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1. A new mother asks the nurse when the soft spot on her sons head will go away. T
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he nurses Correct Answer is based on the knowledge that the anterior fontanel clo
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ses after birth by _____ months.
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a. 2 c. 12
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b. 8 d. 18 - Correct Answer d. 18
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2. When assessing a woman in labor, the nurse is aware that the relationship of the
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fetal body parts to one another is called fetal:
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a. Lie. c. Attitude.
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b. Presentation. d. Position. - Correct Answer c. Attitude.
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3. When assessing the fetus using Leopold maneuvers, the nurse feels a round, firm
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, movable fetal part in the fundal portion of the uterus and a long, smooth surface i
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n the mothers right side close to midline. What is the likely position of the fetus?
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a. ROA c. RSA
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b. LSP d. LOA - Correct Answer c. RSA
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4. The nurse has received report regarding her patient in labor. The womans last vag
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inal examination was recorded as 3 cm, 30%, and ?2-
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2. The nurses interpretation of this assessment is that:
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,Maternity Test Bank Exam 1 Questions and Answers Gua 5 5 5 5 5 5 5 5
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a. The cervix is effaced 3 cm, it is dilated 30%, and the presenting part is 2 cm above
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the ischial spines.
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b. The cervix is 3 cm dilated, it is effaced 30%, and the presenting part is 2 cm above
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the ischial spines.
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c. The cervix is effaced 3 cm, it is dilated 30%, and the presenting part is 2 cm below
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the ischial spines.
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d. The cervix is dilated 3 cm, it is effaced 30%, and the presenting part is 2 cm below
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the ischial spines. -
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Correct Answer b. The cervix is 3 cm dilated, it is effaced 30%, and the presenting p
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art is 2 cm above the ischial spines.
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5. To care for a laboring woman adequately, the nurse understands that the ______
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____ stage of labor varies the most in length?
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a. First c. Third
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b. Second d. Fourth - Correct Answer a. First
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6. The nurse would expect which maternal cardiovascular finding during labor?
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a. Increased cardiac output
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b. Decreased pulse rate
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c. Decreased white blood cell (WBC) count
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,Maternity Test Bank Exam 1 Questions and Answers Gua5 5 5 5 5 5 5 5
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d. Decreased blood pressure - Correct Answer a. Increased cardiac output
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7. The factors that affect the process of labor and birth, known commonly as the fiv
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e Ps, include all except:
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a. Passenger. c. Powers.
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b. Passageway. d. Pressure. - Correct Answer d. Pressure.
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8. The slight overlapping of cranial bones or shaping of the fetal head during labor is
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called:
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a. Lightening. c. Ferguson reflex.
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b. Molding. d. Valsalva maneuver. - Correct Answer b. Molding.
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9. Which presentation is described accurately in terms of both presenting part and f
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requency of occurrence? 5 5
a. Cephalic: occiput; at least 95% c. Shoulder: scapula; 10% to 15%
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b. Breech: sacrum; 10% to 15% d. Cephalic: cranial; 80% to 85% -
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Correct Answer a. Cephalic: occiput; at least 95%
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, Maternity Test Bank Exam 1 Questions and Answers Gua 5 5 5 5 5 5 5 5
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10. With regard to factors that affect how the fetus moves through the birth canal, n
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urses should be aware that:
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a. The fetal attitude describes the angle at which the fetus exits the uterus.
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b. Of the two primary fetal lies, the horizontal lie is that in which the long axis of the
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fetus is parallel to the long axis of the mother.
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c. The normal attitude of the fetus is called general flexion.
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d. The transverse lie is preferred for vaginal birth. -
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Correct Answer c. The normal attitude of the fetus is called general flexion.
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11. As relates to fetal positioning during labor, nurses should be aware that:
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a. Position is a measure of the degree of descent of the presenting part of the fetus
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through the birth canal. 5 5 5
b. Birth is imminent when the presenting part is at +4 to +5 cm below the spine.
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c. The largest transverse diameter of the presenting part is the suboccipitobregmati
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c diameter.
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d. Engagement is the term used to describe the beginning of labor. -
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Correct Answer b. Birth is imminent when the presenting part is at +4 to +5 cm belo
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w the spine.
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