Lowdermilk Chapter 16: Labor and Birth Processes 28 Final.

Lowdermilk Chapter 16: Labor and Birth Processes 28 Final. 1. 1. A new mother asks the nurse when the soft spot on her sons head will go away. What is the nurses best response, based ANS: D The larger of the two fontanels, the anterior fontanel, closes by 18 months after birth. The posterior fontanel closes at 6 upon her understanding of when to 8 weeks. The remaining three options are too early for the anterior frontal closes? a. 2 months b. 8 months c. 12 months d. 18 months the anterior fontanel to close. 2. 2. The nurse is performing an ini- ANS: C tial assessment of a client in la- bor. What is the appropriate ter- minology for the relationship of Attitude is the relationship of the fetal body parts to one another. Lie is the relationship of the long axis (spine) of the the fetal body parts to one anoth- fetus to the long axis (spine) of the mother. Presentation er? a. Lie refers to the part of the fetus that enters the pelvic inlet first and leads through the birth canal during labor at term. Position is the relationship of the presenting part of the fetus to the four quadrants of the mothers pelvis. b. Presentation c. Attitude d. Position 3. 3. When assessing the fetus using Leopolds maneuvers, the nurse feels a round, firm, and movable fetal part in the fundal portion of the uterus and a long, smooth surface in the mothers right side close to midline. What is the position of the fetus? a. ROA b. LSP c. RSA d. ANS: C 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 portion of the uterus would be the fetal head, indicating that the fetus is in a breech position with the sacrum as the presenting part in the maternal pelvis. Palpa- tion of the fetal spine along the mothers right side denotes the location of the presenting part in the mothers pelvis. The ability to palpate the fetal spine indicates that the fetus is anteriorly positioned in the maternal pelvis. This fetus is anteriorly positioned in the right side of the maternal pelvis with the sacrum as the presenting part. RSA is the correct three-letter abbreviation to indicate this fetal position. ROA denotes a fetus that is anteriorly positioned in the right side of the maternal pelvis with the occiput as the presenting LOA 4. 4. Which statement by the client would lead the nurse to believe that labor has been established? a. I passed some thick, pink mucus when I urinated this morning. b. My bag of waters just broke. c. The contractions in my uterus are getting stronger and closer to- gether. d. My baby dropped, and I have to urinate more frequently now. 5. 5. The nurse has received a re- port regarding a client in labor. The womans last vaginal exam- ination was recorded as 3 cm, part. LSP describes a fetus that is posteriorly positioned in the left side of the pelvis with the sacrum as the presenting part. A fetus that is LOA would be anteriorly positioned in the left side of the pelvis with the occiput as the presenting part. ANS: C