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Chapter 06: Nursing Care of Mother and Infant During Labor and Birth
Leifer: Introduction to Maternity and Pediatric Nursing, 8th Edition
MULTIPLE CHOICE
1. What does the nurse note when measuring the frequency of a laboring woman’s contractions?
a. How long the patient states the contractions last
b. The time between the end of one contraction and the beginning of the next
c. The time between the beginning and the end of one contraction
d. The time between the beginning of one contraction and the beginning of the next
ANS: D
The frequency of contractions is the elapsed time from the beginning of one contraction to the
beginning of the next contraction.
DIF: Cognitive Level: Comprehension REF: p. 127 OBJ: 3
TOP: Frequency of Contractions KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
2. Why is the krelaxation kphase kbetween kcontractions kimportant?
a. The klaboring kwoman kneeds kto krest.
b. The kuterine kmuscles kfatigue kwithout krelaxation.
c. The kcontractions kcan kinterfere kwith kfetal koxygenation.
d. The kinfant kprogresses ktoward kdelivery kat kthese ktimes.
ANS: k C
Blood k flow k from k the km oth eTr Ei nSt oT tBh A
e kN
plK
acSeE
ntL
a kLgrEa R
d u.aC
ll yO dMecreases kduring k contractions.
k During kthe kinterval kbetween kcontractions, kthe kplacenta krefills kwith koxygenated kblood kfor
kthe kfetus.
DIF: Cognitive kLevel: kComprehension REF: k p. k127 OBJ:
k 3 kTOP: k Interval KEY: k Nursing kProcess kStep: kN/A
MSC: k NCLEX: kPhysiological kIntegrity: kPhysiological kAdaptation
3. What kcontraction kduration kand kinterval kdoes kthe knurse krecognize kcould kresult
kin kfetal kcompromise?
a. Duration kshorter kthan k30 kseconds, kinterval klonger kthan k75 kseconds
b. Duration kshorter kthan k90 kseconds, kinterval klonger kthan k120 kseconds
c. Duration klonger kthan k90 kseconds, kinterval kshorter kthan k60 kseconds
d. Duration klonger kthan k60 kseconds, kinterval kshorter kthan k90 kseconds
ANS: k C
Persistent kcontraction kdurations klonger kthan k90 kseconds kor kcontraction kintervals kless kthan
k60 kseconds kmay kreduce kfetal koxygen ksupply.
DIF: Cognitive kLevel: kComprehension REF: k p. k127|Safety
kAlert kOBJ: k 4 TOP: k Contraction/Fetal kCompromise
KEY: k Nursing kProcess kStep: kData kCollection
MSC: k NCLEX: kPhysiological kIntegrity: kReduction kof kRisk
4. Vaginal kexamination kreveals kthe kpresenting kpart kis kthe kinfant’s khead, kwhich kis kwell
kflexed kon kthe kchest. kWhat kis kthis kpresentation?
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a. Vertex
b. Military
c. Brow
d. Face
ANS: k A
In kthe kvertex kpresentation, kthe kfetal khead kis kthe kpresenting kpart. kThe khead kis kfully
kflexed kon kthe kchest.
DIF: Cognitive kLevel: kComprehension REF: k k p. k129 OBJ: k k 3
TOP: k Fetal kPosition KEY: k Nursing kProcess kStep: kData kCollection
k MSC: k NCLEX: kHealth kPromotion kand kMaintenance: kPrevention kand kEarly kDetection kof
kDisease
5. What kdoes kmeconium-stained kamniotic kfluid kindicate kwhen kthe kinfant kis kin ka
kvertex kpresentation?
a. Fetal kdistress
b. Fetal kmaturity
c. Intact kgastrointestinal ktract
d. Dehydration kin kthe kmother
ANS: k A
Green-stained kamniotic kfluid kmeans kthat kthe kfetus kpassed kthe kfirst kstool kbefore kbirth,
kand kit kis kan kindicator kof kfetal kcompromise.
DIF: Cognitive kLevel: kComprehension REF: k k p. k144 OBJ: k k 4
TOP: k Meconium-Stained kAmniotic kFluid k k KEY: k Nursing kProcess kStep: kData
kCollection kMSC: k NCLEX: kHealth kPromotion kand kMaintenance: kPrevention kand kEarly
kDetection kof kDisease
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6. It kis kdetermined kthat kthe kpresenting kpart kof kthe kfetus kis kthe kbuttocks. kAt kdelivery kthe
kfetus’s khips
are kflexed kand kthe kknees kare kextended. kHow kwould kthe knurse krecord kthis kpresentation?
a. Complete kbreech
b. Frank kbreech
c. Double kfootling
d. Buttocks kpresentation
ANS: k B
When ka kfetus kpresents kin ka kfrank kbreech kposition, kthe klegs kare kflexed kat kthe khips kand
kextend ktoward kthe kshoulders.
DIF: Cognitive kLevel: kApplication REF: k p. k129|Figure
k6-7 kOBJ: k 3 k| k4 TOP: k Components kof kthe kBirth kProcess
KEY: k Nursing kProcess kStep: kImplementation
MSC: k NCLEX: kHealth kPromotion kand kMaintenance: kPrevention kand kEarly kDetection kof
kDisease
7. At ka kprenatal kvisit, ka kprimigravida kasks kthe knurse khow kshe kwill kknow kher klabor khas
kstarted. kThe knurse kknows kthat kwhat kindicates kthe kbeginning kof ktrue klabor?
a. Contractions kthat kare krelieved kby kwalking
b. Discomfort kin kthe kabdomen kand kgroin
c. A kdecrease kin kvaginal kdischarge
d. Regular kcontractions kbecoming kmore kfrequent kand kintense
ANS: k D
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In ktrue klabor, kcontractions kgradually kdevelop ka kregular kpattern kand kbecome kmore
kfrequent, klonger, kand kmore kintense.
DIF: Cognitive kLevel: kApplication REF: k p. k134|p.
k137 kOBJ: k 6 TOP: k Initiation kof kLabor
KEY: k Nursing kProcess kStep: kImplementation
MSC: k NCLEX: kPhysiological kIntegrity: kPhysiological kAdaptation
8. While kdiscussing klabor kand kdelivery kduring ka kprenatal kvisit, ka kprimigravida kasks
kthe knurse kwhen kshe kshould kgo kto kthe khospital. kWhat kis kthe knurse’s kmost
kinformative kresponse?
a. “When kyou kfeel kincreased kfetal kmovement”
b. “When kcontractions kare k10 kminutes kapart”
c. “When kmembranes khave kruptured”
d. “When kabdominal kor kgroin kdiscomfort koccurs”
ANS: k C
Ruptured kmembranes kare kan kindication kthat kthe kwoman kshould kgo kto kthe khospital kor
kbirthing kcenter.
DIF: Cognitive kLevel: kApplication REF: k k p. k134|p. k137
OBJ: k 5 TOP: k Admission kto kthe kHospital kor kBirth
kCenter kKEY: k Nursing kProcess kStep: kImplementation
MSC: k NCLEX: kHealth kPromotion kand kMaintenance: kPrevention kand kEarly kDetection kof
kDisease
9. The knurse kis kcaring kfor ka kwoman kin kthe kfirst kstage kof klabor. kWhat kwill kthe knurse
kremind kthe kpatient kabout kcontractions kduring kthis kstage kof klabor?
a. They kget kthe kinfant kpositioned kfor kdelivery.
b. They kpush kthe kinfant kinTtoEtS
heTvBaA
giNnK
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c. They kdilate kand kefface kthe kcervix.
d. They kget kthe kmother kprepared kfor ktrue klabor.
ANS: k C
The kfirst kstage kof klabor kdescribes kthe ktime kfrom kthe konset kof klabor kuntil kfull kdilation kof
kthe kcervix.
DIF: Cognitive kLevel: kComprehension REF: k p. k155|Table
k6-6 kOBJ: k 5 TOP: k First kStage kof kLabor
KEY: k Nursing kProcess kStep: kData kCollection
MSC: k NCLEX: kPhysiological kIntegrity: kPhysiological kAdaptation
10. A kwoman kis k7 kcm kdilated, kand kher kcontractions kare k3 kminutes kapart. kWhen kshe
kbegins kcursing kat kher kbirthing kcoach kand kthe knurse, kwhat kdoes kthe knurse kassess kas
kthe kmost klikely kexplanation kfor kthe kwoman’s kchange kin kbehavior?
a. Labor khas kprogressed kto kthe ktransition kphase.
b. She klacked kadequate kpreparation kfor kthe klabor kexperience.
c. The kwoman kwould kbenefit kfrom ka kdifferent kform kof kanalgesia.
d. The kcontractions khave kincreased kfrom kmild kto kmoderate kintensity.
ANS: k A
If ka kwoman ksuddenly kloses kcontrol kand kbecomes kirritable, ksuspect kthat kshe khas
kprogressed kto kthe ktransition kstage kof klabor.
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DIF: Cognitive kLevel: kAnalysis REF: k k p. k155|Table k6-6
OBJ: k 5 TOP: k Transition KEY: k Nursing kProcess kStep: kData
kCollection kMSC: k NCLEX: kPhysiological kIntegrity: kPhysiological kAdaptation
11. What kis kthe kfunction kof kcontractions kduring kthe ksecond kstage kof klabor?
a. Align kthe kinfant kinto kthe kproper kposition kfor kdelivery
b. Dilate kand kefface kthe kcervix
c. Push kthe kinfant kout kof kthe kmother’s kbody
d. Separate kthe kplacenta kfrom kthe kuterine kwall
ANS: k C
The kcontractions kpush kthe kinfant kout kof kthe kmother’s kbody kas kthe ksecond kstage kof klabor
kends kwith kthe kbirth kof kthe kinfant.
DIF: Cognitive kLevel: kKnowledge REF: k p. k155|Table
k6-6 kOBJ: k 5 TOP: k Second kStage kof kLabor
KEY: k Nursing kProcess kStep: kImplementation
MSC: k NCLEX: kHealth kPromotion kand kMaintenance: kPrevention kand kEarly kDetection kof
kDisease
12. What kmarks kthe kend kof kthe kthird kstage kof klabor?
a. Full kcervical kdilation
b. Expulsion kof kthe kplacenta kand kmembranes
c. Birth kof kthe kinfant
d. Engagement kof kthe khead
ANS: k B
The kthird kstage kof klabor kextends kfrom kthe kbirth kof kthe kinfant kuntil kthe kplacenta kis
kdetached kand
expelled.
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DIF: k Cognitive kLevel: kKnowledge REF: k p. k155|Table
k6-6 kOBJ: k 5 TOP: k Third kStage kof kLabor
KEY: k Nursing kProcess kStep: kImplementation
MSC: k NCLEX: kPhysiological kIntegrity: kPhysiological kAdaptation
13. Why kshould kthe knurse kencourage kthe kmother kto kvoid kduring kthe kfourth kstage kof klabor?
a. A kfull kbladder kcould kinterfere kwith kcervical kdilation.
b. A kfull kbladder kcould kobstruct kprogress kof kthe kinfant kthrough kthe kbirth kcanal.
c. A kfull kbladder kcould kobstruct kthe kpassage kof kthe kplacenta.
d. A kfull kbladder kcould kpredispose kthe kmother kto kuterine khemorrhage.
ANS: k D
A kfull kbladder kimmediately kafter kbirth kcan kcause kexcessive kbleeding kbecause kit
kpushes kthe kuterus kupward kand kinterferes kwith kcontractions.
DIF: k Cognitive kLevel: kComprehension k REF: k p. k155|Table
k6-6 kOBJ: k 5 TOP: k Nursing kCare kImmediately kAfter
kBirth kKEY: k Nursing kProcess kStep: kImplementation
MSC: k NCLEX: kPhysiological kIntegrity: kReduction kof kRisk
14. The knurse kobserves kthe kpatient kbearing kdown kwith kcontractions kand kcrying kout, k“The
kbaby kis kcoming!” kWhat kis kthe kbest knursing kintervention?
a. Find kthe kphysician.
TESTBANKSELLER.COM
Chapter 06: Nursing Care of Mother and Infant During Labor and Birth
Leifer: Introduction to Maternity and Pediatric Nursing, 8th Edition
MULTIPLE CHOICE
1. What does the nurse note when measuring the frequency of a laboring woman’s contractions?
a. How long the patient states the contractions last
b. The time between the end of one contraction and the beginning of the next
c. The time between the beginning and the end of one contraction
d. The time between the beginning of one contraction and the beginning of the next
ANS: D
The frequency of contractions is the elapsed time from the beginning of one contraction to the
beginning of the next contraction.
DIF: Cognitive Level: Comprehension REF: p. 127 OBJ: 3
TOP: Frequency of Contractions KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
2. Why is the krelaxation kphase kbetween kcontractions kimportant?
a. The klaboring kwoman kneeds kto krest.
b. The kuterine kmuscles kfatigue kwithout krelaxation.
c. The kcontractions kcan kinterfere kwith kfetal koxygenation.
d. The kinfant kprogresses ktoward kdelivery kat kthese ktimes.
ANS: k C
Blood k flow k from k the km oth eTr Ei nSt oT tBh A
e kN
plK
acSeE
ntL
a kLgrEa R
d u.aC
ll yO dMecreases kduring k contractions.
k During kthe kinterval kbetween kcontractions, kthe kplacenta krefills kwith koxygenated kblood kfor
kthe kfetus.
DIF: Cognitive kLevel: kComprehension REF: k p. k127 OBJ:
k 3 kTOP: k Interval KEY: k Nursing kProcess kStep: kN/A
MSC: k NCLEX: kPhysiological kIntegrity: kPhysiological kAdaptation
3. What kcontraction kduration kand kinterval kdoes kthe knurse krecognize kcould kresult
kin kfetal kcompromise?
a. Duration kshorter kthan k30 kseconds, kinterval klonger kthan k75 kseconds
b. Duration kshorter kthan k90 kseconds, kinterval klonger kthan k120 kseconds
c. Duration klonger kthan k90 kseconds, kinterval kshorter kthan k60 kseconds
d. Duration klonger kthan k60 kseconds, kinterval kshorter kthan k90 kseconds
ANS: k C
Persistent kcontraction kdurations klonger kthan k90 kseconds kor kcontraction kintervals kless kthan
k60 kseconds kmay kreduce kfetal koxygen ksupply.
DIF: Cognitive kLevel: kComprehension REF: k p. k127|Safety
kAlert kOBJ: k 4 TOP: k Contraction/Fetal kCompromise
KEY: k Nursing kProcess kStep: kData kCollection
MSC: k NCLEX: kPhysiological kIntegrity: kReduction kof kRisk
4. Vaginal kexamination kreveals kthe kpresenting kpart kis kthe kinfant’s khead, kwhich kis kwell
kflexed kon kthe kchest. kWhat kis kthis kpresentation?
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a. Vertex
b. Military
c. Brow
d. Face
ANS: k A
In kthe kvertex kpresentation, kthe kfetal khead kis kthe kpresenting kpart. kThe khead kis kfully
kflexed kon kthe kchest.
DIF: Cognitive kLevel: kComprehension REF: k k p. k129 OBJ: k k 3
TOP: k Fetal kPosition KEY: k Nursing kProcess kStep: kData kCollection
k MSC: k NCLEX: kHealth kPromotion kand kMaintenance: kPrevention kand kEarly kDetection kof
kDisease
5. What kdoes kmeconium-stained kamniotic kfluid kindicate kwhen kthe kinfant kis kin ka
kvertex kpresentation?
a. Fetal kdistress
b. Fetal kmaturity
c. Intact kgastrointestinal ktract
d. Dehydration kin kthe kmother
ANS: k A
Green-stained kamniotic kfluid kmeans kthat kthe kfetus kpassed kthe kfirst kstool kbefore kbirth,
kand kit kis kan kindicator kof kfetal kcompromise.
DIF: Cognitive kLevel: kComprehension REF: k k p. k144 OBJ: k k 4
TOP: k Meconium-Stained kAmniotic kFluid k k KEY: k Nursing kProcess kStep: kData
kCollection kMSC: k NCLEX: kHealth kPromotion kand kMaintenance: kPrevention kand kEarly
kDetection kof kDisease
TESTBANKSELLER.COM
6. It kis kdetermined kthat kthe kpresenting kpart kof kthe kfetus kis kthe kbuttocks. kAt kdelivery kthe
kfetus’s khips
are kflexed kand kthe kknees kare kextended. kHow kwould kthe knurse krecord kthis kpresentation?
a. Complete kbreech
b. Frank kbreech
c. Double kfootling
d. Buttocks kpresentation
ANS: k B
When ka kfetus kpresents kin ka kfrank kbreech kposition, kthe klegs kare kflexed kat kthe khips kand
kextend ktoward kthe kshoulders.
DIF: Cognitive kLevel: kApplication REF: k p. k129|Figure
k6-7 kOBJ: k 3 k| k4 TOP: k Components kof kthe kBirth kProcess
KEY: k Nursing kProcess kStep: kImplementation
MSC: k NCLEX: kHealth kPromotion kand kMaintenance: kPrevention kand kEarly kDetection kof
kDisease
7. At ka kprenatal kvisit, ka kprimigravida kasks kthe knurse khow kshe kwill kknow kher klabor khas
kstarted. kThe knurse kknows kthat kwhat kindicates kthe kbeginning kof ktrue klabor?
a. Contractions kthat kare krelieved kby kwalking
b. Discomfort kin kthe kabdomen kand kgroin
c. A kdecrease kin kvaginal kdischarge
d. Regular kcontractions kbecoming kmore kfrequent kand kintense
ANS: k D
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In ktrue klabor, kcontractions kgradually kdevelop ka kregular kpattern kand kbecome kmore
kfrequent, klonger, kand kmore kintense.
DIF: Cognitive kLevel: kApplication REF: k p. k134|p.
k137 kOBJ: k 6 TOP: k Initiation kof kLabor
KEY: k Nursing kProcess kStep: kImplementation
MSC: k NCLEX: kPhysiological kIntegrity: kPhysiological kAdaptation
8. While kdiscussing klabor kand kdelivery kduring ka kprenatal kvisit, ka kprimigravida kasks
kthe knurse kwhen kshe kshould kgo kto kthe khospital. kWhat kis kthe knurse’s kmost
kinformative kresponse?
a. “When kyou kfeel kincreased kfetal kmovement”
b. “When kcontractions kare k10 kminutes kapart”
c. “When kmembranes khave kruptured”
d. “When kabdominal kor kgroin kdiscomfort koccurs”
ANS: k C
Ruptured kmembranes kare kan kindication kthat kthe kwoman kshould kgo kto kthe khospital kor
kbirthing kcenter.
DIF: Cognitive kLevel: kApplication REF: k k p. k134|p. k137
OBJ: k 5 TOP: k Admission kto kthe kHospital kor kBirth
kCenter kKEY: k Nursing kProcess kStep: kImplementation
MSC: k NCLEX: kHealth kPromotion kand kMaintenance: kPrevention kand kEarly kDetection kof
kDisease
9. The knurse kis kcaring kfor ka kwoman kin kthe kfirst kstage kof klabor. kWhat kwill kthe knurse
kremind kthe kpatient kabout kcontractions kduring kthis kstage kof klabor?
a. They kget kthe kinfant kpositioned kfor kdelivery.
b. They kpush kthe kinfant kinTtoEtS
heTvBaA
giNnK
a.SELLER.COM
c. They kdilate kand kefface kthe kcervix.
d. They kget kthe kmother kprepared kfor ktrue klabor.
ANS: k C
The kfirst kstage kof klabor kdescribes kthe ktime kfrom kthe konset kof klabor kuntil kfull kdilation kof
kthe kcervix.
DIF: Cognitive kLevel: kComprehension REF: k p. k155|Table
k6-6 kOBJ: k 5 TOP: k First kStage kof kLabor
KEY: k Nursing kProcess kStep: kData kCollection
MSC: k NCLEX: kPhysiological kIntegrity: kPhysiological kAdaptation
10. A kwoman kis k7 kcm kdilated, kand kher kcontractions kare k3 kminutes kapart. kWhen kshe
kbegins kcursing kat kher kbirthing kcoach kand kthe knurse, kwhat kdoes kthe knurse kassess kas
kthe kmost klikely kexplanation kfor kthe kwoman’s kchange kin kbehavior?
a. Labor khas kprogressed kto kthe ktransition kphase.
b. She klacked kadequate kpreparation kfor kthe klabor kexperience.
c. The kwoman kwould kbenefit kfrom ka kdifferent kform kof kanalgesia.
d. The kcontractions khave kincreased kfrom kmild kto kmoderate kintensity.
ANS: k A
If ka kwoman ksuddenly kloses kcontrol kand kbecomes kirritable, ksuspect kthat kshe khas
kprogressed kto kthe ktransition kstage kof klabor.
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DIF: Cognitive kLevel: kAnalysis REF: k k p. k155|Table k6-6
OBJ: k 5 TOP: k Transition KEY: k Nursing kProcess kStep: kData
kCollection kMSC: k NCLEX: kPhysiological kIntegrity: kPhysiological kAdaptation
11. What kis kthe kfunction kof kcontractions kduring kthe ksecond kstage kof klabor?
a. Align kthe kinfant kinto kthe kproper kposition kfor kdelivery
b. Dilate kand kefface kthe kcervix
c. Push kthe kinfant kout kof kthe kmother’s kbody
d. Separate kthe kplacenta kfrom kthe kuterine kwall
ANS: k C
The kcontractions kpush kthe kinfant kout kof kthe kmother’s kbody kas kthe ksecond kstage kof klabor
kends kwith kthe kbirth kof kthe kinfant.
DIF: Cognitive kLevel: kKnowledge REF: k p. k155|Table
k6-6 kOBJ: k 5 TOP: k Second kStage kof kLabor
KEY: k Nursing kProcess kStep: kImplementation
MSC: k NCLEX: kHealth kPromotion kand kMaintenance: kPrevention kand kEarly kDetection kof
kDisease
12. What kmarks kthe kend kof kthe kthird kstage kof klabor?
a. Full kcervical kdilation
b. Expulsion kof kthe kplacenta kand kmembranes
c. Birth kof kthe kinfant
d. Engagement kof kthe khead
ANS: k B
The kthird kstage kof klabor kextends kfrom kthe kbirth kof kthe kinfant kuntil kthe kplacenta kis
kdetached kand
expelled.
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DIF: k Cognitive kLevel: kKnowledge REF: k p. k155|Table
k6-6 kOBJ: k 5 TOP: k Third kStage kof kLabor
KEY: k Nursing kProcess kStep: kImplementation
MSC: k NCLEX: kPhysiological kIntegrity: kPhysiological kAdaptation
13. Why kshould kthe knurse kencourage kthe kmother kto kvoid kduring kthe kfourth kstage kof klabor?
a. A kfull kbladder kcould kinterfere kwith kcervical kdilation.
b. A kfull kbladder kcould kobstruct kprogress kof kthe kinfant kthrough kthe kbirth kcanal.
c. A kfull kbladder kcould kobstruct kthe kpassage kof kthe kplacenta.
d. A kfull kbladder kcould kpredispose kthe kmother kto kuterine khemorrhage.
ANS: k D
A kfull kbladder kimmediately kafter kbirth kcan kcause kexcessive kbleeding kbecause kit
kpushes kthe kuterus kupward kand kinterferes kwith kcontractions.
DIF: k Cognitive kLevel: kComprehension k REF: k p. k155|Table
k6-6 kOBJ: k 5 TOP: k Nursing kCare kImmediately kAfter
kBirth kKEY: k Nursing kProcess kStep: kImplementation
MSC: k NCLEX: kPhysiological kIntegrity: kReduction kof kRisk
14. The knurse kobserves kthe kpatient kbearing kdown kwith kcontractions kand kcrying kout, k“The
kbaby kis kcoming!” kWhat kis kthe kbest knursing kintervention?
a. Find kthe kphysician.
TESTBANKSELLER.COM
