Week 4 BSN 346 Nursing Care of the Family
During Labor and Birth Exam | Questions with
100% Correct Answers | Verified | Latest Update
2026
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Terms in this set (86)
Nursing Care of the Family During Prepare a sterile environment.
Labor and Birth: The nurse would ensure that the birthing area is
Question 1 of 3 sterile, including gowns, gloves, and drapes.
Which actions are additional Prepare for perineal cleansing.
responsibilities of the nurse in the The nurse would prepare for perineal cleansing
second stage of labor? during the birth.
Select all that apply. Prepare for initial assessment of the newborn.
Prepare a sterile environment. The nurse would prepare for the initial assessment
Prepare for perineal cleansing. of newborn during the birth.
Educate the parents on how to hold
the child.
Educate the mother on latching
technique.
Prepare for initial assessment of the
newborn.
,Question 2 of 3
Match each pushing position to its
benefit.
Fetal descent is enhanced by gravity
-Standing/squatting
Helps rotation of occiput posterior
presentation
-Hands and knees
Allows for easy access in an
emergency
-Semi-recumbent
Greater maternal satisfaction, less
need for analgesia/anesthesia
-Water birth
Question 3 of 3 The latent phase
Which phase of the second stage of Passive descent of the fetus and relaxed maternal
labor includes relaxed maternal behaviors are characteristic of the latent phase of
behaviors and passive descent of the the second stage of labor
fetus?
The latent phase
The active phase
The fourth phase
The first phase
Question 1 of 3 Palpate the fundus.
The nurse would perform which Because bleeding can be caused by an
assessment to ensure proper uterine uncontracted uterus, the fundus must be palpated
involution after birth? at regular intervals to assess for consistency, which
Observe the abdomen for shape. indicates contraction of the uterine muscle.
Auscultate the abdomen.
Palpate the fundus.
Perform bimanual uterine massage.
,Question 2 of 3 Change in uterine shape
Which observations would the nurse When the infant is born, the uterine cavity
make that are suggestive of becomes much smaller and takes a spherical
placental separation? shape.
Select all that apply. Change in uterine location
Change in uterine shape The uterus rises upward in the abdomen as the
Change in uterine location placenta descends into the vagina and pushes the
A foul-smelling discharge fundus upward.
Gush of blood flow from the vagina Gush of blood flow from the vagina
Discharge containing large pieces of A gush of blood appears as blood trapped behind
placenta the placenta is released.
Question 3 of 3 Trauma to the woman's body
Which conditions are the most Trauma to the perineum, vaginal canal, or cervix
common causes of postpartum can cause postpartum hemorrhage.
hemorrhage? Blood-clotting disorders
Select all that apply. Increased clotting time can cause postpartum
Meconium staining hemorrhage.
Trauma to the woman's body Retained placental fragments
Blood-clotting disorders Retained placental fragments prevent optimal
Retained placental fragments uterine involution and therefore can cause an
Uterine atony increase in bleeding.
Uterine atony
Uterine atony is the most common cause of
postpartum hemorrhage and occurs when the
fundus is boggy. There are a number of causes of
uterine atony.
, Summary:
The nurse has specific duties
concerning the care of the mother
and the newborn during vaginal
birth, including continued
assessment. The nurse has an active
role in the second, third, and fourth
stages of labor. Assisting the health
care provider with the birth and
helping with maternal positioning are
two important nursing
responsibilities. The priority nursing
care of the mother after birth is to
assess for hemorrhage, promote firm
uterine contraction, and promote
parent-infant attachment, which is
encouraged during the first 2 hours
after birth.
Question 1 of 7 Hands and knees
The nurse midwife writes in the Hands-and-knees positions are thought to be
progress note that the baby is in the especially useful when a baby presents in the
occiput posterior presentation. The occiput posterior position. This is thought to pull
nurse knows that which maternal the fetal back forward, allowing for better rotation
position will help facilitate rotation of of the fetal head. Other benefits of this position are
the fetal head? similar to those of the upright position.
Side-lying
Hands and knees
Semi-recumbent
Lithotomy
During Labor and Birth Exam | Questions with
100% Correct Answers | Verified | Latest Update
2026
Save
Terms in this set (86)
Nursing Care of the Family During Prepare a sterile environment.
Labor and Birth: The nurse would ensure that the birthing area is
Question 1 of 3 sterile, including gowns, gloves, and drapes.
Which actions are additional Prepare for perineal cleansing.
responsibilities of the nurse in the The nurse would prepare for perineal cleansing
second stage of labor? during the birth.
Select all that apply. Prepare for initial assessment of the newborn.
Prepare a sterile environment. The nurse would prepare for the initial assessment
Prepare for perineal cleansing. of newborn during the birth.
Educate the parents on how to hold
the child.
Educate the mother on latching
technique.
Prepare for initial assessment of the
newborn.
,Question 2 of 3
Match each pushing position to its
benefit.
Fetal descent is enhanced by gravity
-Standing/squatting
Helps rotation of occiput posterior
presentation
-Hands and knees
Allows for easy access in an
emergency
-Semi-recumbent
Greater maternal satisfaction, less
need for analgesia/anesthesia
-Water birth
Question 3 of 3 The latent phase
Which phase of the second stage of Passive descent of the fetus and relaxed maternal
labor includes relaxed maternal behaviors are characteristic of the latent phase of
behaviors and passive descent of the the second stage of labor
fetus?
The latent phase
The active phase
The fourth phase
The first phase
Question 1 of 3 Palpate the fundus.
The nurse would perform which Because bleeding can be caused by an
assessment to ensure proper uterine uncontracted uterus, the fundus must be palpated
involution after birth? at regular intervals to assess for consistency, which
Observe the abdomen for shape. indicates contraction of the uterine muscle.
Auscultate the abdomen.
Palpate the fundus.
Perform bimanual uterine massage.
,Question 2 of 3 Change in uterine shape
Which observations would the nurse When the infant is born, the uterine cavity
make that are suggestive of becomes much smaller and takes a spherical
placental separation? shape.
Select all that apply. Change in uterine location
Change in uterine shape The uterus rises upward in the abdomen as the
Change in uterine location placenta descends into the vagina and pushes the
A foul-smelling discharge fundus upward.
Gush of blood flow from the vagina Gush of blood flow from the vagina
Discharge containing large pieces of A gush of blood appears as blood trapped behind
placenta the placenta is released.
Question 3 of 3 Trauma to the woman's body
Which conditions are the most Trauma to the perineum, vaginal canal, or cervix
common causes of postpartum can cause postpartum hemorrhage.
hemorrhage? Blood-clotting disorders
Select all that apply. Increased clotting time can cause postpartum
Meconium staining hemorrhage.
Trauma to the woman's body Retained placental fragments
Blood-clotting disorders Retained placental fragments prevent optimal
Retained placental fragments uterine involution and therefore can cause an
Uterine atony increase in bleeding.
Uterine atony
Uterine atony is the most common cause of
postpartum hemorrhage and occurs when the
fundus is boggy. There are a number of causes of
uterine atony.
, Summary:
The nurse has specific duties
concerning the care of the mother
and the newborn during vaginal
birth, including continued
assessment. The nurse has an active
role in the second, third, and fourth
stages of labor. Assisting the health
care provider with the birth and
helping with maternal positioning are
two important nursing
responsibilities. The priority nursing
care of the mother after birth is to
assess for hemorrhage, promote firm
uterine contraction, and promote
parent-infant attachment, which is
encouraged during the first 2 hours
after birth.
Question 1 of 7 Hands and knees
The nurse midwife writes in the Hands-and-knees positions are thought to be
progress note that the baby is in the especially useful when a baby presents in the
occiput posterior presentation. The occiput posterior position. This is thought to pull
nurse knows that which maternal the fetal back forward, allowing for better rotation
position will help facilitate rotation of of the fetal head. Other benefits of this position are
the fetal head? similar to those of the upright position.
Side-lying
Hands and knees
Semi-recumbent
Lithotomy
