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1) The husband of a laboring woman asks the nurse how he can help his wife throughout the
first stage of labor. The nurse informs him that in addition to all that he’s doing now, he
could tell her when the contractions are:
b.
at their acme.
2) The nurse is explaining to a group of nursing students what occurs during active labor as the
uterus contracts. Which statement explains the maternal-fetal exchange of oxygen and waste
products during a contraction?
c.
Diminishes as the spiral arteries are compressed
3) The nurse is directing an unlicensed assistive personnel (UAP) to take maternal vital signs
between contractions. Which statement is the best rationale for assessing maternal vital signs
between contractions?
d.
Maternal circulating blood volume increases temporarily during
contractions.
4) Uncontrolled maternal hyperventilation during labor results in:
, MATERNITY CLASS EXAM
QUESTIONS WITH ANSWERS
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d. respiratory alkalosis.
5) Which mechanism of labor occurs when the largest diameter of the fetal presenting part
passes the pelvic inlet?
b. Engagement
, MATERNITY CLASS EXAM
QUESTIONS WITH ANSWERS
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6) The laboring client asks the nurse how the labor contractions work to dilate the cervix.
The best response by the nurse is that labor contractions facilitate cervical dilation by:
d. pulling the cervix over the fetus and amniotic sac.
7) Pregnant clients can usually tolerate the normal blood loss associated with
childbirth because they have:
c. increased blood volume.
8) The nurse is assessing the duration of a client’s labor contractions. Which action does the
nurse implement to assess the duration of labor contractions?
c. Assess from the beginning to the end of each contraction.
9) Which event is the best indicator of true labor?
, MATERNITY CLASS EXAM
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b. Cervical dilation and effacement
10) Which factor ensures that the smallest anterior-posterior diameter of the fetal head enters
the pelvis?
b. Flexion