Maternity Ch. 13

Front 1

a new mother asks the nurse when the "soft spot" on her son's head will go away. the nurse's answer is based on the knowledge that the anterior fontanel closes after birth by _____ months. *

Back 1

18

Front 2

when assessing a woman in labor, the nurse is aware that the relationship of the fetal body parts to one another is called fetal:*

Back 2

Attitude

Front 3

when assessing the fetus using Leopold maneuvers, the nurse feels a round, movable fetal part in the fundal portion of the uterus and a long, smooth surface in the mother's right side close to midline. What is the likely position of the fetus?

Back 3

RSA

Front 4

the nurse has received report regarding her patient in labor. the woman's last vaginal examination was as 3 cm, 30%, and ?2-2. the nurse's interpretation of the assessment is that*

Back 4

the cervix is 3 cm dilated, it is effaced 30%, and the presenting part is 2 cm above the ischial spines

Front 5

to care for a laboring woman adequately, the nurse understands that the ______ stage of labor varies the most in length*

Back 5

first

Front 6

the nurse would expect which maternal cardiovascular finding during labor*

Back 6

increased cardiac output

Front 7

the factors that affect the process of labor and birth, known commonly as the five P's, include all except*

Back 7

pressure

Front 8

the slight overlapping of cranial bones or shaping of the fetal head during labor is called*

Back 8

molding

Front 9

which presentation is described accurately in terms of both presenting part and frequency of occurrence

Back 9

cephalic: occiput; at least 95%

Front 10

with regard to factors that affect how the fetus moves through the birth canal nurses should be aware that*

Back 10

the normal attitude of the fetus is called general flexion

Front 11

as relates to fetal positioning during labor, nurses should be aware that

Back 11

birth is imminent when the presenting part is at +4 to +5 cm below the spine

Front 12

which basic type of pelvis includes the correct description and percentage of occurrence in women

Back 12

platypelloid: flattened, wide, shallow; 3%

Front 13

in relation to primary and secondary powers, the maternity nurse comprehends that

Back 13

primary powers are responsible for effacement and dilation of the cervix

Front 14

while providing care to a patient in active labor, the nurse should instruct the woman that

Back 14

frequent changes in position will help relieve her fatigue and increase her comfort

Front 15

which description of the four stages of labor is correct for both definition and duration

Back 15

first stage: onset of regular uterine contractions to full dilation; less than 1 hour to 20 hours

Front 16

with regard to the turns and other adjustments of the fetus during the birth process, known as the mechanism of labor, nurses should be aware that

Back 16

the effects of the forces determining descent are modified by the shape of the woman's pelvis and the size of the fetal head

Front 17

in order to evaluate the condition of the patient accurately during labor, the nurse should be aware that

Back 17

the endogenous endorphins released during labor will raise the woman's pain threshold and produce sedation

Front 18

the maternity nurse understands that as the uterus contracts during labor, maternal- fetal exchange of oxygen and waste products

Back 18

diminishes as the spiral arteries are compressed

Front 19

which statement is the best rationale for assessing maternal vital signs between contractions*

Back 19

maternal circulating blood volume increases temporarily during contraction

Front 20

in order to care for obstetric patients adequately, the nurse understands that labor contractions facilitate cervical dilation by

Back 20

pulling the cervix over the fetus and amniotic sac

Front 21

to teach patients about the process of labor adequately, the nurse knows that which event is the best indicator of true labor*

Back 21

cervical dilation and effacement

Front 22

which occurrence is associated with cervical dilation and effacement*

Back 22

bloody show

Front 23

the primary difference between the labor of a nullipara and that a multipara is the *

Back 23

total duration of labor

Front 24

a primigravida at 39 weeks of gestation is observed for 2 hours in the intrapartum unit. the fetal heart rate has been normal. contractions are 5 to 9 minutes apart, 20 to 30 seconds in duration, and of mild intensity. cervical dilation is 1 to 2 cm and uneffaced ( unchanged from admission). membranes are intact. the nurse should expect the woman to be*

Back 24

discharged home to await the onset of true labor

Front 25

which nursing assessment indicates that a woman who is second-stage labor is almost ready to give birth

Back 25

the vulva bulges and encircles the fetal head

Front 26

signs that precede labor include (select all the apply)*

Back 26

lightening

bloody show

rupture of membranes

Front 27

which factors influence cervical dilation (select all that apply)

Back 27

strong uterine contractions

the force of the presenting fetal part against the cervix

the pressure applied by the amniotic sac

scarring of the cervix

Front 28

a. flexion e. engagement

b. internal rotation f. descent

c. external rotation g. extension

d. expulsion

one

two

three

four

five

six

seven

Back 28

one (E)

two (F)

three (A)

four (B)

five (G)

six (C)

seven (D)