NIKKI PRETTY (MATERNAL)

b. Android- "MALE"

The pubic arch forms an acute angle, making the lower dimensions of the pelvis extremely narrow and a fetus may have difficulty exiting from this type of pelvis a. Gynecoid Pelvis "FEMALE" b. Android- "MALE" c. Platypelloid

a. En face position

Looking directly at her newborn's face with direct eye contact. a. En face position b. Complete rooming-in c. Partial rooming-in

c. Platypelloid

"Flattened" (oval) It has a smoothly-curved oval inlet, but the anteroposterior diameter is shallow. A fetal head might not be able to rotate to match the curves of the pelvic cavity. a. Gynecoid Pelvis "FEMALE" b. Android- "MALE" c. Platypelloid

D. dark red

10. The nurse palpates the fundus and notes the character of the lochia in the fourth stage of labor. The expected finding during this stage is: A. white B. brown C. pink D. dark red

B. Infancy

1 month to 12 months A. Newborn/neonatal period B. Infancy

a. Toddler

1 year to 3 years a. Toddler b. Preschool c. School age d. Puberty

a. Early adolescence

12 years to 16 years a. Early adolescence b. Late adolescence

D. Complaints of hunger

1. A woman delivered a newborn 12 hours ago. Which of the following assessment would the nurse expect to find? A. Lochia alba B. Soft, boggy fundus C. Transient tachycardia D. Complaints of hunger

D. Increasing intensity with walking

1. Which of the characteristics of contractions would the nurse expect to find in a client experiencing true labor? A. Occurring at regular intervals B. Starting mainly in the abdomen C. Gradually increasing intervals D. Increasing intensity with walking

C. To identify actual or potential problems requiring immediate or emergency attention

1. Which of the following would the nurse identify as a goal of newborn care in the postpartum period? A. To facilitate development of a close parent-newborn relationship B. To assist parents in developing healthy attitudes about childbearing practices C. To identify actual or potential problems requiring immediate or emergency attention D. To provide the parents of the newborn with information about well-baby programs

B. Embryonic

10 days to 8 weeks gestation A. Germinal B. Embryonic C. Fetal

d. Puberty

10 years to 12 years a. Toddler b. Preschool c. School age d. Puberty

B. "I will ask the patient to extend her legs flat on bed and dorsiflex her foot forward."

10. The nurse is assessing Homan's sign on a postpartum patient. Which statement of the student indicates an understanding of this assessment technique? A. "I will ask the patient to raise her extended leg and lower her legs slowly." B. "I will ask the patient to extend her legs flat on bed and dorsiflex her foot forward." C. "I will ask the patient to extend her legs flat on bed and sharply extend her foot backward." D. "I will ask the patient to raise her legs against pressure from my hand."

b. Late adolescence

16 to 19 years a. Early adolescence b. Late adolescence

FALSE PELVIS- upper half which supports the uterus during the late months of pregnancy & aids in directing the fetus into the true pelvis for birth TRUE PELVIS- lower half of the pelvis; long, bony, curved canal divided into 3 parts: inlet, pelvic cavity, outlet

2 Divisions of the Pelvis:

C. Fetal

2 months to birth A. Germinal B. Embryonic C. Fetal

D. At the level of the outlet

INTERNAL ROTATION begins: A. at the level of the ischial tuberosity B. Below the ischial spines C. Within the false pelvis D. At the level of the outlet

b. Preschool

3 years to 6 years a. Toddler b. Preschool c. School age d. Puberty

A. Involution

3. During lecture of a childbirth class, the nurse explains that in the postpartum period the process whereby the uterus returns to its pre-pregnancy state is called: A. Involution B. Puerperium C. Uterine atony D. Lochia rubra

B. A change in pressure gradients

4. The initial respirations of the newborn are a result from which of the following? A. A rise in temperature B. A change in pressure gradients C. Increased blood pH D. Decreased blood CO2 level

D. Taking in

4. The labor and delivery experience is frequently reviewed by the mother. During which of the following periods according to Reva Rubin, is this commonly done? A. Letting-down B. Letting go C. Taking hold D. Taking in

1. PELVIS (the PASSAGE) 2. FETUS (the PASSENGER) 3. Uterine factors (POWERS of labor) 4. a woman's PSYCHE 5. POSITION

5 P's:

c. School age

6 years to 10 years a. Toddler b. Preschool c. School age d. Puberty

a. POSTPARTAL PERIOD/ PUERPERIUM

6-week period after childbirth or fourth trimester of pregnancy. a. POSTPARTAL PERIOD/ PUERPERIUM b. SCHULTZE PRESENTATION (80%) c. DUNCAN PLACENTA

C. Notify the physician

6. The nurse is assessing a patient in the fourth stage of labor. She notes that the fundus is firm, globular and located midline of the abdomen. But she assessed that bleeding is excessive. Which of the following is the most appropriate initial nursing action? A. Massage the fundus B. Place the patient in Trendelenburg position C. Notify the physician D. Document the findings

C. Left lateral recumbent

6. What is the best position to assume by a low-risk parturient who is in early labor? A. Supine B. Lithotomy C. Left lateral recumbent D. Squatting

A. An increase in pulse rate from 78 to 106 bpm

7. The nurse is assessing a patient in the immediate postpartum period for signs of hemorrhage. Which of the following assessment findings indicates an early sign of excessive blood loss? A. An increase in pulse rate from 78 to 106 bpm B. A blood pressure change from128/88 to 118/80 mm Hg. C. A body temperature of 37.4C D. A respiratory rate of 24/min.

A. The patient with bright red lochia with blood clots greater than 1 cm.

8. Which of the following 1-day postpartum patients should be given the highest priority by the nurse? A. The patient with bright red lochia with blood clots greater than 1 cm. B. The patient who complains of afterpains C. The client with a pulse rate of 62 bpm D. the patient with colostrum discharge from both breasts.

A. Breasts become distended with milk on the third day.

9. The nurse is providing postpartum instructions to a patient after delivery of a healthy newborn. Which of the following instructions should be given by the nurse to the patient? A. Breasts become distended with milk on the third day. B. Normal bowel elimination returns by the 4th or 5th day C. Temperature may be elevated after 2 days. D. Pulse rate of 96 to 110 bpm is normal during the first week. E. Depressed feelings for the first 4 weeks is to be expected.

B. Uric acid crystals

9. Which of the following when present in the urine may cause a reddish stain on the diaper of a newborn? A. Mucus B. Uric acid crystals C. Bilirubin D. Excess iron

C. appearance of a sudden gush of blood

A client delivers a healthy baby girl. An indication to the nurse that the placenta is beginning to separate from the uterus and is ready to be delivered would be the: A. presence of strong contractions B. descent of the uterus C. appearance of a sudden gush of blood D. retraction of the umbilical cord into the vagina

C. The cervix dilates and effaces in true labor

A woman who is having contractions is concerned whether she is in labor or not. She states, "How will you know if I already am in labor? A. A bloody show is rare with false labor B. fetal movement is decreased in true labor C. The cervix dilates and effaces in true labor D. The membranes rupture when true labor begins

a. Sagittal suture

Joins the 2 parietal bones a. Sagittal suture b. Coronal suture c. Lambdoid suture d. Cranial sutures

c. Lambdoid suture

Juncture of the occipital bone & the 2 parietal bones a. Sagittal suture b. Coronal suture c. Lambdoid suture d. Cranial sutures

a. PLACENTAL EXPULSION

Active bleeding on the maternal surface of the placenta begins with separation; the bleeding helps push it away from the attachment site a. PLACENTAL EXPULSION b. Latent Phase- 6 to 8 hours c. Transition stage d. THIRD STAGE OF LABOR

A. Aorta

After birth, which of the following structures receives blood only from the left ventricle? A. Aorta B. Inferior vena cava C. Pulmonary arteries D. Ductus arteriosus

C. One umbilical vein and two umbilical arteries

After placental delivery, the nurse examines the cord and evaluates that it is normal with the identification of which findings? A. One umbilical vein and one umbilical artery B. two umbilical veins and two umbilical arteries C. One umbilical vein and two umbilical arteries D. A placental weight of 1,000 g.

B. Feel the nape for any cord coil

After the baby's head extends, which of these actions should be carried out first? A. Suction the nose, then the mouth B. Feel the nape for any cord coil C. Promote internal rotation of the head D. Stimulate cry

d. THIRD STAGE OF LABOR

Also called PLACENTAL STAGE. Lasts 3 to 5 mins up to 1 hour. a. Ferguson reflex b. Latent Phase- 6 to 8 hours c. Transition stage d. THIRD STAGE OF LABOR

c. DIAGONAL CONJUGATE

Anterior-posterior diameter of the inlet a. Android- "MALE" b. Platypelloid c. Diagonal Conjugate

a. ANTERIOR FONTANELLE (BREGMA)

At the junction of the coronal & sagittal sutures, diamond-shaped; closes at 18 mos a. ANTERIOR FONTANELLE (BREGMA) b. POSTERIOR FONTANELLE(LAMBDA) c. VERTEX d. MOLDING

b. POSTERIOR FONTANELLE(LAMBDA)

At the junction of the lambdoidal & sagittal sutures, triangular and smaller than the bregma; closes at 2-3 mos a. ANTERIOR FONTANELLE (BREGMA) b. POSTERIOR FONTANELLE(LAMBDA) c. VERTEX d. MOLDING

D. Flex the client's legs sharply against her abdomen

At ultrasound, it was known that presentation was breech. The doctor will perform external cephalic version. The client asked what a cephalic version is. What is the response of the nurse?? A. Apply fundal pressure B. Prepare for an assisted forceps delivery C. Obtain an order for oxytocin D. Flex the client's legs sharply against her abdomen

matured female 3.4 kg (7.5 lbs) matured male newborn is 3.5 kg (7.7 lbs)

Average birth weight of a matured female newborn _______________ and a matured male newborn is ___________

Average matured female newborn is 53 cm (20.9 in); matured male newborn is 54 cm (21.3 in)

Average length of matured female newborn is _____ cm (20.9 in); matured male newborn is ______ cm (21.3 in)

B. Foramen ovale

Before birth, which of the following structures connects the left and right atria of the heart? A. Umbilical vein B. Foramen ovale C. Ductus arteriosus D. Ductus venosus

A. Newborn/neonatal period

Birth to 1 month A. Newborn/neonatal period B. Infancy- 1 month to 12 months

D. Infancy Period

Birth to 1 year A. Newborn/neonatal period B. Infancy- 1 month to 12 months C. Prenatal Period D. Infancy Period

15

Blood pressure rises by an average of __ mm Hg with every contraction A. 30 B. 15 C. 50

b. ACROCYANOSIS

Blueness of hands & feet is normal in the 1st 24 to 48 hours after birth a. HEMANGIOMA b. ACROCYANOSIS c. Central Cyanosis

a. 10 days to 6 weeks

Letting go phase lasts _________ days/weeks. a. 10 days to 6 weeks b. 7 days to 2 weeks c. 3 days to 9 weeks

b. Coronal suture

Line of juncture of the frontal bones & the 2 parietal bones a. Sagittal suture b. Coronal suture c. Lambdoid suture d. Cranial sutures

C. MODERATE FLEXION

Chin is NOT touching the chest but in an alert or "MILITARY POSITION"; presents the next-widest diameter,(OCCIPITO-FRONTALIS (OF) A. FETAL ATTITUDE B. NORMAL or GOOD ATTITUDE C. MODERATE FLEXION

A. Germinal

Conception to 10 days gestation A. Germinal B. Embryonic C. Fetal

C. Prenatal Period

Conception to birth A. Newborn/neonatal period B. Infancy- 1 month to 12 months C. Prenatal Period

a. Active Stage- 3 to 6 hours

Contractions are stronger, lasting from 40 to 60 secs, occurring approximately every 3 to 5 mins and cervical dilatation is more rapid increasing from 4 to 7 cm a. Active Stage- 3 to 6 hours b. Latent Phase- 6 to 8 hours c. Transition stage

c. Transition stage

Contractions reach their peak of intensity, occurring every 2 to 3 mins with a duration of 60 to 90 secs & causing a maximum dilatation of 8 to 10 cm. If membranes have not ruptured before, they will rupture due to full dilatation (10 cm). At the end of this phase, both full dilatation (10 cm) & full effacement (100% or full obliteration of the cervix) will have occurred a. Active Stage- 3 to 6 hours b. Latent Phase- 6 to 8 hours c. Transition stage

B. No odor

Lochia serosa is characterized by which of the following? A. Creamy yellow color B. No odor C. Serosanguinous appearance D. White to colorless

A. Lochia Rubra

Dark red, bloody; fleshy, musty, stale odor that is non-offensive; may have tiny clots A. Lochia Rubra (1 to 3 days) B. Lochia Serosa (4 to 10 days) C. Lochia Alba (11 to 21 days)

D. Cervical dilatation of 4 to 7 cm

During the transition phase of the first stage of labor, which of the following occurs? A. Irregular short contractions B. Feeling the urge to push C. Onset of the first contractions D. Cervical dilatation of 4 to 7 cm

A. Primiparas

Effacement occurs before dilatation A. Primiparas B. Multiparas C. Palpation

c. Engrossment

Fathers staring at the NB for long periods of time a. En face position b. Complete rooming-in c. Engrossment

a. Gynecoid Pelvis "FEMALE"

Has an inlet that is well-rounded and has a wide pubic arch. a. Gynecoid Pelvis "FEMALE" b. Android- "MALE" c. Platypelloid

SCHULTZE PRESENTATION (80%)

If the placenta separates first at its center & lastly at its edges, it will fold on itself like an umbrella & present with the FETAL SURFACE, appearing shiny & glistening from the fetal membranes A. SCHULTZE PRESENTATION (80%) B. DUNCAN PLACENTA

B. DUNCAN PLACENTA

If the placenta separates with the MATERNAL SIDE (raw, red, & irregular with the cotyledons showing) A. SCHULTZE PRESENTATION (80%) B. DUNCAN PLACENTA

LINEA TERMINALIS or BRIM

Imaginary line from the sacral promontory to the superior border of the SP which divides the pelvis into true & false pelves

D. External rotation

Immediately before expulsion, which of the following cardinal movements can occur? A. Descent B. Flexion C. Extension D. External rotation

c. Partial rooming-in

Infant remains in the woman's room most of the time a. En face position b. Complete rooming-in c. Partial rooming-in

D. MORAL DEVELOPMENT

Is the ability to know right from wrong and to apply these to real-life situations (KOHLBERG) a. GROWTH b. DEVELOPMENT c. PSYCHOSEXUAL DEVELOPMENT D. MORAL DEVELOPMENT

A. FETAL ATTITUDE

It describes the degree of flexion a fetus assumes during labor or the relation of the fetal parts to each other A. FETAL ATTITUDE B. NORMAL or GOOD ATTITUDE C. MODERATE FLEXION

D. Ischial spines

It is a landmark of the midpelvis and is important for determining engagement A. symphysis pubis B. iliac crest C. Ischial tuberosities D. Ischial spines

d. FOURTH STAGE OF LABOR

It is a stage of recovery & bonding. Lasts from 1 to 4 hours after birth & initiates postpartum period a. Ferguson reflex b. Latent Phase- 6 to 8 hours c. Transition stage d. FOURTH STAGE OF LABOR

A. Bi-ischial diameter

It is a the most reliable measurement of the outlet A. Bi-ischial diameter B. Diagonal conjugate C. Obstetric conjugate D. True conjugate

B. Cephalopelvic disproportion (CPD)

It is the condition where the fetal head cannot fit into the diameters of the maternal pelvis; thus, necessitating a C-section A. Dystocia B. Cephalopelvic disproportion (CPD) C. False labor D. second stage arrest

D. FETAL PRESENTATION

It is the first body part of the fetus to enter the true pelvis and also the first body part to come out during delivery A. FETAL LIE B. DIPPING C. ENGAGED D. FETAL PRESENTATION

A. Diagonal conjugate

It is the measurement between the anterior surface of the sacral prominence (sacral promontory) and the posterior surface (inferior margin) of the symphysis pubis A. Diagonal conjugate B. Obstetric conjugate C. True conjugate D. Bi-ischial conjugate

d. SECOND STAGE OF LABOR/ EXPULSIVE STAGE

It is the period from full dilatation & cervical effacement (unable to feel the cervix) to the birth of the infant a. Active Stage- 3 to 6 hours b. Latent Phase- 6 to 8 hours c. Transition stage d. SECOND STAGE OF LABOR/ EXPULSIVE STAGE

A. FETAL LIE

It is the relationship between the long (CEPHALOCAUDAL) axis of the fetal body and the long (cephalocaudal) axis of the woman's body A. FETAL LIE B. DIPPING C. ENGAGED D. STATION

D. FETAL ENGAGEMENT

It is the settling of the presenting part of the fetus far enough into the pelvis to be at the level of the ISCHIAL SPINES. A. FETAL ATTITUDE B. NORMAL or GOOD ATTITUDE C. MODERATE FLEXION D. FETAL ENGAGEMENT

C. False pelvis

It is the upper half of the pelvis which supports the uterus during the late months of pregnancy & aids in directing the fetus into the true pelvis for birth A. Inlet B. Outlet C. False pelvis D. True pelvis

D. STATION

It refers to the relationship of the presenting part of the fetus to the level of the ischial spines A. FLOATING B. DIPPING C. ENGAGED D. STATION

D. Engagement

It refers to the relationship of the presenting part of the fetus to the level of the ischial spines A. Descent B. Extension C. Internal Rotation D. Engagement

A. Passageway

It refers to the route a fetus must travel from the uterus through the cervix & vagina to the external perineum A. Passageway B. Passenger C. Powers D. Psyche

b. Optimal position

May vary and may range from sitting, to squatting, to a semi-reclined position, or to ambulating position. a. Left lateral recumbent (LLR) or Left side-lying position b. Optimal position c. No clear-cut best position

2

Molding lasts only a day or ____

a. Left lateral recumbent (LLR) or Left side-lying position

Most comfortable and best for fetal well-being as this prevents SUPINE HYPOTENSION SYNDROME (vena caval syndrome). Avoid supine position. a. Left lateral recumbent (LLR) or Left side-lying position b. Optimal position c. No clear-cut best position

b. Complete rooming-in

Mother and child are together 24h a day a. En face position b. Complete rooming-in c. Engrossment

A. SUBOCCIPITOBREGMATIC DIAMETER

Narrowest, about 9.5 cm, from the inferior aspect of the occiput to the center of the anterior fontanelle A. SUBOCCIPITOBREGMATIC DIAMETER B. OCCIPITOFRONTAL DIAMETER C. OCCIPITOMENTAL DIAMETER d. MOLDING

A. 300-500 ML

Normal blood loss of placental separation A. 300-500 ML B. 500-600 ML C. 800-1L

B. A gravida 3 para 2002 patient who is breastfeeding

Nurse Mara is aware that periodic contraction and relaxation of the uterine muscles cause pains and cramping after birth. Which of the following patients is more likely to experience severe pain after giving birth? A. A gravida 1 para 1001 patient who is bottle feeding B. A gravida 3 para 2002 patient who is breastfeeding C. A gravida 3 para 1102 patient who is bottle feeding D. A gravida 2 para 1001 patient who is breastfeeding

D. Transitional phase

Nursing assessment of a woman in labor noted marked introspection, irritability and inability to focus. She is diaphoretic, and cries, "I can't take it anymore!" These behaviors are characteristic of which stage or phase of labor? A. Latent phase B. Second phase C. Active phase D. Transitional phase

c. Central Cyanosis

Or cyanosis of the trunk indicates decreased oxygenation a. HEMANGIOMA b. ACROCYANOSIS c. Central Cyanosis

B. Lochia Serosa

Pink or brownish; watery; odorless A. Lochia Rubra (1 to 3 days) B. Lochia Serosa (4 to 10 days) C. Lochia Alba (11 to 21 days)

C. Palpation

Placing the hand lightly on the fundus with the fingers spread; described as mild, moderate and strong by judging the degree of indentability /depressability of the uterine wall during acme. A. Primiparas B. Multiparas C. Palpation D. Intensity

D. COMPLETE EXTENSION

Poor flexion, back arched, neck extended; OM DIAMETER (FACE presentation); in oligohydramnios or neurologic abnormality (spasticity) A. FETAL ATTITUDE B. NORMAL or GOOD ATTITUDE C. MODERATE FLEXION D. COMPLETE EXTENSION

b. Latent Phase- 6 to 8 hours

Preparatory phase begins at the onset of regular contractions & ends when rapid cervical dilatation begins. Contractions are mild and short (causing mild discomfort only), lasting from 20 to 40 secs. a. Active Stage- 3 to 6 hours b. Latent Phase- 6 to 8 hours c. Transition stage

A. PARTIAL EXTENSION

Presents the 'BROW' A. PARTIAL EXTENSION B. NORMAL or GOOD ATTITUDE C. MODERATE FLEXION

D.Molding

Refers to change in the shape of the fetal skull produced by the force of the uterine contractions pressing the vertex of the head against the notyet-dilated cervix; the incompletely ossified bones will overlap making the head longer & narrower a. ANTERIOR FONTANELLE (BREGMA) b. POSTERIOR FONTANELLE(LAMBDA) c. VERTEX d. MOLDING

D. Cognitive Development

Refers to the ability to learn or understand from experience, to acquire and retain certain knowledge, to respond to a new situation, and to solve problems (PIAGET's COGNITIVE DEVELOPMENT THEORY) a. GROWTH b. DEVELOPMENT c. PSYCHOSEXUAL DEVELOPMENT D. COGNITIVE DEVELOPMENT

D. Intensity

Refers to the strength of a uterine contraction during acme, can be determined by palpation A. Primiparas B. Multiparas C. Palpation D. Intensity

C. EFFACEMENT

Shortening & thinning of the cervical canal; normally, it is 1 to 2 cm long but with effacement, the canal virtually disappears A. DURATION B. FREQUENCY C. EFFACEMENT

A. wants to talk about her pregnancy, labor and birth. Passive and dependent. Preoccupied with her own needs.

TAKING IN PHASE (1st to 3 days postpartum) A. Wants to talk about her pregnancy, labor and birth. Passive and dependent. Preoccupied with her own needs. B. Less dependent, take a strong interest in the care of her child and make her own decisions but still feels insecure about her mothering skills. C. Woman redefines her new role & motherhood functions are established.

B. less dependent, take a strong interest in the care of her child and make her own decisions but still feels insecure about her mothering skills. Give guidance and demonstrations on how to care for her child

TAKING-HOLD PHASE (3rd to the 10th day) A. Encourage her to talk about the birth to help her integrate it into her life experience B. less dependent, take a strong interest in the care of her child and make her own decisions but still feels insecure about her mothering skills. Give guidance and demonstrations on how to care for her child C. gives up her fantasized image of her child and accepts her child as a unique person

11.5

TD of outlet/bi-ischial diameter

10 cm

TD of pelvic cavity/inter-spinous diameter

A. Engagement, internal rotation, external rotation, expulsion and flexion

The cardinal movements of labor in proper sequence are: A. Engagement, internal rotation, external rotation, expulsion and flexion B. Engagement, descent, internal rotation, external rotation, extension C. Extension, internal rotation, external rotation and expulsion D. Expulsion, internal rotation, external rotation, extension

B. NORMAL or GOOD ATTITUDE

The chin touches the sternum, arms are flexed & folded on the chest, thighs flexed onto the abdomen, calves pressed against the posterior aspect of the thighs; presents the smallest AP diameter of the skull A. FETAL ATTITUDE B. NORMAL or GOOD ATTITUDE C. MODERATE FLEXION

C. evidence of cervical dilatation

The decision is made to encourage a woman in early labor to ambulate around the unit fpr a while then to reassess her status. What assessment distinguishes between true and false labor? A. confirmation of spontaneous rupture of membranes B. signs and symptoms of increasing discomfort C. evidence of cervical dilatation D. presence of copious bloody vaginal discharge

A. This period lasts about 30 minutes

The first period of reactivity begins at birth. Which of the following is characteristic of this period? A. This period lasts about 30 minutes B. The infant is asleep. C. A poor suck is present. D. Respirations may be increased to 110cpm

B. every 5 minutes

The head nurse checks for labor contractions in the monitoring sheet of Mrs. Lyra, who is in the active phase of labor. Entered data include: "8 a.m.: contraction, moderate, lasts 45 sec.; 8:05 a.m. contraction, moderate, lasts 45 sec." based on these data, what is Mrs. Lyra's interval of contractions? A. 45 secs. B. every 5 minutes C. 4 minutes 5 seconds D. 30 seconds

B. ACME (APEX)

The height or peak of a uterine contraction A. INCREMENT (CRESCENDO) B. ACME (APEX) C. DECREMENT (DECRESCENDO)

B. The client feels out of control

The pregnant client is in the latent phase of labor. Which of the following findings characterize this stage of labor? A. The client is helpless and restless B. The client feels out of control C. The client feels talkative and eager D. The client is tired and anxious

B. Ischial spine

The landmark used in determining station is: A. Ischial promontory B. Ischial spine C. Ischial tuberosity D. Ischial prominence

A. helping the patient maintain control

The management of a client in the transition phase of labor is primarily directed toward: A. helping the patient maintain control B. decreasing intravenous fluid intake C. reducing the client's discomfort with medications D. having the client follow simple breathing patterns during contractions

B. 2 cm below the ischial spine

The nurse is reviewing the record of the patient in the labor room and notes that the fetus is in +2 station. The nurse notes that the fetal presenting part is: A. 2 cm above the ischial spine B. 2 cm below the ischial spine C. 2 inches below the ischial spine D. 2 inches above the ischial spine

B. Completely extended

The nurse understands that the fetal head is in which position with a face presentation? A Completely flexed B. Completely extended C. Partially flexed D. Partially extended

D. Beginning of one contraction to the beginning of the next

The partner of a woman in labor is having difficulty timing the frequency of contractions and asks the nurse to review the procedure. The nurse instructs the partner to note the time from the: A. End of one contraction to the beginning of the next B. Beginning of one contraction to the end of the next C. Beginning of one contraction to the end of the same contraction. D. Beginning of one contraction to the beginning of the next

A. DURATION

The period from the beginning of increment to the completion of decrement of the same contraction; expressed in seconds; the maximum normal duration is 90 seconds in the transition phase A. DURATION B. FREQUENCY C. EFFACEMENT

B. FREQUENCY

The period of time from the beginning of 1 from 0 to 10 cm. A. DURATION B. FREQUENCY C. EFFACEMENT

C. DECREMENT (DECRESCENDO)

The phase of decreasing contraction, "letting up"; the last or end phase A. INCREMENT (CRESCENDO) B. ACME (APEX) C. DECREMENT (DECRESCENDO)

A. INCREMENT (CRESCENDO)

The phase of increasing or 'building up' of a contraction; the first phase; the longest phase A. INCREMENT (CRESCENDO) B. ACME (APEX) C. DECREMENT (DECRESCENDO)

B. Supine position

The position that the nurse teaches the client to avoid when experiencing back pain during labor would be the: A. Sitting position B. Supine position C. Right lateral position D. Left-side-lying position

c. VERTEX

The space between the fontanelles a. ANTERIOR FONTANELLE (BREGMA) b. POSTERIOR FONTANELLE(LAMBDA) c. VERTEX d. MOLDING

a. Ferguson reflex

The urge to bear down as the presenting part presses on the stretch receptors on the pelvic floor causing release of oxytocin a. Ferguson reflex b. Latent Phase- 6 to 8 hours c. Transition stage d. SECOND STAGE OF LABOR/ EXPULSIVE STAGE

C. Provide back massage

The woman is in active labor. The position of the fetus is left occiput posterior. Which of the following measures should be included when caring for the patient? A. Provide food and fluids B. assist the client to ambulate C. Provide back massage D. Allow the client to sleep.

D. Nourishment of the growing fetus

These are functions of the pelvis except: A. Support & protect the reproductive & other pelvic organs B. Accommodation of the growing fetus C. Anchorage of the pelvic support structures D. Nourishment of the growing fetus

11 cm

Transverse diameter of the outlet

a. HEMANGIOMA

Vascular tumor of the skin a. HEMANGIOMA b. ACROCYANOSIS c. Central Cyanosis

A. Head presents the smallest diameter for delivery

What is the physiologic advantage derived by flexion of the fetal head during labor? A. Head presents the smallest diameter for delivery B. Head is able to exert greater pressure against the cervix C. Perineal pressure is less likely to be obstructed by secretions D. Fetal nose and mouth are less likely to be obstructed by secretions

B. Place the fingertips of one hand over the fundus pressing gently to measure uterine contractions

When assessing a laboring woman's uterine contractions, it is important for the nurse to: A. Ask the client when her contractions started and how long they are occurring B. Place the fingertips of one hand over the fundus pressing gently to measure uterine contractions C. Use an electronic monitor to measure uterine contractions D. Place client in dorsal recumbent position and perform Leopold's maneuver

D. beginning of one contraction to the beginning of the next

When assessing frequency of contractions, the nurse should assess intervals of which of the following: A. acme on one contraction to the beginning of the next B. Beginning of one contraction to the end of the next C. end of one contraction to the end of the next D. beginning of one contraction to the beginning of the next

B. 100 bpm

When assessing the newborn's heart rate, which of the following would be considered normal if the baby were sleeping? A. 80 bpm B. 100 bpm C. 120 bpm D. 140 bpm

C. cord prolapse right after rupture of membranes

When assisting a client in labor whose fetus is in breech presentation, it is important to assess initially for: A. meconium-stained amniotic fluid B. presence of early decelerations C. cord prolapse right after rupture of membranes D. cervical dilatation

D. Prepare the woman to be transferred to the delivery room

When crowning is observed during labor, you would take which of the following actions? A. Position the woman on her left side B. Have the woman hold her breath and push C. Encourage the woman to pant D. Prepare the woman to be transferred to the delivery room

B. Side of the maternal pelvis

When describing fetal position, the first letter in the series denotes: A. Presenting part of the fetus B. Side of the maternal pelvis C. Size of the maternal pelvis D. Type of fetal delivery

c. MILD

When fundus is tense but can be indented easily with fingertips, the intensity is ___________. a. STRONG b. MODERATE c. MILD

b. MODERATE

When the fundus is difficult to indent, the intensity is ______________. a. STRONG b. MODERATE c. MILD

a. STRONG

When the uterine fundus is very firm and cannot be indented with fingers, the intensity is __________ a. STRONG b. MODERATE c. MILD

C. Moderate flexion

Which of the following attitudes refers to the "military" position? A. Partial extension B. Complete extension C. Moderate flexion D. Complete flexion

B. Transverse diameter of inlet less than 12 cm.

Which of the following diameters will pose a problem for vaginal delivery? A. True conjugate 11.5 cm or greater B. Transverse diameter of inlet less than 12 cm. C. Oblique diameter of the inlet is 12.7 cm or greater D. Anteroposterior diameter of the outlet is 11.7 or greater

C. The structure of the maternal pelvis

Which of the following factors affecting labor is associated with passageway? A. Size of the fetal head and its ability to mold to the maternal pelvis B. The presentation of the fetus in relation to the maternal pelvis C. The structure of the maternal pelvis D. The frequency, duration and strength of the contraction

B. Blink, cough, sneeze and gag

Which of the following groups of reflexes are present at birth and remains unchanged through adulthood? A. Blink, cough, rooting and gag B. Blink, cough, sneeze and gag C. Rooting, sneeze, swallowing and cough D. Stepping, blink, cough and sneeze

B. Inspection of the maternal abdomen to determine lie

Which of the following is an essential intrapartum fetal assessment? A. Determination of the duration, frequency and intensity of contractions B. Inspection of the maternal abdomen to determine lie C. Examination of the vagina to assess effacement and cervical dilatation D. Evaluation of the mother to determine knowledge about childbirth education

B. Duration decreases as labor progresses

Which of the following is not true regarding duration of uterine contractions? A. Duration of contractions is measured from the beginning of one contraction to the end of the same contraction B. Duration decreases as labor progresses C. Duration increases as labor progresses D. Duration should not exceed 70 seconds

C. The anterior is larger in size when compared to the posterior.

Which of the following is true regarding the fontanels of the newborn? A. The anterior is triangle-shaped, the posterior is diamond-shaped B. The posterior closes at 18 months, the anterior closes at 8 to 12 weeks C. The anterior is larger in size when compared to the posterior. D. The anterior is bulging and the posterior is sunken

B. 0

Which of the following measurements indicates that the fetal presenting part is engaged? A. -2 B. 0 C. +2 D +4

A. Engagement

Which of the following mechanisms of labor occurs when the widest diameter of the presenting part has passed the pelvic inlet and usually corresponds to a 0 station? A. Engagement B. Restitution C. Flexion D. Descent

B. Gynecoid

Which of the following pelvis is round in shape, the most common type of pelvis among females and allows fetus to pass with ease? A. Anthropoid B. Gynecoid C. Platypelloid D. Android

C. Uterine contractions occur every 3 to 10 minutes, lasting 60 to 75 seconds, and are of strong intensity.

Which of the following signs and symptoms indicate that a patient in labor has progressed to the second stage of labor? A. The cervix is dilated completely B. Increase in bloody show C. Uterine contractions occur every 3 to 10 minutes, lasting 60 to 75 seconds, and are of strong intensity. D. The patient feels the urge to bear down E. Placental separation and expulsion

A. Sudden gush of vaginal fluid

Which of the following signs indicate that the placenta has separated and is ready to be delivered? A. Sudden gush of vaginal fluid B. Globular and irregular uterine shape C. Lengthening of the umbilical cord D. Cessation of contractions

C. The newborn is unable to limit the invading organisms at their point of entry.

Which of the following would the nurse identify as correct about the newborn's immune system? A. The risk of infection in the newborn is relatively low B. Phagocytosis occurs fairly rapidly in the newborn C. The newborn is unable to limit the invading organisms at their point of entry. D. Immunoglobulin A is present in their GI and respiratory tract.

A. It is a combination of fundal and abdominal pressures.

Which would be appropriate teaching about the force that propels the fetus through the vagina during labor? A. It is a combination of fundal and abdominal pressures. B. Mainly gravitational from the superior fetal lie. C. It is cervical contractions beginning with full dilation. D. It is abdominal and perineal muscle contractions

D. Above the maternal umbilicus and to the left of midline

With a fetus in the left anterior breech presentation, the nurse would expect the fetal heart rate to be most audible in which of the following areas? A. Above the maternal umbilicus and to the right of midline B. In the lower left maternal abdominal quadrant C. In the lower right maternal abdominal quadrant D. Above the maternal umbilicus and to the left of midline

C. Lochia Alba

Yellow to white; may have slightly stale odor A. Lochia Rubra (1 to 3 days) B. Lochia Serosa (4 to 10 days) C. Lochia Alba (11 to 21 days)

D. Stimulate cry.

You received a client in the delivery room. On assessment, the baby's head is crowning and she is bearing down, and delivery appears imminent. The nurse should BEST: A. Suction the nose and then the mouth B. Feel the nape for any cord coil C. Promote internal rotation of the head. D. Stimulate cry.

B. DIPPING

___________ presenting part is descending but has not yet reached the ischial spines. A. FLOATING B. DIPPING C. ENGAGED

A. 0 STATION

_____________ at the level of the ischial spines; synonymous to ENGAGEMENT A. 0 STATION B. DIPPING C. ENGAGED D. STATION

A. FLOATING

______________ if the presenting part is not yet engaged A. FLOATING B. DIPPING C. ENGAGED

d. Cranial sutures

_______________ are fibrous joints connecting the bones of the skull, allowing the bones to move & overlap (molding), diminishing the size of the skull so that it can pass through the birth canal a. Sagittal suture b. Coronal suture c. Lambdoid suture d. Cranial sutures

A. ENGAGEMENT

_________________ is assessed by vaginal & cervical examination A. ENGAGEMENT B. NORMAL or GOOD ATTITUDE C. MODERATE FLEXION D. FETAL ENGAGEMENT

c. PSYCHOSEXUAL DEVELOPMENT

refers to ERIKSON'S STAGES OF PERSONALITY DEVELOPMENT a. GROWTH b. DEVELOPMENT c. PSYCHOSEXUAL DEVELOPMENT d. MATURATION