TEST BANK QUESTIONS AND ANSWERS FOR NUR410 MATERNITY GRADED A+
The first stage of labor is often a time of introspection. In light of this, which information would guide
the nurse's plan of care? - Answers A woman may spend time thinking about what is happening to her.
A woman entering her third trimester of pregnancy asks the nurse how much weight she should gain
during this trimester. What is the nurse's best answer? - Answers 1 lb/week
A student observes during an initial prenatal visit. The student states, "I heard the primary care provider
say that the client has a gynecoid pelvis. What does that mean?" The best response by the nurse is: -
Answers "It is rounded in shape and allows ample room for the neonate to fit through the passageway."
The nurse is assessing the laboring client to determine fetal oxygenation status. What indirect
assessment method will the nurse likely use? - Answers external electronic fetal monitoring
Which should the nurse identify as a risk associated with anemia during pregnancy? - Answers preterm
birth
A nurse is preparing a presentation for a group of pregnant women about the labor experience. Which
factors would the nurse include when discussing measures to promote coping for a positive labor
experience? Select all that apply. - Answers presence of a support partner
low anxiety level
participation in a pregnancy exercise program
A nurse is providing care to a woman during the third stage of labor. Which finding would alert the nurse
that the placenta is separating? - Answers sudden gush of dark blood from the vagina
A multigravida woman arrives in the emergency department panting and screaming, "The baby's
coming!" Which action should the nurse prioritize? - Answers Quickly evaluate the perineum.
Which consideration is a priority when caring for a mother with strong contractions 1 minute apart? -
Answers Fetal heart rate in relation to contractions
During which time is the nurse correct to document the end of the third stage of labor? - Answers At the
time of placental delivery
A nurse is providing care to a pregnant client in labor. Assessment of a fetus identifies the buttocks as
the presenting part, with the legs extended upward. The nurse identifies this as which type of breech
presentation? - Answers frank
The coach of a client in labor is holding the client's hand and appears to be intentionally applying
pressure to the space between the first finger and thumb on the back of the hand. The nurse recognizes
this as which form of therapy? - Answers acupressure
, While assessing the progress of the labor, the nurse explains that the fetal heart rate variability is
moderate. Which explanation is best to use with the parents? - Answers FHR fluctuates from 6 to 25
beats per minute.
When describing the stages of labor to a pregnant woman, which of the following would the nurse
identify as the major change occurring during the first stage? - Answers Cervical dilation
A nurse is providing care to a pregnant woman in labor. The woman is in the first stage of labor. When
describing this stage to the client, which event would the nurse identify as the major change occurring
during this stage? - Answers cervical dilation (dilatation)
The nurse is assessing a pregnant client at 37 weeks' gestation and notes the fetus is at zero station.
When questioned by the client as to what has happened, the nurse should point out which event has
occurred? - Answers Engagement
The nurse is monitoring a client in the first stage of labor. The nurse determines the client's uterine
contractions are effective and progressing well based on which finding? - Answers Dilation of cervix
Which assessment findings of the fetus during labor are reassuring? Select all that apply. - Answers
Variability between 18-20 bpm
Fetal heart baseline of 130 bpm
What assessment finding would suggest to the care team that the pregnant client has completed the
first stage of labor? - Answers The client's cervix is fully dilated.
The nurse is assessing a client in labor for pain and notes she is currently not doing well handling the
increased pain. Which opioid can the nurse offer to the client to assist with pain control? - Answers
meperidine
If a fetus were not receiving enough oxygen during labor because of uteroplacental insufficiency, which
pattern would the nurse anticipate seeing on the monitor? - Answers fetal heart rate declining late with
contractions and remaining depressed
When teaching a group of nursing students about the stages of labor, the nurse explains that softening,
thinning, and shortening of the cervical canal occur during the first stage of labor. Which term is the
nurse referring to in the explanation? - Answers effacement
Which statement is true regarding analgesia versus anesthesia? - Answers Regional anesthesia should be
given with caution close to the time of birth because it crosses the placenta and can cause respiratory
depression in the newborn.
During labor, a fetus is identified as having uteroplacental insufficiency. Which tracing should the nurse
assess on the monitor to confirm this finding? - Answers Fetal heart rate declining late with contractions
and remaining depressed
The first stage of labor is often a time of introspection. In light of this, which information would guide
the nurse's plan of care? - Answers A woman may spend time thinking about what is happening to her.
A woman entering her third trimester of pregnancy asks the nurse how much weight she should gain
during this trimester. What is the nurse's best answer? - Answers 1 lb/week
A student observes during an initial prenatal visit. The student states, "I heard the primary care provider
say that the client has a gynecoid pelvis. What does that mean?" The best response by the nurse is: -
Answers "It is rounded in shape and allows ample room for the neonate to fit through the passageway."
The nurse is assessing the laboring client to determine fetal oxygenation status. What indirect
assessment method will the nurse likely use? - Answers external electronic fetal monitoring
Which should the nurse identify as a risk associated with anemia during pregnancy? - Answers preterm
birth
A nurse is preparing a presentation for a group of pregnant women about the labor experience. Which
factors would the nurse include when discussing measures to promote coping for a positive labor
experience? Select all that apply. - Answers presence of a support partner
low anxiety level
participation in a pregnancy exercise program
A nurse is providing care to a woman during the third stage of labor. Which finding would alert the nurse
that the placenta is separating? - Answers sudden gush of dark blood from the vagina
A multigravida woman arrives in the emergency department panting and screaming, "The baby's
coming!" Which action should the nurse prioritize? - Answers Quickly evaluate the perineum.
Which consideration is a priority when caring for a mother with strong contractions 1 minute apart? -
Answers Fetal heart rate in relation to contractions
During which time is the nurse correct to document the end of the third stage of labor? - Answers At the
time of placental delivery
A nurse is providing care to a pregnant client in labor. Assessment of a fetus identifies the buttocks as
the presenting part, with the legs extended upward. The nurse identifies this as which type of breech
presentation? - Answers frank
The coach of a client in labor is holding the client's hand and appears to be intentionally applying
pressure to the space between the first finger and thumb on the back of the hand. The nurse recognizes
this as which form of therapy? - Answers acupressure
, While assessing the progress of the labor, the nurse explains that the fetal heart rate variability is
moderate. Which explanation is best to use with the parents? - Answers FHR fluctuates from 6 to 25
beats per minute.
When describing the stages of labor to a pregnant woman, which of the following would the nurse
identify as the major change occurring during the first stage? - Answers Cervical dilation
A nurse is providing care to a pregnant woman in labor. The woman is in the first stage of labor. When
describing this stage to the client, which event would the nurse identify as the major change occurring
during this stage? - Answers cervical dilation (dilatation)
The nurse is assessing a pregnant client at 37 weeks' gestation and notes the fetus is at zero station.
When questioned by the client as to what has happened, the nurse should point out which event has
occurred? - Answers Engagement
The nurse is monitoring a client in the first stage of labor. The nurse determines the client's uterine
contractions are effective and progressing well based on which finding? - Answers Dilation of cervix
Which assessment findings of the fetus during labor are reassuring? Select all that apply. - Answers
Variability between 18-20 bpm
Fetal heart baseline of 130 bpm
What assessment finding would suggest to the care team that the pregnant client has completed the
first stage of labor? - Answers The client's cervix is fully dilated.
The nurse is assessing a client in labor for pain and notes she is currently not doing well handling the
increased pain. Which opioid can the nurse offer to the client to assist with pain control? - Answers
meperidine
If a fetus were not receiving enough oxygen during labor because of uteroplacental insufficiency, which
pattern would the nurse anticipate seeing on the monitor? - Answers fetal heart rate declining late with
contractions and remaining depressed
When teaching a group of nursing students about the stages of labor, the nurse explains that softening,
thinning, and shortening of the cervical canal occur during the first stage of labor. Which term is the
nurse referring to in the explanation? - Answers effacement
Which statement is true regarding analgesia versus anesthesia? - Answers Regional anesthesia should be
given with caution close to the time of birth because it crosses the placenta and can cause respiratory
depression in the newborn.
During labor, a fetus is identified as having uteroplacental insufficiency. Which tracing should the nurse
assess on the monitor to confirm this finding? - Answers Fetal heart rate declining late with contractions
and remaining depressed
