NURS 254 MATERNAL EXAM 1 AND 2 QUESTIONS AND ANSWERS GUARANTEED A+
MATERNITY EXAM 1
How would the nurse best analyze the results from a client's sonogram that shows the fetal
shoulder as the presenting part?
A) Breech, transverse
B) Breech, longitudinal
C) Breech, frank
D) Vertex, transverse
A
A clinic nurse is preparing diagrams of pelvic shapes. Which pelvic shapes are considered
least adequate for vaginal childbirth?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.
A) Android
B) Anthropoid
C) Gynecoid
D) Platypelloid
E) Lambdoidal suture
A, D
The nurse is caring for laboring clients. Which women are experiencing problems related
to a critical factor of labor?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.
A) Woman at 7 c m, fetus in general flexion
B) Woman at 3 c m, fetus in longitudinal lie
C) Woman at 4 c m, fetus with transverse lie
D) Woman at 6 c m, fetus at -2 station, mild contractions
Woman at 5 cm, fetal presenting part is right shoulder
C, D, E
The charge nurse has received the shift change report. Which client requires immediate
intervention?
,A) Woman at 6 c m undergoing induction of labor, strong contractions every 3 minutes
B) Woman at 4 c m whose fetus is in a longitudinal lie with a cephalic presentation
C) Woman at 10 c m and fetus at +2 station experiencing a strong expulsion urge
D) Woman at 3 cm screaming in fear because her mother died during childbirth
D
Premonitory signs of labor include which of the following?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.
A) Braxton Hicks contractions
B) Cervical softening and effacement
C) Weight gain
D) Rupture of membranes
E) Sudden loss of energy
A, B, D
A client arrives in the labor and delivery unit and describes her contractions as occurring
every 10-12 minutes, lasting 30 seconds. She is smiling and very excited about the
possibility of being in labor. On exam, her cervix is dilated 2 c m, 100% effaced, and -2
station. What best describes this labor?
A) Second phase
B) Latent phase
C) Active phase
D) Transition phase
B
The client has asked the nurse why her cervix has only changed from 1 to 2 c m in 3 hours
of contractions occurring every 5 minutes. What is the nurse's best response to the client?
A) "Your cervix has also effaced, or thinned out, and that change in the cervix is also labor
progress."
B) "When your perineal body thins out, your cervix will begin to dilate much faster than it
is now."
C) "What did you expect? You've only had contractions for a few hours. Labor takes
time."
D) "The hormones that cause labor to begin are just getting to be at levels that will change
your cervix."
A
,To identify the duration of a contraction, the nurse would do which of the following?
A) Start timing from the beginning of one contraction to the completion of the same
contraction.
B) Time between the beginning of one contraction and the beginning of the next
contraction.
C) Palpate for the strength of the contraction at its peak.
D) Time from the beginning of the contraction to the peak of the same contraction
A
The client at 40 weeks' gestation reports to the nurse that she has had increased pelvic
pressure and increased urinary frequency. Which response by the nurse is best?
A) "Unless you have pain with urination, we don't need to worry about it."
B) "These symptoms usually mean the baby's head has descended further."
C) "Come in for an appointment today and we'll check everything out."
D) "This might indicate that the baby is no longer in a head-down position.
B
The client at 39 weeks' gestation calls the clinic and reports increased bladder pressure but
easier breathing and irregular, mild contractions. She also states that she just cleaned the
entire house. Which statement should the nurse make?
A) "You shouldn't work so much at this point in pregnancy."
B) "What you are describing is not commonly experienced in the last weeks."
C) "Your body may be telling you it is going into labor soon."
D) "If the bladder pressure continues, come in to the clinic tomorrow."
C
A client who is having false labor most likely would have which of the following?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.
A) Contractions that do not intensify while walking
B) An increase in the intensity and frequency of contractions
C) Progressive cervical effacement and dilation
D) Pain in the abdomen that does not radiate
E) Contractions that lessen with rest and warm tub baths
A, D, E
The nurse is preparing a client education handout on the differences between false labor
and true labor. What information is most important for the nurse to include?
, A) True labor contractions begin in the back and sweep toward the front.
B) False labor often feels like abdominal tightening, or "balling up."
C) True labor can be diagnosed only if cervical change occurs.
D) False labor contractions do not increase in intensity or duration.
C
1. A client calls the labor and delivery unit and tells the nurse that she is 39 weeks pregnant
and over the last 4 or 5 days, she has noticed that although her breathing has become
easier, she is having leg cramps, a slight amount of edema in her lower legs, and an
increased amount of vaginal secretions. The nurse tells the client that she has experienced
which of the following?
A) Engagement
B) Lightening
C) Molding
D) Braxton Hicks contractions
B
The nurse is teaching a prenatal class about false labor. The nurse should teach clients that
false labor will most likely include which of the following?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.
A) Contractions that do not intensify while walking
B) An increase in the intensity and frequency of contractions
C) Progressive cervical effacement and dilation
D) Pain in the abdomen that does not radiate
E) Contractions are at regular intervals
A, D
A client is admitted to the labor and delivery unit with contractions that are 2 minutes
apart, lasting 60 seconds. She reports that she had bloody show earlier that morning. A
vaginal exam reveals that her cervix is 100 percent effaced and 8 c m dilated. The nurse
knows that the client is in which phase of labor?
A) Active
B) Latent
C) Transition
D) Fourth
C
MATERNITY EXAM 1
How would the nurse best analyze the results from a client's sonogram that shows the fetal
shoulder as the presenting part?
A) Breech, transverse
B) Breech, longitudinal
C) Breech, frank
D) Vertex, transverse
A
A clinic nurse is preparing diagrams of pelvic shapes. Which pelvic shapes are considered
least adequate for vaginal childbirth?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.
A) Android
B) Anthropoid
C) Gynecoid
D) Platypelloid
E) Lambdoidal suture
A, D
The nurse is caring for laboring clients. Which women are experiencing problems related
to a critical factor of labor?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.
A) Woman at 7 c m, fetus in general flexion
B) Woman at 3 c m, fetus in longitudinal lie
C) Woman at 4 c m, fetus with transverse lie
D) Woman at 6 c m, fetus at -2 station, mild contractions
Woman at 5 cm, fetal presenting part is right shoulder
C, D, E
The charge nurse has received the shift change report. Which client requires immediate
intervention?
,A) Woman at 6 c m undergoing induction of labor, strong contractions every 3 minutes
B) Woman at 4 c m whose fetus is in a longitudinal lie with a cephalic presentation
C) Woman at 10 c m and fetus at +2 station experiencing a strong expulsion urge
D) Woman at 3 cm screaming in fear because her mother died during childbirth
D
Premonitory signs of labor include which of the following?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.
A) Braxton Hicks contractions
B) Cervical softening and effacement
C) Weight gain
D) Rupture of membranes
E) Sudden loss of energy
A, B, D
A client arrives in the labor and delivery unit and describes her contractions as occurring
every 10-12 minutes, lasting 30 seconds. She is smiling and very excited about the
possibility of being in labor. On exam, her cervix is dilated 2 c m, 100% effaced, and -2
station. What best describes this labor?
A) Second phase
B) Latent phase
C) Active phase
D) Transition phase
B
The client has asked the nurse why her cervix has only changed from 1 to 2 c m in 3 hours
of contractions occurring every 5 minutes. What is the nurse's best response to the client?
A) "Your cervix has also effaced, or thinned out, and that change in the cervix is also labor
progress."
B) "When your perineal body thins out, your cervix will begin to dilate much faster than it
is now."
C) "What did you expect? You've only had contractions for a few hours. Labor takes
time."
D) "The hormones that cause labor to begin are just getting to be at levels that will change
your cervix."
A
,To identify the duration of a contraction, the nurse would do which of the following?
A) Start timing from the beginning of one contraction to the completion of the same
contraction.
B) Time between the beginning of one contraction and the beginning of the next
contraction.
C) Palpate for the strength of the contraction at its peak.
D) Time from the beginning of the contraction to the peak of the same contraction
A
The client at 40 weeks' gestation reports to the nurse that she has had increased pelvic
pressure and increased urinary frequency. Which response by the nurse is best?
A) "Unless you have pain with urination, we don't need to worry about it."
B) "These symptoms usually mean the baby's head has descended further."
C) "Come in for an appointment today and we'll check everything out."
D) "This might indicate that the baby is no longer in a head-down position.
B
The client at 39 weeks' gestation calls the clinic and reports increased bladder pressure but
easier breathing and irregular, mild contractions. She also states that she just cleaned the
entire house. Which statement should the nurse make?
A) "You shouldn't work so much at this point in pregnancy."
B) "What you are describing is not commonly experienced in the last weeks."
C) "Your body may be telling you it is going into labor soon."
D) "If the bladder pressure continues, come in to the clinic tomorrow."
C
A client who is having false labor most likely would have which of the following?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.
A) Contractions that do not intensify while walking
B) An increase in the intensity and frequency of contractions
C) Progressive cervical effacement and dilation
D) Pain in the abdomen that does not radiate
E) Contractions that lessen with rest and warm tub baths
A, D, E
The nurse is preparing a client education handout on the differences between false labor
and true labor. What information is most important for the nurse to include?
, A) True labor contractions begin in the back and sweep toward the front.
B) False labor often feels like abdominal tightening, or "balling up."
C) True labor can be diagnosed only if cervical change occurs.
D) False labor contractions do not increase in intensity or duration.
C
1. A client calls the labor and delivery unit and tells the nurse that she is 39 weeks pregnant
and over the last 4 or 5 days, she has noticed that although her breathing has become
easier, she is having leg cramps, a slight amount of edema in her lower legs, and an
increased amount of vaginal secretions. The nurse tells the client that she has experienced
which of the following?
A) Engagement
B) Lightening
C) Molding
D) Braxton Hicks contractions
B
The nurse is teaching a prenatal class about false labor. The nurse should teach clients that
false labor will most likely include which of the following?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.
A) Contractions that do not intensify while walking
B) An increase in the intensity and frequency of contractions
C) Progressive cervical effacement and dilation
D) Pain in the abdomen that does not radiate
E) Contractions are at regular intervals
A, D
A client is admitted to the labor and delivery unit with contractions that are 2 minutes
apart, lasting 60 seconds. She reports that she had bloody show earlier that morning. A
vaginal exam reveals that her cervix is 100 percent effaced and 8 c m dilated. The nurse
knows that the client is in which phase of labor?
A) Active
B) Latent
C) Transition
D) Fourth
C
