NURS 3210 CHAPTER 16-GIVING BIRTH EXAM
QUESTIONS WITH ANSWERS GRADED A+ GUARANTEED
SUCCESS
Chapter 16 – Giving Birth
1. 1.ID: 38204230
The nurse is timing her patient’s contractions. The following pattern occurs:
Contraction starts: 7:32
Contraction ends: 7:32 (lasts 30 seconds)
Contraction starts: 7:37
Contraction ends: 7:38 (lasts 30 seconds)
Contraction starts: 7:42
Contraction ends: 7:42 (lasts 30 seconds)
The nurse records the frequency of the contraction as
• Every 4–5 minutes
• Lasting 30 seconds
• Every 5 minutes Correct
• Lasting 30 seconds to 1 minute
2. 2.ID: 38204242
During labor, the nurse is aware that the woman’s vital signs are best assessed between
contractions. The rationale for this is that
• The mother is more comfortable and will comply.
• The pain of the contractions will alter her vital signs.
• The contractions decreases blood flow to the placenta, therefore increasing the
woman’s blood volume and altering her vital signs. Correct
• It is impossible to hear the fetal heart rate through the contracted muscles of the uterus.
3. 3.ID: 38204251
During labor, a woman has been hyperventilating. She begins to complain of tingling in her
hands and dizziness. The next action by the nurse should be to:
• Help the woman slow her breathing and to breathe into a paper bag. Correct
• Help the woman onto her side and check her vital signs.
• Continue to monitor the woman; this is considered normal.
• Assess the need for pain control.
4. 4.ID: 38204261
During an assessment, the nurse notes that the fetus is in complete flexion, with the head flexed
toward the chest and the arms and legs flexed over the thorax. The fetal back is curved in a
NURS 3210 CHAPTER 16-GIVING BIRTH EXAM
QUESTIONS WITH ANSWERS GRADED A+ GUARANTEED
SUCCESS
, NURS 3210 CHAPTER 16-GIVING BIRTH EXAM
QUESTIONS WITH ANSWERS GRADED A+ GUARANTEED
SUCCESS
convex shape. This is termed fetal
• Lie
• Attitude Correct
• Presentation
• Passage
5. 5.ID: 38204273
Pregnant women can usually tolerate the normal blood loss associated with childbirth because
they have
• A higher hematocrit
• Increased blood volume Correct
• A lower fibrinogen level
• Increased leukocytes
6. 6.ID: 38204285
During a pelvic exam the nurse feels the fetal posterior fontanel toward the woman’s left
side and anterior. The nurse would report the position as .
Incorrect
Correct Responses
• LOA
7. 7.ID: 38204500
The best distinction between true labor and false labor is the progressive changes in the
.
Incorrect
Correct Responses
• cervix
8. 8.ID: 38204515
Which mechanism of labor occurs when the largest diameter of the fetal presenting part passes
the pelvic inlet?
• Engagement Correct
• Extension
• Internal rotation
• External rotation
9. 9.ID: 38204527
NURS 3210 CHAPTER 16-GIVING BIRTH EXAM
QUESTIONS WITH ANSWERS GRADED A+ GUARANTEED
SUCCESS
, NURS 3210 CHAPTER 16-GIVING BIRTH EXAM
QUESTIONS WITH ANSWERS GRADED A+ GUARANTEED
SUCCESS
The physician noted that the woman was 7 cm dilated and 100% effaced. The nurse is aware
that the woman is in which phase of labor?
• Latent
• Active
• Transition Correct
• Second
10.10.ID: 38204536
A woman in active labor and has been admitted to the birthing unit. She calls the nurse and says
her “water just broke.” The first nursing action should be
• Changing the pad under the woman to keep her dry and comfortable
• ssessing the fetal heart rate for 1 minute Correct
• Assessing the maternal vital signs
• Notifying the nurse-midwife
11.11.ID: 38204546
Which maternal factor may inhibit fetal descent?
• Decreased peristalsis
• A full bladder Correct
• Reduction in internal uterine size
• Rupture of membranes
12.12.ID: 38204558
To prevent heat loss after the infant is born the nurse’s first action should be to
• Dry the infant Correct
• Cover the infant with several warm blankets
• Assess the infant’s body temperature
• Attain an Apgar score
The maternity nurse understands that as the uterus contracts during labor, maternal-fetal exchange of
oxygen and waste products:
a. Continues except when placental functions are reduced.
b. Increases as blood pressure decreases.
c. Diminishes as the spiral arteries are compressed.
d. Is not significantly affected.
NURS 3210 CHAPTER 16-GIVING BIRTH EXAM
QUESTIONS WITH ANSWERS GRADED A+ GUARANTEED
SUCCESS
, NURS 3210 CHAPTER 16-GIVING BIRTH EXAM
QUESTIONS WITH ANSWERS GRADED A+ GUARANTEED
SUCCESS
Which statement is the best rationale for assessing maternal vital signs between contractions?
a. During a contraction, assessing fetal heart rates is the priority.
b. Maternal circulating blood volume increases temporarily during contractions.
c. Maternal blood flow to the heart is reduced during contractions.
d. Vital signs taken during contractions are not accurate.
Which mechanism of labor occurs when the largest diameter of fetal presenting part passes the inlet?
a. Engagement
b. Extension
c. Internal rotation
d. External rotation
To adequately care for pateients, the nurse understands that labor contractions facilitate cervical
dilation by
a. contracting the lower uterine segment
b. enlarging the internal size of the uterus
c. promoting blood flow to the cervix
d. pulling the cervix over the fetus and amniotic sac
It is important for the nurse providing care during labor to be aware that pregnant women can usually
tolerate the normal blood loss associated with childbirth because they have
a. a higher hematocrit
b. increased blood volume
c. a lower fibrinogen level
d. increased leukocytes
To assess the duration of labor contractions, the nurse determines the time
a. from the beginning of one contraction to the beginning of the next
b. from the beginning to the end of each contraction
c. of the strongest intensity of each contraction
d.. of uterine relaxation of each contraction
To adequately teach patients about the process of labor, the nurse knows that which event is the best
indicator of true labor?
a. bloody show
b.cervical dilation and effacement
c. fetal descent into the pelvic inlet
d. uterine contractions every 7 minutes
Which factor ensures that the smallest anterior-posterior diameter of the fetal head enters the pelvis?
a. descent
NURS 3210 CHAPTER 16-GIVING BIRTH EXAM
QUESTIONS WITH ANSWERS GRADED A+ GUARANTEED
SUCCESS
QUESTIONS WITH ANSWERS GRADED A+ GUARANTEED
SUCCESS
Chapter 16 – Giving Birth
1. 1.ID: 38204230
The nurse is timing her patient’s contractions. The following pattern occurs:
Contraction starts: 7:32
Contraction ends: 7:32 (lasts 30 seconds)
Contraction starts: 7:37
Contraction ends: 7:38 (lasts 30 seconds)
Contraction starts: 7:42
Contraction ends: 7:42 (lasts 30 seconds)
The nurse records the frequency of the contraction as
• Every 4–5 minutes
• Lasting 30 seconds
• Every 5 minutes Correct
• Lasting 30 seconds to 1 minute
2. 2.ID: 38204242
During labor, the nurse is aware that the woman’s vital signs are best assessed between
contractions. The rationale for this is that
• The mother is more comfortable and will comply.
• The pain of the contractions will alter her vital signs.
• The contractions decreases blood flow to the placenta, therefore increasing the
woman’s blood volume and altering her vital signs. Correct
• It is impossible to hear the fetal heart rate through the contracted muscles of the uterus.
3. 3.ID: 38204251
During labor, a woman has been hyperventilating. She begins to complain of tingling in her
hands and dizziness. The next action by the nurse should be to:
• Help the woman slow her breathing and to breathe into a paper bag. Correct
• Help the woman onto her side and check her vital signs.
• Continue to monitor the woman; this is considered normal.
• Assess the need for pain control.
4. 4.ID: 38204261
During an assessment, the nurse notes that the fetus is in complete flexion, with the head flexed
toward the chest and the arms and legs flexed over the thorax. The fetal back is curved in a
NURS 3210 CHAPTER 16-GIVING BIRTH EXAM
QUESTIONS WITH ANSWERS GRADED A+ GUARANTEED
SUCCESS
, NURS 3210 CHAPTER 16-GIVING BIRTH EXAM
QUESTIONS WITH ANSWERS GRADED A+ GUARANTEED
SUCCESS
convex shape. This is termed fetal
• Lie
• Attitude Correct
• Presentation
• Passage
5. 5.ID: 38204273
Pregnant women can usually tolerate the normal blood loss associated with childbirth because
they have
• A higher hematocrit
• Increased blood volume Correct
• A lower fibrinogen level
• Increased leukocytes
6. 6.ID: 38204285
During a pelvic exam the nurse feels the fetal posterior fontanel toward the woman’s left
side and anterior. The nurse would report the position as .
Incorrect
Correct Responses
• LOA
7. 7.ID: 38204500
The best distinction between true labor and false labor is the progressive changes in the
.
Incorrect
Correct Responses
• cervix
8. 8.ID: 38204515
Which mechanism of labor occurs when the largest diameter of the fetal presenting part passes
the pelvic inlet?
• Engagement Correct
• Extension
• Internal rotation
• External rotation
9. 9.ID: 38204527
NURS 3210 CHAPTER 16-GIVING BIRTH EXAM
QUESTIONS WITH ANSWERS GRADED A+ GUARANTEED
SUCCESS
, NURS 3210 CHAPTER 16-GIVING BIRTH EXAM
QUESTIONS WITH ANSWERS GRADED A+ GUARANTEED
SUCCESS
The physician noted that the woman was 7 cm dilated and 100% effaced. The nurse is aware
that the woman is in which phase of labor?
• Latent
• Active
• Transition Correct
• Second
10.10.ID: 38204536
A woman in active labor and has been admitted to the birthing unit. She calls the nurse and says
her “water just broke.” The first nursing action should be
• Changing the pad under the woman to keep her dry and comfortable
• ssessing the fetal heart rate for 1 minute Correct
• Assessing the maternal vital signs
• Notifying the nurse-midwife
11.11.ID: 38204546
Which maternal factor may inhibit fetal descent?
• Decreased peristalsis
• A full bladder Correct
• Reduction in internal uterine size
• Rupture of membranes
12.12.ID: 38204558
To prevent heat loss after the infant is born the nurse’s first action should be to
• Dry the infant Correct
• Cover the infant with several warm blankets
• Assess the infant’s body temperature
• Attain an Apgar score
The maternity nurse understands that as the uterus contracts during labor, maternal-fetal exchange of
oxygen and waste products:
a. Continues except when placental functions are reduced.
b. Increases as blood pressure decreases.
c. Diminishes as the spiral arteries are compressed.
d. Is not significantly affected.
NURS 3210 CHAPTER 16-GIVING BIRTH EXAM
QUESTIONS WITH ANSWERS GRADED A+ GUARANTEED
SUCCESS
, NURS 3210 CHAPTER 16-GIVING BIRTH EXAM
QUESTIONS WITH ANSWERS GRADED A+ GUARANTEED
SUCCESS
Which statement is the best rationale for assessing maternal vital signs between contractions?
a. During a contraction, assessing fetal heart rates is the priority.
b. Maternal circulating blood volume increases temporarily during contractions.
c. Maternal blood flow to the heart is reduced during contractions.
d. Vital signs taken during contractions are not accurate.
Which mechanism of labor occurs when the largest diameter of fetal presenting part passes the inlet?
a. Engagement
b. Extension
c. Internal rotation
d. External rotation
To adequately care for pateients, the nurse understands that labor contractions facilitate cervical
dilation by
a. contracting the lower uterine segment
b. enlarging the internal size of the uterus
c. promoting blood flow to the cervix
d. pulling the cervix over the fetus and amniotic sac
It is important for the nurse providing care during labor to be aware that pregnant women can usually
tolerate the normal blood loss associated with childbirth because they have
a. a higher hematocrit
b. increased blood volume
c. a lower fibrinogen level
d. increased leukocytes
To assess the duration of labor contractions, the nurse determines the time
a. from the beginning of one contraction to the beginning of the next
b. from the beginning to the end of each contraction
c. of the strongest intensity of each contraction
d.. of uterine relaxation of each contraction
To adequately teach patients about the process of labor, the nurse knows that which event is the best
indicator of true labor?
a. bloody show
b.cervical dilation and effacement
c. fetal descent into the pelvic inlet
d. uterine contractions every 7 minutes
Which factor ensures that the smallest anterior-posterior diameter of the fetal head enters the pelvis?
a. descent
NURS 3210 CHAPTER 16-GIVING BIRTH EXAM
QUESTIONS WITH ANSWERS GRADED A+ GUARANTEED
SUCCESS
