FA Davis Maternity Test 1
Practice Part 2 Exam
A client enters the labor and delivery suite stating that she thinks she is in
labor. Which of the following information about the woman should the nurse
note from the woman's prenatal record before proceeding with the physical
assessment? Select all that apply.
1. Weight gain.
2. Ethnicity and religion.
3. Age.
4. Type of insurance.
5. Gravidity and parity. - -1 2 3 5
A woman who states that she "thinks" she is in labor enters the labor suite.
Which of the following assessments will provide the nurse with the most
valuable information regarding the client's labor status?
1. Leopold maneuvers.
2. Fundal contractility.
3. Fetal heart assessment.
4. Vaginal examination. - -4
A client in labor, G2 P1001, was admitted 1 hour ago at 2 cm dilated and
50% effaced. She was talkative and excited at that time. During the past 10
minutes she has become serious, closing her eyes and breathing rapidly with
each contraction. Which of the following is an accurate nursing assessment
of the situation?
1. The client had poor childbirth education prior to labor.
2. The client is exhibiting an expected behavior for labor.
3. The client is becoming hypoxic and hypercapnic.
4. The client needs her alpha-fetoprotein levels checked. - -2
A woman has just arrived at the labor and delivery suite. To report the
client's status to her primary healthcare practitioner, which of the following
assessments should the nurse perform? Select all that apply.
1. Fetal heart rate.
2. Contraction pattern.
3. Urinalysis.
4. Vital signs.
5. Biophysical profile. - -1 2 4
While performing Leopold maneuvers on a woman in labor, the nurse
palpates a hard round mass in the fundal area, a flat surface on the left side,
,small objects on the right side, and a soft round mass just above the
symphysis. Which of the following is a reasonable conclusion by the nurse?
1. The fetal position is transverse.
2. The fetal presentation is vertex.
3. The fetal lie is vertical.
4. The fetal attitude is flexed. - -3
When during the latent phase of labor should the nurse assess the fetal heart
pattern of a low-risk woman, G1 P0000? Select all that apply.
1. After vaginal examinations.
2. Before administration of analgesics.
3. Periodically at the end of a contraction.
4. Every ten minutes.
5. Before ambulating. - -1 2 3 5
The nurse is assessing the fetal station during a vaginal examination. Which
of the following structures should the nurse palpate?
1. Sacral promontory.
2. Ischial spines.
3. Cervix.
4. Symphysis pubis. - -2
The labor and delivery nurse performs Leopold maneuvers. A soft round
mass is felt in the fundal region. A flat object is noted on the left and small
objects are noted on the right of the uterus. A hard round mass is noted
above the symphysis. Which of the following positions is consistent with
these findings?
1. Left occipital anterior (LOA).
2. Left sacral posterior (LSP).
3. Right mentum anterior (RMA).
4. Right sacral posterior (RSP). - -1
A nurse is caring for a laboring woman who is in transition. Which of the
following signs/symptoms would indicate that the woman is progressing into
the second stage of labor? Select all that apply.
1. Bulging perineum.
2. Increased bloody show.
3. Spontaneous rupture of the membranes.
4. Uncontrollable urge to push.
5. Inability to breathe through contractions. - -1 2 4
During a vaginal examination, the nurse palpates fetal buttocks that are
facing the left posterior and are 1 cm above the ischial spines. Which of the
following is consistent with this assessment?
1. LOA −1 station.
2. LSP −1 station.
, 3. LMP +1 station.
4. LSA +1 station. - -2
The nurse enters a laboring client's room. The client is complaining of
intense back pain with each contraction. The nurse concludes that the fetus
is likely in which of the following positions?
1. Mentum anterior.
2. Sacrum posterior.
3. Occiput posterior.
4. Scapula anterior. - -3
When performing Leopold maneuvers, the nurse notes that the fetus is in the
left occiput anterior position. Which is the best position for the nurse to place
a fetoscope to hear the fetal heartbeat?
1. Left upper quadrant.
2. Right upper quadrant.
3. Left lower quadrant.
4. Right lower quadrant. - -3
On examination of a full-term primipara, a labor nurse notes: active labor,
right occipitoanterior (ROA), 7 cm dilated, and +3 station. Which of the
following should the nurse report to the physician?
1. Descent is progressing well.
2. Fetal head is not yet engaged.
3. Vaginal delivery is imminent.
4. External rotation is complete. - -1
One hour ago, a multipara was examined with the following results: 8 cm,
50% effaced, and +1 station. She is now pushing with contractions and the
fetal head is seen at the vaginal introitus. The nurse concludes that the client
is now:
1. 9 cm dilated, 70% effaced, and +2 station.
2. 9 cm dilated, 80% effaced, and +3 station.
3. 10 cm dilated, 90% effaced, and +4 station.
4. 10 cm dilated, 100% effaced, and +5 station. - -4
The nurse is caring for a nulliparous client who attended Lamaze childbirth
education classes. Which of the following techniques should the nurse
include in her plan of care? Select all that apply.
1. Hypnotic suggestion.
2. Rhythmic chanting.
3. Muscle relaxation.
4. Pelvic rocking.
5. Abdominal massage. - -3 4 5
Practice Part 2 Exam
A client enters the labor and delivery suite stating that she thinks she is in
labor. Which of the following information about the woman should the nurse
note from the woman's prenatal record before proceeding with the physical
assessment? Select all that apply.
1. Weight gain.
2. Ethnicity and religion.
3. Age.
4. Type of insurance.
5. Gravidity and parity. - -1 2 3 5
A woman who states that she "thinks" she is in labor enters the labor suite.
Which of the following assessments will provide the nurse with the most
valuable information regarding the client's labor status?
1. Leopold maneuvers.
2. Fundal contractility.
3. Fetal heart assessment.
4. Vaginal examination. - -4
A client in labor, G2 P1001, was admitted 1 hour ago at 2 cm dilated and
50% effaced. She was talkative and excited at that time. During the past 10
minutes she has become serious, closing her eyes and breathing rapidly with
each contraction. Which of the following is an accurate nursing assessment
of the situation?
1. The client had poor childbirth education prior to labor.
2. The client is exhibiting an expected behavior for labor.
3. The client is becoming hypoxic and hypercapnic.
4. The client needs her alpha-fetoprotein levels checked. - -2
A woman has just arrived at the labor and delivery suite. To report the
client's status to her primary healthcare practitioner, which of the following
assessments should the nurse perform? Select all that apply.
1. Fetal heart rate.
2. Contraction pattern.
3. Urinalysis.
4. Vital signs.
5. Biophysical profile. - -1 2 4
While performing Leopold maneuvers on a woman in labor, the nurse
palpates a hard round mass in the fundal area, a flat surface on the left side,
,small objects on the right side, and a soft round mass just above the
symphysis. Which of the following is a reasonable conclusion by the nurse?
1. The fetal position is transverse.
2. The fetal presentation is vertex.
3. The fetal lie is vertical.
4. The fetal attitude is flexed. - -3
When during the latent phase of labor should the nurse assess the fetal heart
pattern of a low-risk woman, G1 P0000? Select all that apply.
1. After vaginal examinations.
2. Before administration of analgesics.
3. Periodically at the end of a contraction.
4. Every ten minutes.
5. Before ambulating. - -1 2 3 5
The nurse is assessing the fetal station during a vaginal examination. Which
of the following structures should the nurse palpate?
1. Sacral promontory.
2. Ischial spines.
3. Cervix.
4. Symphysis pubis. - -2
The labor and delivery nurse performs Leopold maneuvers. A soft round
mass is felt in the fundal region. A flat object is noted on the left and small
objects are noted on the right of the uterus. A hard round mass is noted
above the symphysis. Which of the following positions is consistent with
these findings?
1. Left occipital anterior (LOA).
2. Left sacral posterior (LSP).
3. Right mentum anterior (RMA).
4. Right sacral posterior (RSP). - -1
A nurse is caring for a laboring woman who is in transition. Which of the
following signs/symptoms would indicate that the woman is progressing into
the second stage of labor? Select all that apply.
1. Bulging perineum.
2. Increased bloody show.
3. Spontaneous rupture of the membranes.
4. Uncontrollable urge to push.
5. Inability to breathe through contractions. - -1 2 4
During a vaginal examination, the nurse palpates fetal buttocks that are
facing the left posterior and are 1 cm above the ischial spines. Which of the
following is consistent with this assessment?
1. LOA −1 station.
2. LSP −1 station.
, 3. LMP +1 station.
4. LSA +1 station. - -2
The nurse enters a laboring client's room. The client is complaining of
intense back pain with each contraction. The nurse concludes that the fetus
is likely in which of the following positions?
1. Mentum anterior.
2. Sacrum posterior.
3. Occiput posterior.
4. Scapula anterior. - -3
When performing Leopold maneuvers, the nurse notes that the fetus is in the
left occiput anterior position. Which is the best position for the nurse to place
a fetoscope to hear the fetal heartbeat?
1. Left upper quadrant.
2. Right upper quadrant.
3. Left lower quadrant.
4. Right lower quadrant. - -3
On examination of a full-term primipara, a labor nurse notes: active labor,
right occipitoanterior (ROA), 7 cm dilated, and +3 station. Which of the
following should the nurse report to the physician?
1. Descent is progressing well.
2. Fetal head is not yet engaged.
3. Vaginal delivery is imminent.
4. External rotation is complete. - -1
One hour ago, a multipara was examined with the following results: 8 cm,
50% effaced, and +1 station. She is now pushing with contractions and the
fetal head is seen at the vaginal introitus. The nurse concludes that the client
is now:
1. 9 cm dilated, 70% effaced, and +2 station.
2. 9 cm dilated, 80% effaced, and +3 station.
3. 10 cm dilated, 90% effaced, and +4 station.
4. 10 cm dilated, 100% effaced, and +5 station. - -4
The nurse is caring for a nulliparous client who attended Lamaze childbirth
education classes. Which of the following techniques should the nurse
include in her plan of care? Select all that apply.
1. Hypnotic suggestion.
2. Rhythmic chanting.
3. Muscle relaxation.
4. Pelvic rocking.
5. Abdominal massage. - -3 4 5
