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Chapter 16 Lowdermilk Written Exam Questions & Answers.

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Chapter 16 Lowdermilk Written Exam Questions & Answers. 1. 17. Which basic type of pelvis ANS: D includes the correct description A platypelloid pelvis is flattened, wide, and shallow; approx- and percentage of occurrence in women? a. Gynecoid: classic female pelvis; heart shaped; 75% b. Android: resembling the male pelvis; wide oval; 15% c. Anthropoid: resembling the pelvis of the ape; narrow; 10% d. Platypelloid: flattened, wide, and shallow pelvis; 3% 2. 5. The nurse has received a re- port regarding a client in la- bor. The woman's last vaginal examination was recorded as 3 cm, 30%, and -2. What is the nurse's interpretation of this as- sessment? a. Cervix is effaced 3 cm and di- lated 30%; the presenting part is 2 cm above the ischial spines. b. Cervix is dilated 3 cm and ef- faced 30%; the presenting part is 2 cm above the ischial spines. c. Cervix is effaced 3 cm and di- lated 30%; the presenting part is 2 cm below the ischial spines. d. Cervix is dilated 3 cm and ef- faced 30%; the presenting part is 2 cm below the ischial spines. imately 3% of women have this shape. The gynecoid pelvis is the classic female shape, slightly ovoid and rounded; ap- proximately 50% of women have this shape. An android or malelike pelvis is heart shaped; approximately 23% of women have this shape. An anthropoid or apelike pelvis is oval and wide; approximately 24% of women have this shape. DIF: Cognitive Level: Remember REF: p. 374 3. 1. A new mother asks the nurse ANS: D when the "soft spot" on her son's head will go away. What is the nurse's best response, based upon her understanding of when the anterior frontal closes? a. 2 months b. 8 months c. 12 months d. 18 months 4. 2. The nurse is performing an initial assessment of a client in labor. What is the appropri- ate terminology for the rela- tionship of the fetal body parts to one another? a. Lie b. Presentation c. Attitude d. Position The larger of the two fontanels, the anterior fontanel, closes by 18 months after birth. The posterior fontanel closes at 6 to 8 weeks. The remaining three options are too early for the anterior fontanel to close. DIF: Cognitive Level: Understand REF: p. 367 ANS: C Attitude is the relationship of the fetal body parts to one another. Lie is the relationship of the long axis (spine) of the fetus to the long axis (spine) of the mother. Presentation refers to the part of the fetus that enters the pelvic inlet first and leads through the birth canal during labor at term.Posi- tion is the relationship of the presenting part of the fetus to the four quadrants of the mother's pelvis. DIF: Cognitive Level: Remember REF: p. 369 5. 3. When assessing the fetus us- ANS: C ing Leopold's maneuvers, the nurse feels a round, firm, and movable fetal part in the fun- dal portion of the uterus and a long, smooth surface in the mother's right side close to midline. What is the position of Fetal position is denoted with a three-letter abbreviation. The first letter indicates the presenting part in either the right or the left side of the maternal pelvis. The second letter indicates the anatomic presenting part of the fetus. The third letter stands for the location of the presenting part in relationship to the anterior, posterior, or transverse portion of the maternal pelvis. Palpation of a round, firm fetal part in the fundal

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Chapter 16 Lowdermilk Written Exam Questions & Answers.

1. 17. Which basic type of pelvis ANS: D
includes the correct description A platypelloid pelvis is flattened, wide, and shallow;
approx-
and percentage of presenting part is 2 cm above
occurrence in women? the ischial spines.
a. Gynecoid: classic c. Cervix is effaced 3 cm and di-
female pelvis; heart lated 30%; the presenting part
shaped; 75% is 2 cm below the ischial spines.
b. Android: resembling d. Cervix is dilated 3 cm and ef-
the male pelvis; wide faced 30%; the presenting part
oval; 15% is 2 cm below the ischial spines.
c. Anthropoid: resembling
the pelvis of the ape;
narrow; 10%
d. Platypelloid: flattened,
wide, and shallow pelvis;
3%

2. 5. The nurse has received a
re- port regarding a client
in la- bor. The woman's last
vaginal examination was
recorded as 3 cm, 30%,
and -2. What is the nurse's
interpretation of this as-
sessment?
a. Cervix is effaced 3 cm and
di- lated 30%; the
presenting part is 2 cm
above the ischial spines.
b. Cervix is dilated 3 cm and
ef- faced 30%; the
1/
29

, Chapter 16 Lowdermilk Written Exam Questions & Answers.

imately 3% of women have this shape. The
gynecoid pelvis is the classic female shape,
slightly ovoid and rounded; ap- proximately
50% of women have this shape. An android
or malelike pelvis is heart shaped;
approximately 23% of women have this
shape. An anthropoid or apelike pelvis is oval
and wide; approximately 24% of women have
this shape.
DIF: Cognitive Level: Remember REF: p. 374




2/
29

, Chapter 16 Lowdermilk Written Exam Questions & Answers.


3. 1. A new mother asks the nurse ANS: D
when the "soft spot" on The larger of the two fontanels, the anterior fontanel,
her son's head will go closes by 18 months after birth. The posterior
away. What is the nurse's fontanel closes at 6 to 8 weeks. The remaining three
best response, based options are too early for the anterior fontanel to close.
upon her understanding of DIF: Cognitive Level: Understand REF: p. 367
when the anterior frontal
closes?
a. 2 months
b. 8 months
c. 12 months
d. 18 months
ANS: C
4. 2. The nurse is performing Attitude is the relationship of the fetal body parts to
an initial assessment of one another. Lie is the relationship of the long axis
a client in labor. What is (spine) of the fetus to the long axis (spine) of the
the appropri- ate mother. Presentation refers to the part of the fetus that
terminology for the rela- enters the pelvic inlet first and leads through the birth
tionship of the fetal body canal during labor at term.Posi- tion is the relationship
parts to one another? of the presenting part of the fetus to the four
a. Lie quadrants of the mother's pelvis.
b. Presentation DIF: Cognitive Level: Remember REF: p. 369
c. Attitude
d. Position

5. 3. When assessing the fetus us- ANS: C
ing Leopold's maneuvers, a long, smooth surface in the
the nurse feels a round, mother's right side close to
firm, and movable fetal midline. What is the position of
part in the fun- dal
portion of the uterus and

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29

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