MCN Midterms
Darn Every Fetus Is Extremely Eager to Exit D: Darn = Descent E: Every = Engagement F: Fetus = Flexion I: Is = Internal rotation E: Extremely = Extension E: Eager to = External rotation E: Exit = Expulsion
7 Cardinal Movement
D. Transitional phase
A 31-year-old multipara is admitted to the birthing room after initial examination reveals her cervix to be at 8 cm, completely effaced (100 %), and at 0 station. What phase of labor is she in? A. Active phase B. Latent phase C. Expulsive phase D. Transitional phase
B. 0
A 35-year-old female is in labor. The baby is engaged in the pelvis. As the nurse you know that this means that the fetal station is approximately? A. +1 B. 0 C. +2 D. -1
A. The patient states the contractions are located above the umbilicus.
A 39 week pregnant woman arrives to labor triage. The patient's prenatal history includes gravidity 3, parity 2. the signs and symptoms below indicate the patient is experiencing true labor except? A. The patient states the contractions are located above the umbilicus. B. Changing positions and walking does not decrease discomfort. C. The contractions are regular. D. The cervix is 90% effaced and dilated to 4 cm.
B. Every 15 minutes.
A patient is in the second stage of labor. During this stage, how frequently should the nurse in charge assess her uterine contractions? A. Every 5 minutes. B. Every 15 minutes. C. Every 30 minutes. D. Every 60 minutes.
B. FHT are heard by doppler at 10-12 weeks gestation
A pregnant client asks when she should be able to hear the baby's heartbeat. The nurse's best response is A. FHT are heard by doppler at 6-7 weeks gestation B. FHT are heard by doppler at 10-12 weeks gestation C. FHT are heard by doppler at 16-18 weeks gestation D. FHT are heard by doppler at 20-23 weeks gestation
A. Around the pelvic girdle
A primigravida patient is admitted to the labor delivery area. Assessment reveals that she is in the early part of the first stage of labor. Her pain is likely to be most intense: A. Around the pelvic girdle B. Around the pelvic girdle and in the upper arms C. Around the pelvic girdle and at the perineum D. At the perineum
D. Second Stage
According to the American Pregnancy Association, childbirth involves three distinct stages. Which of these stages occurs after the cervix is dilated to 10 cm until the delivery of the baby? A Third Stage B Crossover Between First And Second Stages C First Stage D. Second Stage
D. At or near the umbilicus
After birth, where do you expect to assess fundal height? A. At the xiphoid process B. 5 cm below the umbilicus C. 2 cm above the pubic symphysis D. At or near the umbilicus
C. 1 cm above the ischial spines.
After completing a second vaginal examination of a client in labor, the nurse-midwife determines that the fetus is in the right occiput anterior position and at (-1) station. Based on these findings, the nurse-midwife knows that the fetal presenting part is: A. 1 cm below the ischial spines. B. Directly in line with the ischial spines. C. 1 cm above the ischial spines. D. In no relationship to the ischial spines.
B 5 - 20 minutes
After the baby's born, it's time to deliver the placenta. How long does this stage typically last? A 1 - 2 hours B 5 - 20 minutes C 3 - 4 days D 10 - 30 seconds
B 411 Many doctors and midwives advise expectant mothers to follow the "411 method" for timing contractions. This rule means that contractions are approximately 4 minutes apart, lasting at least 1 minute, and consistently occurring for at least 1 hour.
Alright, it's go time! Many advise following the "___ method" to track contractions and determine when it's time to head to the hospital. A 711 B 411 C 369 D 911
A. Spine
An epidural is a common method of anesthesia used for blocking pain during labor. Where in the body is an epidural injected? A. Spine B. Finger C. Arm D. Thigh
A. Inspect the placenta for completeness including the membranes.
As soon as the placenta is delivered, the nurse must do which of the following actions? A. Inspect the placenta for completeness including the membranes. B. Place the placenta in a receptacle for disposal. C. Label the placenta properly. D. Leave the placenta in the kidney basin for the nursing aide to dispose properly.
A. Day 21
At what stage does the human baby heart start beating? A. Day 21 B. Day 23 C. Week 5 D. Week 21
A. Stage 1
At what stage of labor and delivery does a primigravida differ mainly from a multigravida? A. Stage 1 B. Stage 2 C. Stage 3 D. Stage 4
B. During a uterine contraction.
At what stage of labor is the mother advised to bear down? A. When the mother feels the pressure at the rectal area. B. During a uterine contraction. C. In between uterine contraction to prevent uterine rupture. D. Anytime the mother feels like bearing down.
A. Oxytocin causes water intoxication.
Because cervical effacement and dilation are not progressing in a patient in labor, the doctor orders I.V. administration of oxytocin (Pitocin). Why should the nurse monitor the patient's fluid intake and output closely during oxytocin administration? A. Oxytocin causes water intoxication. B. Oxytocin causes excessive thirst. C. Oxytocin is toxic to the kidneys. D. Oxytocin has a diuretic effect.
B +3
Doctors and nurses use the term "engaged" to indicate how far into the pelvis a baby's head has moved down. At what station is the baby's head beginning to emerge from the birth canal? A -3 B +3 C 0 D +2
A. LOA
During an internal examination, the nurse palpated the posterior fontanel to be at the left side of the mother at the upper quadrant. The interpretation is that the position of the fetus is: A. LOA B. ROP C. LOP D. ROA
A. Crowning
During birth, when a baby's head becomes visible at the vaginal opening, it's known as what? A. Crowning B. Celebrating C. Cresting D. Starring
A Oxytocin
During labor, the pituitary gland releases a hormone known as _____ that stimulates contractions. A Oxytocin B Insulin C Cortisol D Melatonin
C. Signs of placental separation
During stage 3 of labor, you note a gush of blood and that the uterus changes shape from an oval shape to globular shape. This indicates? A. Postpartum hemorrhage B. Imminent delivery of the baby C. Signs of placental separation D. Answers B and C
D. The baby's presenting part is 2 cm below the ischial spine.
During the assessment of a laboring woman, it is noted the fetal station is +2. You interpret this to mean? A. The baby's presenting part is 2 cm above the iliac spine. B. The baby's presenting part is 2 cm below the iliac spine. C. The baby's presenting part is 2 cm above the ischial spine. D. The baby's presenting part is 2 cm below the ischial spine.
•Latent phase( 0-3cm dilatation) •Active phase (4-10cm dilatation)
First stage is Divided into:
B. 6
How many are the stages of cephalic delivery? A. 4 B. 6 C. 7 D. 9
2 hours
How many hours does second stage occurs?
B. 4
How many stages are in the childbirth process? A. 3 B. 4 C. 5 D. 6
A. Fetal body flexion or extension
Immediately after delivery, the nurse-midwife assesses the neonate's head for signs of molding. Which factors determine the type of molding? A. Fetal body flexion or extension B. Maternal age, body frame, and weight C. Maternal and paternal ethnic backgrounds D. Maternal parity and gravidity
B Around The Onset Of Labor
In pregnancy, when do most women lose their mucus plug? A During The Transition Phase B Around The Onset Of Labor C In The Second Trimester D In The First Trimester
C. 4-7 cm
In stage 1 of labor, during the active phase, the cervix dilates? A. 1-3 cm B. 7-10 cm C. 4-7 cm D. 8-10 cm
A Premature Rupture Of Membranes
In terms of labor and delivery, what is the acronym "PROM" short for? A Premature Rupture Of Membranes B Placental Rupture Of Membranes C Premature Release Of Maternity D Perineal Release Of Mucus
B Presence
In understanding the physiologic process of labor, which of the following is NOT one of the "five P's"? A Passageway B Presence C Powers D Passenger
B. Oxytocin can make the cervix close and thus trap the placenta inside.
In vaginal delivery done in the hospital setting, the doctor routinely orders oxytocin to be given to the mother parenterally. The oxytocin is usually given after the placenta has been delivered and not before because: A. Oxytocin will prevent bleeding. B. Oxytocin can make the cervix close and thus trap the placenta inside. C. Oxytocin will facilitate placental delivery. D. Giving oxytocin will ensure complete delivery of the placenta.
C. Week 7
In which week does the baby start developing its ears and toes? A. Week 5 B. Week 6 C. Week 7 D. Week 8
A Ferguson Reflex
Many women experience an intense urge to push during labor and delivery. What is the technical term associated with this sensation? A Ferguson Reflex B Engagement C Franklin Reflex D Dilation
•nulliparity, •increasing maternal weight and/or weight gain, •use of regional anesthesia, •fetal occiput in a posterior or transverse position, and •increased birth weight
Prolonged second stage Risk factors associated with a prolonged second stage include
D. Latent, Active, Transition
Stage 1 of labor includes which phases in the correct order?* A. Transition, Latent, Active B. Active, Latent, Transition C. Active, Transition, Latent D. Latent, Active, Transition
First stage
Stage which begins with regular uterine contractions and ends with complete cervical dilatation at 10 cm.
•First stage (Dilatation stage) •Second stage (Descent and delivery of the baby) •Third stage (Delivery of placenta and membranes)
Stages of Labor
A. True labor
TRUE OR FALSE Labor: A 37 week pregnant patient is having consistent contractions, the cervix is 90% effaced, and cervix is 6 cm dilated. The fetal station is +1. A. True labor B. False labor
B. False labor
TRUE OR FALSE Labor: A 40 week pregnant patient is experiencing some contractions that are weak, while others are strong in intensity. When she walks or lies down it helps decrease the contraction pain. She states the contractions are hard to predict. A. True labor B. False labor
C. Felt in the back and radiate to the abdomen D. Increase in intensity G. Consistent
The contractions associated with true labor tend to have what type of characteristics: Select all that apply A. Located in the superior portion of the abdomen and radiate to the lower back B. Located in the abdomen superior to the navel C. Felt in the back and radiate to the abdomen D. Increase in intensity E. Stay the same with intensity but are regular F. Erratic G. Consistent
C. 25th
The eyelids of fetus remain fused through what gestational age by LMP? A. 15th B. 20th C. 25th D. 30th
D. Week 13 to 18
The fingernails and toenails of the baby begin developing between ________. A. Weeks 9 to 12 B. Week 11 to 16 C. Week 2 to 6 D. Week 13 to 18
B. No part of the cord is encircling the baby's neck
The first thing that a nurse must ensure when the baby's head comes out is A. The cord is intact B. No part of the cord is encircling the baby's neck C. The cord is still attached to the placenta D. The cord is still pulsating
A. 12 weeks
The first trimester spans from conception to _________. A. 12 weeks B. 17 weeks C. 14 weeks D. 2 weeks
B. The duration of contraction progressively lengthens over time.
The following are correct statements about false labor, except? A. The pain is irregular in intensity and frequency. B. The duration of contraction progressively lengthens over time. C. There is no bloody vaginal discharge. D. The cervix is still closed.
D. Mother feels like bearing down
The following are signs that the placenta has detached, except? A. Lengthening of the cord B. Uterus becomes more globular C. Sudden gush of blood D. Mother feels like bearing downD. Mother feels like bearing down
D. Incomplete
The following are types of breech presentation, except: A. Footling B. Frank C. Complete D. Incomplete
A. 1.2 cm./hr
The normal dilatation of the cervix during the first stage of labor in a nullipara is A. 1.2 cm./hr B. 1.5 cm./hr. C. 1.8 cm./hr D. 2.0 cm./hr
A. 2 arteries and 1 vein
The normal umbilical cord is composed of: A. 2 arteries and 1 vein B. 2 veins and 1 artery C. 2 arteries and 2 veins D. None of the above
D. Transitional phase
The nurse in charge is caring for a patient who is in the first stage of labor. What is the shortest but most difficult part of this stage? A. Active phase B. Complete phase C. Latent phase D. Transitional phase
D. Flexibility of the pelvis
The passageway in labor and delivery of the fetus include the following, except? A. Distensibility of lower uterine segment B. Cervical dilatation and effacement C. Distensibility of vaginal canal and introitus D. Flexibility of the pelvis
B. 30 minutes
The placenta should be delivered normally within how many minutes after the delivery of the baby? A. 5 minutes B. 30 minutes C. 45 minutes D. 60 minutes
D. Weeks 13 to 16
The reproductive organs and genitalia of the baby get developed by week _________. A. Week 17 to 20 B. 1st trimester C. Weeks 6 to 9 D. Weeks 13 to 16
C. Begins with complete dilatation and effacement of cervix and ends with delivery of the baby.
The second stage of labor begins with ___ and ends with __? A. Begins with full dilatation of cervix and ends with delivery of placenta. B. Begins with true labor pains and ends with delivery of the baby. C. Begins with complete dilatation and effacement of cervix and ends with delivery of the baby. D. Begins with passage of show and ends with full dilatation and effacement of cervix.
D 30 minutes to 2 hours
The transition phase of labor extends from 7 cm until the cervix is fully dilated. Approximately how long does this stage last on average? A 5 minutes to 15 minutes B 2 hours to 4 hours C 6 hours to 8 hours D 30 minutes to 2 hours
C A newborn's first bowel movement
The world of labor and delivery includes countless unfamiliar terms. Speaking of, what is "meconium"? A A newborn's first breath B The small hairs on a newborn's skin C A newborn's first bowel movement D A drug used for pain management during birth
B. Pitocin The common oxytocin given to enhance uterine contraction is Pitocin. This is also the drug given to induce labor.
This drug is usually given parenterally to enhance uterine contraction: A. Terbutaline B. Pitocin C. Magnesium sulfate D. Lidocaine
False
True or False: Stage 2 of labor begins with the delivery of the baby and ends with the delivery of the placenta.* True False
False
True or False: Stage 4 of labor starts with the full delivery of the baby and ends with the full delivery of the placenta. True False
B. Changing positions help alleviate contraction pain E. Fetal station is -5 F. Contractions are unpredictable
What are some characteristics of contractions associated with false labor? Select all that apply: A. Contractions are 5 minutes apart that last for 1 minute and have been occurring for 1 hour B. Changing positions help alleviate contraction pain C. Cervix dilates from 2-5 cm D. Fetal station is +1 E. Fetal station is -5 F. Contractions are unpredictable
1. Respiration 2. Excretion 3. Nutrition 4. Immunity 5. Endocrine
What are the functions of placenta?
A. Check if the placenta is complete including the membranes C. Check if the umbilical cord has 3 blood vessels
What are the important considerations that the nurse must remember after the placenta is delivered? Select all that apply. A. Check if the placenta is complete including the membranes B. Check if the cord is long enough for the baby C. Check if the umbilical cord has 3 blood vessels D. Check if the cord has a meaty portion and a shiny portion
A. 2 hours
What is the maximum time the second stage of labor expected to last? A. 2 hours B. 2.5 hours C. 3 hours D. 3.5 hours
B. The organ that provides nutrients and gets rid of waste
What is the placenta? A. The organ that provides vitamins B. The organ that provides nutrients and gets rid of waste C. The stage in the early embryonic development D. None of the above
B. Positive feedback mechanism
What kind of feedback mechanism is engaged in childbirth? A. Negative feedback mechanism B. Positive feedback mechanism C. Feedforward control D. Reverse mechanism
D. Ischial spine
What landmark is used to assess fetal station? A. Iliac spine B. Pubic symphysis C. Ischium D. Ischial spine
C. Week 7
What new senses is the baby developing this week? ears and toes A. Week 5 B. Week 6 C. Week 7 D. Week 8
B. The transition phase is the longest phase of stage 1 and contractions are very intense and long in duration.
What statement is FALSE about the transition phase of stage 1? A. The mother may experience intense pain, irritation, nausea, and deep concentration. B. The transition phase is the longest phase of stage 1 and contractions are very intense and long in duration. C. The cervix will dilate from 8 to 10 cm. D. The transition phase ends and progresses to stage 2 of labor when the cervix has dilated to 10 cm.
A. First Maneuver
What step of leopold maneuver is in the picture? A. First Maneuver B. Second Maneuver C. Third Maneuver D. Fourth Maneuver
B. Second Maneuver
What step of leopold maneuver is in the picture? A. First Maneuver B. Second Maneuver C. Third Maneuver D. Fourth Maneuver
C. Third Maneuver
What step of leopold maneuver is in the picture? A. First Maneuver B. Second Maneuver C. Third Maneuver D. Fourth Maneuver
D. Fourth Maneuver
What step of leopold maneuver is in the picture? A. First Maneuver B. Second Maneuver C. Third Maneuver D. Fourth Maneuver
B Braxton Hicks Contractions
What's the name given to describe the "warm-up" contractions that occur before real labor begins? A Paxton Nicks Contractions B Braxton Hicks Contractions C Braxton Bricks Contractions D Saxton Picks Contractions
C Episiotomy
What's the name of the surgical cut made along the perineum and posterior vaginal wall during childbirth? A Caesarean B Epidural C Episiotomy D Oxytocin
C. Day 23
When 50% of pregnancies fail-only a 50% chance of the baby surviving at the point of __________. A. Implantation B. Gastrulation C. Day 23 D. Day 21
D Bottom
When the baby is exhibiting a "breech" presentation, this means that the baby will be born _____ first. A Back B Arms C Head D Bottom
C. Check if there is a cord coiled around the neck
When the baby's head is out, the immediate action of the nurse is A. Cut the umbilical cord B. Wipe the baby's face and suction mouth first C. Check if there is a cord coiled around the neck D. Deliver the anterior shoulder
B. Station "0"
When the fetal head is at the level of the ischial spine, it is said that the station of the head is A. Station -1 B. Station "0" C. Station +1 D. Station +2
C. Floating
When the nurse palpates the suprapubic area of the mother and found that the presenting part is still movable, the right term for this observation that the fetus is A. Engaged B. Descended C. Floating D. Internal Rotation
C Pitocin
Which drug is typically administered as a way to jump-start contractions and move labor along? A Vicodin B Acetaminophen C Pitocin D Ibuprofen
A. Rapidly Progressing Labor
Which of the following is NOT appropriate justification for a cesarean section? A. Rapidly Progressing Labor B Abnormal Birth Position C Fetal Distress D Previous C-Section
D Effacement
Which of the following terms describes the thinning and softening of the cervix? A Expression B Dilation C Labor D Effacement
B. Episiotomy
Which of these involves making a cut to the opening of the vagina? A. Mastectomy B. Episiotomy C. Caesarean section D. Laparascopy
B. Caesarean section
Which of these is an alternative to the vaginal passage? A. Mastectomy B. Caesarean section C. Laparoscopy D. Lopectomy
C. Administration of normal saline
Which of these is not a method of relieving pain during labor? A. Administration of spinal blocks B. Administration of opiods C. Administration of normal saline D. Relaxation techniques
B. Notify the physician immediately.
While the client is in active labor with twins and the cervix is 5 cm dilated, the nurse observes contractions occurring at a rate of every 7 to 8 minutes in a 30-minute period. Which of the following would be the nurse's most appropriate action? A. Note the fetal heart rate patterns. B. Notify the physician immediately. C. Administer oxygen at 6 liters by mask. D. Have the client pant-blow during the contractions.
B. False labor
You're assessing a pregnant patient who is 38 weeks pregnant for signs of labor. The patient states she has been experiencing contractions that are 10-12 minutes apart. The contractions have decreased since she has been walking. The fetal station is -4. Based on these findings, is this TRUE or FALSE labor? A. True labor B. False labor
A. Perform fundal massage and assist the patient to the bathroom.
You're performing a routine assessment on a mother post-delivery. The uterus is soft and displaced to the left of the umbilicus. What is your next nursing action? A. Perform fundal massage and assist the patient to the bathroom. B. Continue to monitor the mother. This is a normal finding post-delivery. C. Notify the physician. D. Administer PRN dose of Pitocin as ordered by the physician.
D. Bulging perineum and rectum with an increase in bloody show
Your laboring patient has transitioned to stage 2 of labor. What changes in the perineum indicate the birth of the baby is imminent? A. Increase in meconium-stained fluid and retracting perineum B. Retracting perineum and anus with an increase of bloody show C. Rapid and intense contractions D. Bulging perineum and rectum with an increase in bloody show
A Cramps and Back Pain
_____ is a tell-tale sign that labor has begun. A Cramps and Back Pain B Decreased Discharge C Intense Fatigue D Hard Bowel Movements
Second
begins with complete cervical dilatation and ends with the delivery of the fetus. •Stage of descent and delivery of the baby.
Latent phase
begins with mild, irregular uterine contractions that soften and shorten the cervix. The contractions become progressively more rhythmic and stronger.
onset of labor
is defined as regular, painful uterine contractions that becomes more frequent and stronger resulting in progressive cervical effacement and dilatation.
Cervical dilation
is the opening of the cervix during childbirth or in other conditions like miscarriages/abortion.
Effacement
is the thinning and shortening of the cervix that occurs during labor
Active phase
usually begins at about 3-4 cm of cervical dilation and is characterized by rapid cervical dilation and descent of the presenting fetal part.
•Latent phase: 0-3 centimeters •Active Labor: 4-7 centimeters •Transition: 8-10 centimeters •Complete: 10 centimeters
•Latent phase: centimeters •Active Labor: centimeters •Transition: centimeters •Complete: centimeters
