WOMEN'S CH. 14 RICCI: ESSENTIALS OF MATERNITY,
NEWBORN, AND WOMEN'S HEALTH NURSING EXAM
WITH CORRECT ANSWERS 2025
Maternal Assessment During Labor & Birth - CORRECT-ANSWERS- Maternal status:
I. Vital signs
II. Pain (0-10)
III. Vaginal examination for baseline
IV. Cervical dilation
V. Effacement
VI. Membrane status-can take pH in area with nitrozene paper to test for true amniotic
fluid
VII. Fetal descent
VIII. Presentation
IX. Uterine contractions
X. Leopold's maneuvers
First Stage of Labor: Admission Assessment - CORRECT-ANSWERS-
I. Fetal assessment
II. Lab studies
III. Routine: urinalysis, CBC, blood type, Rh factor
IV. PRN: Syphilis, HbsAg screening, GBS, HIV (with woman's consent), and possible
drug screening if not included in prenatal history
Assessment of psychological status
- CORRECT-ANSWERS- • If there is no vaginal bleeding on admission, a vaginal
examination is performed to assess cervical dilation, after which it is monitored
periodically as necessary to identify progress.
Where are the ischial spines - CORRECT-ANSWERS- blunted prominences at the
midpelvis.
, what color will the nitrazine yellow dye swab be with amniotic fluid? - CORRECT-
ANSWERS- Blue; amniotic fluid as basic;
vaginal fluid is acidic and turns yellow.
What state is the uterus in during the acme of a contraction? - CORRECT-ANSWERS- At
the acme (peak) of the contraction, the entire uterus is contracting, with the greatest
intensity in the fundal area. The relaxation phase follows and occurs simultaneously
throughout the uterus.
Where does the nurse palpate the uterus to determine the strength of contractions? -
CORRECT-ANSWERS- The fundus To palpate the fundus for contraction intensity, place
the pads of your fingers on the fundus
What are Leopold's maneuvers? - CORRECT-ANSWERS-
Performing Leopold's Maneuvers Purpose: To Determine Fetal Presentation, Position, and
Lie Perform the first maneuver to determine presentation. a. Facing the woman's head,
place both hands on the abdomen to determine fetal position in the uterine fundus. b. Feel
for the buttocks, which will feel soft and irregular (indicates vertex presentation); feel for
the head, which will feel hard, smooth, and round (indicates a breech presentation).
Complete the second maneuver to determine position. a. While still facing the woman,
move hands down the lateral sides of the abdomen to palpate on which side the back is
located (feels hard and smooth). b. Continue to palpate to determine on which side the
limbs are located (irregular nodules with kicking and movement).
Perform the third maneuver to confirm presentation. a. Move hands down the sides of the
abdomen to grasp the lower uterine segment and palpate the area just above the
symphysis pubis. b. Place thumb and fingers of one hand apart and grasp the presenting
part by bringing fingers together. c. Feel for the presenting part. If the presenting part is the
head, it will be round, firm, and ballottable; if it is the buttocks, it will feel soft and irregular.
NEWBORN, AND WOMEN'S HEALTH NURSING EXAM
WITH CORRECT ANSWERS 2025
Maternal Assessment During Labor & Birth - CORRECT-ANSWERS- Maternal status:
I. Vital signs
II. Pain (0-10)
III. Vaginal examination for baseline
IV. Cervical dilation
V. Effacement
VI. Membrane status-can take pH in area with nitrozene paper to test for true amniotic
fluid
VII. Fetal descent
VIII. Presentation
IX. Uterine contractions
X. Leopold's maneuvers
First Stage of Labor: Admission Assessment - CORRECT-ANSWERS-
I. Fetal assessment
II. Lab studies
III. Routine: urinalysis, CBC, blood type, Rh factor
IV. PRN: Syphilis, HbsAg screening, GBS, HIV (with woman's consent), and possible
drug screening if not included in prenatal history
Assessment of psychological status
- CORRECT-ANSWERS- • If there is no vaginal bleeding on admission, a vaginal
examination is performed to assess cervical dilation, after which it is monitored
periodically as necessary to identify progress.
Where are the ischial spines - CORRECT-ANSWERS- blunted prominences at the
midpelvis.
, what color will the nitrazine yellow dye swab be with amniotic fluid? - CORRECT-
ANSWERS- Blue; amniotic fluid as basic;
vaginal fluid is acidic and turns yellow.
What state is the uterus in during the acme of a contraction? - CORRECT-ANSWERS- At
the acme (peak) of the contraction, the entire uterus is contracting, with the greatest
intensity in the fundal area. The relaxation phase follows and occurs simultaneously
throughout the uterus.
Where does the nurse palpate the uterus to determine the strength of contractions? -
CORRECT-ANSWERS- The fundus To palpate the fundus for contraction intensity, place
the pads of your fingers on the fundus
What are Leopold's maneuvers? - CORRECT-ANSWERS-
Performing Leopold's Maneuvers Purpose: To Determine Fetal Presentation, Position, and
Lie Perform the first maneuver to determine presentation. a. Facing the woman's head,
place both hands on the abdomen to determine fetal position in the uterine fundus. b. Feel
for the buttocks, which will feel soft and irregular (indicates vertex presentation); feel for
the head, which will feel hard, smooth, and round (indicates a breech presentation).
Complete the second maneuver to determine position. a. While still facing the woman,
move hands down the lateral sides of the abdomen to palpate on which side the back is
located (feels hard and smooth). b. Continue to palpate to determine on which side the
limbs are located (irregular nodules with kicking and movement).
Perform the third maneuver to confirm presentation. a. Move hands down the sides of the
abdomen to grasp the lower uterine segment and palpate the area just above the
symphysis pubis. b. Place thumb and fingers of one hand apart and grasp the presenting
part by bringing fingers together. c. Feel for the presenting part. If the presenting part is the
head, it will be round, firm, and ballottable; if it is the buttocks, it will feel soft and irregular.
