INTRODUCTORY MATERNITY AND
PEDIATRIC NURSING 4TH EDITION
HATFIELD TEST BANK COMPLETE
CHAPTERS CERTIFICATION STUDY GUIDE
2026 COMPLETE VERIFIED ANSWERS
GRADED A+
⩥ A patient comes to the hospital in active labor at 4:30AM. She has not
eaten since dinner the night before, which was at 6PM. She has a
gynecoid pelvis, and this will be her fourth child; the first three were
delivered vaginally. It is now 8AM and she is 80% effaced and dilated 3
cm. What nourishment should the nurse allow her upon request?
Answer: ice chips, clear liquids
⩥ Patient is dilated to 10cm, feel the urge to push, but refuses due to the
pain. What can be given to get this patient through the pain and allow
her to push? Answer: puedendal block
⩥ What causes pain in the first stage of labor? Answer: stretching of the
cervix (dilation)
⩥ What are the 4 ways the cervix can change Answer: passively
distends, becomes engaged, retracts into uterus, becomes shorter and
thinner
, ⩥ When during a labor can a patient have a puedendal block Answer:
just before labor
⩥ What dilation would you expect in a patient in transition phase
Answer: 8-10cm
⩥ Explain "zero station" Answer: presenting part is at the level of the
ischial spines
⩥ Explain the following vaginal exam to the patient... 10cm, 100%, and
+1 Answer: 10 cm dilated, 100% effaced, and +1 station
⩥ What are the 4 essential components Answer: 4 Ps
Passageway, Passenger, Powers, Psyche
⩥ What is the difference between tolerance and threshold Answer:
tolerance- how much high intensity pain you can withstand
threshold- lowest intensity of painful stimulus at which a patient
perceives pain
⩥ False pelvis Answer: -the flared upper portion of the bony pelvis
-not part of the bony passageway
PEDIATRIC NURSING 4TH EDITION
HATFIELD TEST BANK COMPLETE
CHAPTERS CERTIFICATION STUDY GUIDE
2026 COMPLETE VERIFIED ANSWERS
GRADED A+
⩥ A patient comes to the hospital in active labor at 4:30AM. She has not
eaten since dinner the night before, which was at 6PM. She has a
gynecoid pelvis, and this will be her fourth child; the first three were
delivered vaginally. It is now 8AM and she is 80% effaced and dilated 3
cm. What nourishment should the nurse allow her upon request?
Answer: ice chips, clear liquids
⩥ Patient is dilated to 10cm, feel the urge to push, but refuses due to the
pain. What can be given to get this patient through the pain and allow
her to push? Answer: puedendal block
⩥ What causes pain in the first stage of labor? Answer: stretching of the
cervix (dilation)
⩥ What are the 4 ways the cervix can change Answer: passively
distends, becomes engaged, retracts into uterus, becomes shorter and
thinner
, ⩥ When during a labor can a patient have a puedendal block Answer:
just before labor
⩥ What dilation would you expect in a patient in transition phase
Answer: 8-10cm
⩥ Explain "zero station" Answer: presenting part is at the level of the
ischial spines
⩥ Explain the following vaginal exam to the patient... 10cm, 100%, and
+1 Answer: 10 cm dilated, 100% effaced, and +1 station
⩥ What are the 4 essential components Answer: 4 Ps
Passageway, Passenger, Powers, Psyche
⩥ What is the difference between tolerance and threshold Answer:
tolerance- how much high intensity pain you can withstand
threshold- lowest intensity of painful stimulus at which a patient
perceives pain
⩥ False pelvis Answer: -the flared upper portion of the bony pelvis
-not part of the bony passageway
