradually develop a regular pattern and become more frequent, longer, and more
intense.
DIF: Cognitive Level: Application REF: Page 137
OBJ: 7 TOP: Initiation of Labor
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
8. While discussing labor and delivery during a prenatal visit, a primigravida asks the nurse when she should
go to the hospital. What is the nurses most informative response?
a. When you feel increased fetal movement
b. When contractions are 10 minutes apart
c. When membranes have ruptured
d. When abdominal or groin discomfort occurs
ANS: C
Ruptured membranes are an indication that the woman should go to the hospital or birthing center.
NURSINGTB.COM
