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Chapter 13: Labor and Birth Processes - ...ANSWER...✓✓
1. A new mother asks the nurse when the soft spot on her
sons head will go away. The nurses answer is based on
the knowledge that the anterior fontanel closes after birth
by _____ months.
a. 2 c. 12
b. 8 d. 18 - ...ANSWER...✓✓d. 18
2. When assessing a woman in labor, the nurse is aware
that the relationship of the fetal body parts to one another
is called fetal:
a. Lie. c. Attitude.
b. Presentation. d. Position. - ...ANSWER...✓✓c. Attitude.
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3. When assessing the fetus using Leopold maneuvers,
the nurse feels a round, firm, 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 likely
position of the fetus?
a. ROA c. RSA
b. LSP d. LOA - ...ANSWER...✓✓c. RSA
4. The nurse has received report regarding her patient in
labor. The womans last vaginal examination was
recorded as 3 cm, 30%, and ?2-2. The nurses
interpretation of this assessment is that:
a. The cervix is effaced 3 cm, it is dilated 30%, and the
presenting part is 2 cm above the ischial spines.
b. The cervix is 3 cm dilated, it is effaced 30%, and the
presenting part is 2 cm above the ischial spines.
c. The cervix is effaced 3 cm, it is dilated 30%, and the
presenting part is 2 cm below the ischial spines.
d. The cervix is dilated 3 cm, it is effaced 30%, and the
presenting part is 2 cm below the ischial spines. -
...ANSWER...✓✓b. The cervix is 3 cm dilated, it is effaced
30%, and the presenting part is 2 cm above the ischial
spines.
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5. To care for a laboring woman adequately, the nurse
understands that the __________ stage of labor varies the
most in length?
a. First c. Third
b. Second d. Fourth - ...ANSWER...✓✓a. First
6. The nurse would expect which maternal cardiovascular
finding during labor?
a. Increased cardiac output
b. Decreased pulse rate
c. Decreased white blood cell (WBC) count
d. Decreased blood pressure - ...ANSWER...✓✓a.
Increased cardiac output
7. The factors that affect the process of labor and birth,
known commonly as the five Ps, include all except:
a. Passenger. c. Powers.
b. Passageway. d. Pressure. - ...ANSWER...✓✓d. Pressure.
8. The slight overlapping of cranial bones or shaping of
the fetal head during labor is called:
a. Lightening. c. Ferguson reflex.
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b. Molding. d. Valsalva maneuver. - ...ANSWER...✓✓b.
Molding.
9. Which presentation is described accurately in terms of
both presenting part and frequency of occurrence?
a. Cephalic: occiput; at least 95% c. Shoulder: scapula; 10%
to 15%
b. Breech: sacrum; 10% to 15% d. Cephalic: cranial; 80% to
85% - ...ANSWER...✓✓a. Cephalic: occiput; at least 95%
10. With regard to factors that affect how the fetus moves
through the birth canal, nurses should be aware that:
a. The fetal attitude describes the angle at which the fetus
exits the uterus.
b. Of the two primary fetal lies, the horizontal lie is that in
which the long axis of the fetus is parallel to the long axis
of the mother.
c. The normal attitude of the fetus is called general
flexion.
d. The transverse lie is preferred for vaginal birth. -
...ANSWER...✓✓c. The normal attitude of the fetus is called
general flexion.