CNM MIDWIFERY
FINAL EXAM
QNS & ANS
2023/2024
,The nurse has received a report about a woman in labor. The woman's last vaginal
examination was recorded as 4 cm, 80 %, and -2. The nurse's interpretation of this
assessment is that;
The cervix is dilated 4 cm, it is effaced 80%, and the presenting part is 2 cm below the
ischial spines
The cervix is effaced 4 cm, it is dilated 80%, and the presenting part is 2 cm below the
ischial spines.
The cervix is effaced 4 cm, it is dilated 80%, and the presenting part is 2 cm above the
ischial spines
The cervix is 4 cm dilated, it is effaced 80%, and the presenting part is 2 cm above the
ischial spines
Nurses can help their clients by keeping them informed about the different stages of
labor. What description of the phases of the first stage of labor is accurate?
Latent: Mild, regular contractions; no dilation; bloody show; duration of 2 to 4 hours
Active: Moderate, regular contractions; 4 to 7 cm dilation; duration of 3 to 6 hours
Inactive: No contractions; dilation stable; duration of 20 to 60 minutes
Transition: Very strong but irregular contractions; 8- to 10-cm dilation; duration of 3-4
hours
The cervical dilatation taken at 8:00 A.M. in a G1P0 patient was 6 cm. A repeat I.E. done
at 10 A.M. showed that cervical dilation was 7 cm. The correct interpretation of this
result is;
The laboring mother is beginning the second stage of labor
The laboring mother is in the latent phase of labor
The laboring mother is in the active phase of labor
The laboring mother is in the transition phase of labor
During a vaginal examination, the nurse palpates fetal buttocks that are facing the left
posterior and is 1 cm above the level of the ischial spines. This is consistent with which
assessment record?
LOA, -1 station
LSP, -1 station
LMP, +1 station
LSA, +1 station
, When the bag of waters ruptures, the nurse observes the client's amniotic fluid. The nurse
determines that fetal distress is occurring after noting which sign?
Moderate amount of bloody show
Pink-tinged amniotic fluid
Meconium-stained amniotic fluid
Acceleration of fetal heart rate w/each contraction
The primary power involved in labor and delivery is;
Bearing down ability of mother
Cervical effacement and dilatation
Uterine contraction
Ability of fetus to descend
When the bag of waters ruptures, the nurse observes the client's amniotic fluid and
decides that it appears normal, because it is:
Clear and dark amber in color
Milky, greenish yellow, containing shreds of mucus
Clear, almost colorless, and containing little white specks
Cloudy, greenish-yellow, and containing little white specks
The mechanisms of labor involved in fetal delivery is sequenced as;
Descent, extension, flexion, external rotation
Descent, flexion, internal rotation, extension, external rotation
Flexion, internal rotation, external rotation, extension
Internal rotation, extension, external rotation, flexion
In Leopold’s maneuver step number 1, you palpated a soft broad mass that moves with
the rest of the mass. The correct interpretation of this finding is;
The mass palpated at the fundal part is the fetal abdomen
The presentation is breech
The mass presentation is cephalic
The mass palpated is the back
In Leopold’s maneuver step number 1, you palpated a soft broad mass that moves with
the rest of the mass, the step in the Leopold’s maneuver done is called;
Pelvic grip
Pawlick’s grip
Umbilical grip
Fundal grip
A nurse in the delivery room is assisting with the delivery of a newborn infant. After the
delivery of the newborn, the nurse assists in delivering the placenta. Which observation
would indicate that the placenta has separated from the uterine wall and is ready for
delivery?
FINAL EXAM
QNS & ANS
2023/2024
,The nurse has received a report about a woman in labor. The woman's last vaginal
examination was recorded as 4 cm, 80 %, and -2. The nurse's interpretation of this
assessment is that;
The cervix is dilated 4 cm, it is effaced 80%, and the presenting part is 2 cm below the
ischial spines
The cervix is effaced 4 cm, it is dilated 80%, and the presenting part is 2 cm below the
ischial spines.
The cervix is effaced 4 cm, it is dilated 80%, and the presenting part is 2 cm above the
ischial spines
The cervix is 4 cm dilated, it is effaced 80%, and the presenting part is 2 cm above the
ischial spines
Nurses can help their clients by keeping them informed about the different stages of
labor. What description of the phases of the first stage of labor is accurate?
Latent: Mild, regular contractions; no dilation; bloody show; duration of 2 to 4 hours
Active: Moderate, regular contractions; 4 to 7 cm dilation; duration of 3 to 6 hours
Inactive: No contractions; dilation stable; duration of 20 to 60 minutes
Transition: Very strong but irregular contractions; 8- to 10-cm dilation; duration of 3-4
hours
The cervical dilatation taken at 8:00 A.M. in a G1P0 patient was 6 cm. A repeat I.E. done
at 10 A.M. showed that cervical dilation was 7 cm. The correct interpretation of this
result is;
The laboring mother is beginning the second stage of labor
The laboring mother is in the latent phase of labor
The laboring mother is in the active phase of labor
The laboring mother is in the transition phase of labor
During a vaginal examination, the nurse palpates fetal buttocks that are facing the left
posterior and is 1 cm above the level of the ischial spines. This is consistent with which
assessment record?
LOA, -1 station
LSP, -1 station
LMP, +1 station
LSA, +1 station
, When the bag of waters ruptures, the nurse observes the client's amniotic fluid. The nurse
determines that fetal distress is occurring after noting which sign?
Moderate amount of bloody show
Pink-tinged amniotic fluid
Meconium-stained amniotic fluid
Acceleration of fetal heart rate w/each contraction
The primary power involved in labor and delivery is;
Bearing down ability of mother
Cervical effacement and dilatation
Uterine contraction
Ability of fetus to descend
When the bag of waters ruptures, the nurse observes the client's amniotic fluid and
decides that it appears normal, because it is:
Clear and dark amber in color
Milky, greenish yellow, containing shreds of mucus
Clear, almost colorless, and containing little white specks
Cloudy, greenish-yellow, and containing little white specks
The mechanisms of labor involved in fetal delivery is sequenced as;
Descent, extension, flexion, external rotation
Descent, flexion, internal rotation, extension, external rotation
Flexion, internal rotation, external rotation, extension
Internal rotation, extension, external rotation, flexion
In Leopold’s maneuver step number 1, you palpated a soft broad mass that moves with
the rest of the mass. The correct interpretation of this finding is;
The mass palpated at the fundal part is the fetal abdomen
The presentation is breech
The mass presentation is cephalic
The mass palpated is the back
In Leopold’s maneuver step number 1, you palpated a soft broad mass that moves with
the rest of the mass, the step in the Leopold’s maneuver done is called;
Pelvic grip
Pawlick’s grip
Umbilical grip
Fundal grip
A nurse in the delivery room is assisting with the delivery of a newborn infant. After the
delivery of the newborn, the nurse assists in delivering the placenta. Which observation
would indicate that the placenta has separated from the uterine wall and is ready for
delivery?
