MATERNAL CHILD CH. 13 EXAM 2025
WITH CORRECT ANSWERS
A new mother asks the nurse when the soft spot on her sons head will go away. The nurses
n n n n n n n n n n n n n n n n n n n
answer is based n n
on the knowledge that the anterior fontanel closes after birth by _____ months.
n n n n n n n n n n n n
a. 2 c. 12
n n n
b. 8 d. 18 - correct answer ANS: D
n n n n n n n n
The larger of the two fontanels, the anterior fontanel, closes by 18 months after birth.
n n n n n n n n n n n n n n
When assessing a woman in labor, the nurse is aware that the relationship of the fetal body
n n n n n n n n n n n n n n n n n
parts to one n n
another is called fetal: n n n
a. Lie. c. Attitude.
n n n
b. Presentation. d. Position. - correct answer ANS: C
n n n n n n n n
Attitude is the relation of the fetal body parts to one another. Lie is the relation of the long axis
n n n n n n n n n n n n n n n n n n n n
(spine) of the n n
fetus to the long axis (spine) of the mother. Presentation refers to the part of the fetus that
n n n n n n n n n n n n n n n n n n
enters the pelvic n n
inlet first and leads through the birth canal during labor at term. Position is the relation of the
n n n n n n n n n n n n n n n n n n
presenting part to n n
the four quadrants of the mothers pelvis.
n n n n n n
When assessing the fetus using Leopold maneuvers, the nurse feels a round, firm, movable
n n n n n n n n n n n n n n
fetal part in the n n n
fundal portion of the uterus and a long, smooth surface in the mothers right side close to
n n n n n n n n n n n n n n n n n
midline. What is the n n n
, likely position of the fetus? n n n n
a. ROA c. RSA
n n n
b. LSP d. LOA - correct answer ANS: C
n n n n n n n n
The fetus is positioned anteriorly in the right side of the maternal pelvis with the sacrum as the
n n n n n n n n n n n n n n n n n n
presenting part. RSA is the correct three-letter abbreviation to indicate this fetal position. The n n n n n n n n n n n n n n
first letter indicates the
n n n
presenting part in either the right or left side of the maternal pelvis. The second letter indicates n n n n n n n n n n n n n n n n n
the anatomic n
presenting part of the fetus. The third letter stands for the location of the presenting part in n n n n n n n n n n n n n n n n n
relation to the n n
anterior, posterior, or transverse portion of the maternal pelvis. Palpation of a round, firm fetal
n n n n n n n n n n n n n n n
part in the n n
fundal portion of the uterus would be the fetal head, indicating that the fetus is in a breech
n n n n n n n n n n n n n n n n n n
position with the n n
sacrum as the presenting part in the maternal pelvis. Palpation of the fetal spine along the
n n n n n n n n n n n n n n n n
mothers right side n n
denotes the location of the presenting part in the mothers pelvis. The ability to palpate the fetal
n n n n n n n n n n n n n n n n n
spine indicates n
that the fetus is anteriorly positioned in the maternal pelvis
n n n n n n n n n
The nurse has received report regarding her patient in labor. The womans last vaginal
n n n n n n n n n n n n n n
examination was n
recorded as 3 cm, 30%, and ?2-2. The nurses interpretation of this assessment is that: n n n n n n n n n n n n n n
a. The cervix is effaced 3 cm, it is dilated 30%, and the presenting part is 2 cm above the ischial
n n n n n n n n n n n n n n n n n n n n
spines.
b. The cervix is 3 cm dilated, it is effaced 30%, and the presenting part is 2 cm above the ischial
n n n n n n n n n n n n n n n n n n n n
spines.
c. The cervix is effaced 3 cm, it is dilated 30%, and the presenting part is 2 cm below the ischial
n n n n n n n n n n n n n n n n n n n n
spines.
d. The cervix is dilated 3 cm, it is effaced 30%, and the presenting part is 2 cm below the ischial
n n n n n n n n n n n n n n n n n n n n
spines - correct answer ANS: B n n n n n
The correct description of the vaginal examination for this woman in labor is the cervix is 3 cm
n n n n n n n n n n n n n n n n n n
dilated, it is n n
effaced 30%, and the presenting part is 2 cm above the ischial spines. The sterile vaginal
n n n n n n n n n n n n n n n n
examination is n
recorded as centimeters of cervical dilation, percentage of cervical dilation, and the n n n n n n n n n n n n
relationship of the n n
presenting part to the ischial spines (either above or below). n n n n n n n n n
To care for a laboring woman adequately, the nurse understands that the __________ stage
n n n n n n n n n n n n n n
of labor varies
n n
the most in length?
n n n
a. First c. Third
n n n
b. Second d. Fourth - correct answer ANS: A
n n n n n n n n
The first stage of labor is considered to last from the onset of regular uterine contractions to full
n n n n n n n n n n n n n n n n n n
dilation of the n n
WITH CORRECT ANSWERS
A new mother asks the nurse when the soft spot on her sons head will go away. The nurses
n n n n n n n n n n n n n n n n n n n
answer is based n n
on the knowledge that the anterior fontanel closes after birth by _____ months.
n n n n n n n n n n n n
a. 2 c. 12
n n n
b. 8 d. 18 - correct answer ANS: D
n n n n n n n n
The larger of the two fontanels, the anterior fontanel, closes by 18 months after birth.
n n n n n n n n n n n n n n
When assessing a woman in labor, the nurse is aware that the relationship of the fetal body
n n n n n n n n n n n n n n n n n
parts to one n n
another is called fetal: n n n
a. Lie. c. Attitude.
n n n
b. Presentation. d. Position. - correct answer ANS: C
n n n n n n n n
Attitude is the relation of the fetal body parts to one another. Lie is the relation of the long axis
n n n n n n n n n n n n n n n n n n n n
(spine) of the n n
fetus to the long axis (spine) of the mother. Presentation refers to the part of the fetus that
n n n n n n n n n n n n n n n n n n
enters the pelvic n n
inlet first and leads through the birth canal during labor at term. Position is the relation of the
n n n n n n n n n n n n n n n n n n
presenting part to n n
the four quadrants of the mothers pelvis.
n n n n n n
When assessing the fetus using Leopold maneuvers, the nurse feels a round, firm, movable
n n n n n n n n n n n n n n
fetal part in the n n n
fundal portion of the uterus and a long, smooth surface in the mothers right side close to
n n n n n n n n n n n n n n n n n
midline. What is the n n n
, likely position of the fetus? n n n n
a. ROA c. RSA
n n n
b. LSP d. LOA - correct answer ANS: C
n n n n n n n n
The fetus is positioned anteriorly in the right side of the maternal pelvis with the sacrum as the
n n n n n n n n n n n n n n n n n n
presenting part. RSA is the correct three-letter abbreviation to indicate this fetal position. The n n n n n n n n n n n n n n
first letter indicates the
n n n
presenting part in either the right or left side of the maternal pelvis. The second letter indicates n n n n n n n n n n n n n n n n n
the anatomic n
presenting part of the fetus. The third letter stands for the location of the presenting part in n n n n n n n n n n n n n n n n n
relation to the n n
anterior, posterior, or transverse portion of the maternal pelvis. Palpation of a round, firm fetal
n n n n n n n n n n n n n n n
part in the n n
fundal portion of the uterus would be the fetal head, indicating that the fetus is in a breech
n n n n n n n n n n n n n n n n n n
position with the n n
sacrum as the presenting part in the maternal pelvis. Palpation of the fetal spine along the
n n n n n n n n n n n n n n n n
mothers right side n n
denotes the location of the presenting part in the mothers pelvis. The ability to palpate the fetal
n n n n n n n n n n n n n n n n n
spine indicates n
that the fetus is anteriorly positioned in the maternal pelvis
n n n n n n n n n
The nurse has received report regarding her patient in labor. The womans last vaginal
n n n n n n n n n n n n n n
examination was n
recorded as 3 cm, 30%, and ?2-2. The nurses interpretation of this assessment is that: n n n n n n n n n n n n n n
a. The cervix is effaced 3 cm, it is dilated 30%, and the presenting part is 2 cm above the ischial
n n n n n n n n n n n n n n n n n n n n
spines.
b. The cervix is 3 cm dilated, it is effaced 30%, and the presenting part is 2 cm above the ischial
n n n n n n n n n n n n n n n n n n n n
spines.
c. The cervix is effaced 3 cm, it is dilated 30%, and the presenting part is 2 cm below the ischial
n n n n n n n n n n n n n n n n n n n n
spines.
d. The cervix is dilated 3 cm, it is effaced 30%, and the presenting part is 2 cm below the ischial
n n n n n n n n n n n n n n n n n n n n
spines - correct answer ANS: B n n n n n
The correct description of the vaginal examination for this woman in labor is the cervix is 3 cm
n n n n n n n n n n n n n n n n n n
dilated, it is n n
effaced 30%, and the presenting part is 2 cm above the ischial spines. The sterile vaginal
n n n n n n n n n n n n n n n n
examination is n
recorded as centimeters of cervical dilation, percentage of cervical dilation, and the n n n n n n n n n n n n
relationship of the n n
presenting part to the ischial spines (either above or below). n n n n n n n n n
To care for a laboring woman adequately, the nurse understands that the __________ stage
n n n n n n n n n n n n n n
of labor varies
n n
the most in length?
n n n
a. First c. Third
n n n
b. Second d. Fourth - correct answer ANS: A
n n n n n n n n
The first stage of labor is considered to last from the onset of regular uterine contractions to full
n n n n n n n n n n n n n n n n n n
dilation of the n n
