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16 - Foundations of Maternal-Newborn & Women’s Health
Nursing Textbook Questions
Maternal-Child Nursing (Chamberlain University)
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Foundations of Maternal-Newborn and Women's Health Nursing 7th Edition Murray Test Bank
Chapter 16: Intrapartum Complications
Foundations of Maternal-Newborn & Women’s Health Nursing, 7th Edition
MULTIPLE CHOICE
1. Which pelvic shape is most conducive to vaginal labor and birth?
a. Android
b. Gynecoid
c. Platypelloid
d. Anthropoid
ANS: B
The gynecoid pelvis is round and cylinder-shaped, with a wide pubic arch and is considered
the most suitable for a vaginal birth. An android pelvis has been described as heart shaped,
with more prominent ischial spines and a narrow pubic arch. A vaginal birth will be more
difficult, with the need for harder pushing and often some form of instrumentation. The
anthropoid pelvis is a long narrow oval, with a narrow pubic arch. It is more favorable than
the android or platypelloid pelvic shape. The platypelloid pelvis is flat, wide, short, and oval
and has a very poor prognosis for vaginal birth. Most women have characteristics from two or
more types of pelvic shapes.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment
MSC: Patient Needs: Health Promotion and Maintenance
2. Which action by the nurse prevents infection in the labor and birth area?
a. Using clean techniques for all procedures
NURS
b. Keeping underpads and linens INGasTB.C
as dry OM
possible
c. Cleaning secretions from the vaginal area by using a back to front motion
d. Performing vaginal examinations every hour while the patient is in active labor
ANS: B
Bacterial growth prefers a moist, warm environment. Use an aseptic technique if membranes
are not ruptured; use a sterile technique if membranes are ruptured. Vaginal drainage should
be removed with a front to back motion to decrease fecal contamination. Vaginal
examinations should be limited to decrease transmission of vaginal organisms into the uterine
cavity.
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Implementation
MSC: Patient Needs: Safe and Effective Care Environment
3. A pregnant patient with premature rupture of membranes is at higher risk for postpartum
infection. Which assessment data indicates a potential infection?
a. Fetal heart rate, 150 beats/minute
b. Maternal temperature, 37.2C (99F)
c. Cloudy amniotic fluid, with strong odor
d. Lowered maternal pulse and decreased respiratory rates
ANS: C
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NURSINGTB.COM
16 - Foundations of Maternal-Newborn & Women’s Health
Nursing Textbook Questions
Maternal-Child Nursing (Chamberlain University)
Studocu is not sponsored or endorsed by any college or university
Downloaded by bakr amar ()
, lOMoARcPSD|16248954
Foundations of Maternal-Newborn and Women's Health Nursing 7th Edition Murray Test Bank
Chapter 16: Intrapartum Complications
Foundations of Maternal-Newborn & Women’s Health Nursing, 7th Edition
MULTIPLE CHOICE
1. Which pelvic shape is most conducive to vaginal labor and birth?
a. Android
b. Gynecoid
c. Platypelloid
d. Anthropoid
ANS: B
The gynecoid pelvis is round and cylinder-shaped, with a wide pubic arch and is considered
the most suitable for a vaginal birth. An android pelvis has been described as heart shaped,
with more prominent ischial spines and a narrow pubic arch. A vaginal birth will be more
difficult, with the need for harder pushing and often some form of instrumentation. The
anthropoid pelvis is a long narrow oval, with a narrow pubic arch. It is more favorable than
the android or platypelloid pelvic shape. The platypelloid pelvis is flat, wide, short, and oval
and has a very poor prognosis for vaginal birth. Most women have characteristics from two or
more types of pelvic shapes.
DIF: Cognitive Level: Understanding OBJ: Nursing Process Step: Assessment
MSC: Patient Needs: Health Promotion and Maintenance
2. Which action by the nurse prevents infection in the labor and birth area?
a. Using clean techniques for all procedures
NURS
b. Keeping underpads and linens INGasTB.C
as dry OM
possible
c. Cleaning secretions from the vaginal area by using a back to front motion
d. Performing vaginal examinations every hour while the patient is in active labor
ANS: B
Bacterial growth prefers a moist, warm environment. Use an aseptic technique if membranes
are not ruptured; use a sterile technique if membranes are ruptured. Vaginal drainage should
be removed with a front to back motion to decrease fecal contamination. Vaginal
examinations should be limited to decrease transmission of vaginal organisms into the uterine
cavity.
DIF: Cognitive Level: Application OBJ: Nursing Process Step: Implementation
MSC: Patient Needs: Safe and Effective Care Environment
3. A pregnant patient with premature rupture of membranes is at higher risk for postpartum
infection. Which assessment data indicates a potential infection?
a. Fetal heart rate, 150 beats/minute
b. Maternal temperature, 37.2C (99F)
c. Cloudy amniotic fluid, with strong odor
d. Lowered maternal pulse and decreased respiratory rates
ANS: C
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