NUR 254 Maternity and Pediatrics Exam 2|REAL
EXAM PRACTICE QUESTIONS AND CORRECT
ANSWERS|A+GRADE
When determining the frequency of contractions, the nurse would measure which
of the following?
a. Start of one contraction to the start of next contraction
b. Beginning of one contraction to the end of the same contraction
c. Peak of one contraction to the peak of the next contraction
d. End of one contraction to the beginning of the next contraction
A. Frequency is measured by the start of one contraction to the
start of the next one.
Which fetal lie is most conducive to a spontaneous vaginal birth?
a. Transverse
b. Longitudinal
C. Perpendicular
D. Oblique
B. Longitudinal - places fetus in a vertical position
Which of the following observations would suggest that placental separation is
occuring?
A. Uterus stops contracting altogether
B. Umbilical cord pulsations stop
C. Uterine shape changes to globular
D. Maternal blood pressure drops
,C. After the placenta separates from the uterine wall, the shape of
the uterus changes from discoid to globular.
As the nurse is explaining the difference between true versus false labor to her
childbirth class, she states that the major difference between them is:
A. Discomfort level is greater with false labor
B. Progressive cervical changes occur in true labor
C. There is a feeling of nausea with false labor
D. There is more fetal movement with true labor
B. Progressive cervical changes occur in true labor, not in false
labor.
The shortest but most intense phase of labor is the:
A. Latent phase
B. Active phase
C. Transition phase
D. Placental expulsion phase
C. Transition phase. Is when contractions are 1-2 min apart and the
final dilation is taking place.
A laboring woman is admitted to the labor and birth suite at 6 cm dilation. She
would be in which phase of the first stage of labor?
A. Latent
B. Active
C. Transition
, D. Early
B. Active. In this stage the cervix dilates from 3-7cm with 40-80%
effacement occurring.
Which assessment would indicate that a woman is in true labor?
A. Membranes are ruptures and fluid is clear.
B. Presenting part is engaged and not floating
C. Cervix is 4 cm dilated, 90% effeced.
D. Contractions last 30 seconds every 5-10 min.
D. True labor is characterized by contractions occurring at regular
intervals that increase in frequency, duration, and intensity
Interventions that are underutilized in promoting a normal birth. Select all that
apply.
A. Oral nutrition and fluids in labor.
B. Open glottis pushing in the second stage of labor.
C. Skin-to-skin contact after birth for infant bonding.
D.Routine artificial rupture of membranes (amniotomy)
E. Labor induction with Pitocin given intravenously
F. Routine episiotomy to shorten labor length
"A," "B,"and "C" since all of these are evidence-based interventions that are
physiologically sound without placing the mother or the neonate in any danger.
Food and clear fluids provide hydration and nutrition and give comfort to
laboring women. Fasting during labor will increase gastric acid production. Open
glottis while pushing allows the woman's body to sense the urge to push
naturally. Skin-to-skin contact promotes mother-infant bonding and warmth.
EXAM PRACTICE QUESTIONS AND CORRECT
ANSWERS|A+GRADE
When determining the frequency of contractions, the nurse would measure which
of the following?
a. Start of one contraction to the start of next contraction
b. Beginning of one contraction to the end of the same contraction
c. Peak of one contraction to the peak of the next contraction
d. End of one contraction to the beginning of the next contraction
A. Frequency is measured by the start of one contraction to the
start of the next one.
Which fetal lie is most conducive to a spontaneous vaginal birth?
a. Transverse
b. Longitudinal
C. Perpendicular
D. Oblique
B. Longitudinal - places fetus in a vertical position
Which of the following observations would suggest that placental separation is
occuring?
A. Uterus stops contracting altogether
B. Umbilical cord pulsations stop
C. Uterine shape changes to globular
D. Maternal blood pressure drops
,C. After the placenta separates from the uterine wall, the shape of
the uterus changes from discoid to globular.
As the nurse is explaining the difference between true versus false labor to her
childbirth class, she states that the major difference between them is:
A. Discomfort level is greater with false labor
B. Progressive cervical changes occur in true labor
C. There is a feeling of nausea with false labor
D. There is more fetal movement with true labor
B. Progressive cervical changes occur in true labor, not in false
labor.
The shortest but most intense phase of labor is the:
A. Latent phase
B. Active phase
C. Transition phase
D. Placental expulsion phase
C. Transition phase. Is when contractions are 1-2 min apart and the
final dilation is taking place.
A laboring woman is admitted to the labor and birth suite at 6 cm dilation. She
would be in which phase of the first stage of labor?
A. Latent
B. Active
C. Transition
, D. Early
B. Active. In this stage the cervix dilates from 3-7cm with 40-80%
effacement occurring.
Which assessment would indicate that a woman is in true labor?
A. Membranes are ruptures and fluid is clear.
B. Presenting part is engaged and not floating
C. Cervix is 4 cm dilated, 90% effeced.
D. Contractions last 30 seconds every 5-10 min.
D. True labor is characterized by contractions occurring at regular
intervals that increase in frequency, duration, and intensity
Interventions that are underutilized in promoting a normal birth. Select all that
apply.
A. Oral nutrition and fluids in labor.
B. Open glottis pushing in the second stage of labor.
C. Skin-to-skin contact after birth for infant bonding.
D.Routine artificial rupture of membranes (amniotomy)
E. Labor induction with Pitocin given intravenously
F. Routine episiotomy to shorten labor length
"A," "B,"and "C" since all of these are evidence-based interventions that are
physiologically sound without placing the mother or the neonate in any danger.
Food and clear fluids provide hydration and nutrition and give comfort to
laboring women. Fasting during labor will increase gastric acid production. Open
glottis while pushing allows the woman's body to sense the urge to push
naturally. Skin-to-skin contact promotes mother-infant bonding and warmth.
