Maternity Test Bank Exam 1
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1. Chapter 13: Labor and Birth Processes
2. 1. A new mother asks the nurse when the soft spot d. 18
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
3. 2. When assessing a woman in labor, the nurse is c. Attitude.
aware that the relationship of the fetal body parts to
one another is called fetal:
a. Lie. c. Attitude.
b. Presentation. d. Position.
4. 3. When assessing the fetus using Leopold maneu- c. RSA
vers, 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
5. 4. The nurse has received report regarding her patient b. The cervix is 3 cm dilat-
in labor. The womans last vaginal examination was ed, it is effaced 30%, and
recorded as 3 cm, 30%, and ?2-2. The nurses interpre- the presenting part is 2 cm
tation of this assessment is that: above the ischial spines.
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
, Maternity Test Bank Exam 1
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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.
6. 5. To care for a laboring woman adequately, the nurse a. First
understands that the __________ stage of labor varies
the most in length?
a. First c. Third
b. Second d. Fourth
7. 6. The nurse would expect which maternal cardiovas- a. Increased cardiac out-
cular finding during labor? put
a. Increased cardiac output
b. Decreased pulse rate
c. Decreased white blood cell (WBC) count
d. Decreased blood pressure
8. 7. The factors that affect the process of labor and d. Pressure.
birth, known commonly as the five Ps, include all ex-
cept:
a. Passenger. c. Powers.
b. Passageway. d. Pressure.
9. 8. The slight overlapping of cranial bones or shaping b. Molding.
of the fetal head during labor is called:
a. Lightening. c. Ferguson reflex.
b. Molding. d. Valsalva maneuver.
10. 9. Which presentation is described accurately in terms a. Cephalic: occiput; at
of both presenting part and frequency of occurrence? least 95%
a. Cephalic: occiput; at least 95% c. Shoulder: scapula;
10% to 15%
, Maternity Test Bank Exam 1
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b. Breech: sacrum; 10% to 15% d. Cephalic: cranial;
80% to 85%
11. 10. With regard to factors that affect how the fe- c. The normal attitude of
tus moves through the birth canal, nurses should be the fetus is called general
aware that: flexion.
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.
12. 11. As relates to fetal positioning during labor, nurses b. Birth is imminent when
should be aware that: the presenting part is at
a. Position is a measure of the degree of descent of the +4 to +5 cm below the
presenting part of the fetus through the birth canal. spine.
b. Birth is imminent when the presenting part is at +4
to +5 cm below the spine.
c. The largest transverse diameter of the presenting
part is the suboccipitobregmatic diameter.
d. Engagement is the term used to describe the begin-
ning of labor.
13. 12. Which basic type of pelvis includes the correct d. Platypelloid: flattened,
description and percentage of occurrence in women? wide, shallow; 3%
a. Gynecoid: classic female; heart shaped; 75%
b. Android: resembling the male; wider oval; 15%
c. Anthropoid: resembling the ape; narrower; 10%
d. Platypelloid: flattened, wide, shallow; 3%
, Maternity Test Bank Exam 1
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14. 13. In relation to primary and secondary powers, the a. Primary powers are re-
maternity nurse comprehends that: sponsible for effacement
a. Primary powers are responsible for effacement and and dilation of the cervix
dilation of the cervix.
b. Effacement generally is well ahead of dilation in
women giving birth for the first time; they are closer
together in subsequent pregnancies.
c. Scarring of the cervix caused by a previous infection
or surgery may make the delivery a bit more painful,
but it should not slow or inhibit dilation.
d. Pushing in the second stage of labor is more ef-
fective if the woman can breathe deeply and control
some of her involuntary needs to push, as the nurse
directs.
15. 14. While providing care to a patient in active labor, the c. Frequent changes in
nurse should instruct the woman that: position will help relieve
a. The supine position commonly used in the United her fatigue and increase
States increases blood flow. her comfort.
b. The all fours position, on her hands and knees, is
hard on her back.
c. Frequent changes in position will help relieve her
fatigue and increase her comfort.
d. In a sitting or squatting position, her abdominal
muscles will have to work harder
16. 15. Which description of the four stages of labor is a. First stage: onset of reg-
correct for both definition and duration? ular uterine contractions
a. First stage: onset of regular uterine contractions to to full dilation; less than 1
full dilation; less than 1 hour to 20 hours hour to 20 hours
b. Second stage: full effacement to 4 to 5 cm; visible
presenting part; 1 to 2 hours
Study online at https://quizlet.com/_7a0q0v
1. Chapter 13: Labor and Birth Processes
2. 1. A new mother asks the nurse when the soft spot d. 18
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
3. 2. When assessing a woman in labor, the nurse is c. Attitude.
aware that the relationship of the fetal body parts to
one another is called fetal:
a. Lie. c. Attitude.
b. Presentation. d. Position.
4. 3. When assessing the fetus using Leopold maneu- c. RSA
vers, 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
5. 4. The nurse has received report regarding her patient b. The cervix is 3 cm dilat-
in labor. The womans last vaginal examination was ed, it is effaced 30%, and
recorded as 3 cm, 30%, and ?2-2. The nurses interpre- the presenting part is 2 cm
tation of this assessment is that: above the ischial spines.
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
, Maternity Test Bank Exam 1
Study online at https://quizlet.com/_7a0q0v
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.
6. 5. To care for a laboring woman adequately, the nurse a. First
understands that the __________ stage of labor varies
the most in length?
a. First c. Third
b. Second d. Fourth
7. 6. The nurse would expect which maternal cardiovas- a. Increased cardiac out-
cular finding during labor? put
a. Increased cardiac output
b. Decreased pulse rate
c. Decreased white blood cell (WBC) count
d. Decreased blood pressure
8. 7. The factors that affect the process of labor and d. Pressure.
birth, known commonly as the five Ps, include all ex-
cept:
a. Passenger. c. Powers.
b. Passageway. d. Pressure.
9. 8. The slight overlapping of cranial bones or shaping b. Molding.
of the fetal head during labor is called:
a. Lightening. c. Ferguson reflex.
b. Molding. d. Valsalva maneuver.
10. 9. Which presentation is described accurately in terms a. Cephalic: occiput; at
of both presenting part and frequency of occurrence? least 95%
a. Cephalic: occiput; at least 95% c. Shoulder: scapula;
10% to 15%
, Maternity Test Bank Exam 1
Study online at https://quizlet.com/_7a0q0v
b. Breech: sacrum; 10% to 15% d. Cephalic: cranial;
80% to 85%
11. 10. With regard to factors that affect how the fe- c. The normal attitude of
tus moves through the birth canal, nurses should be the fetus is called general
aware that: flexion.
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.
12. 11. As relates to fetal positioning during labor, nurses b. Birth is imminent when
should be aware that: the presenting part is at
a. Position is a measure of the degree of descent of the +4 to +5 cm below the
presenting part of the fetus through the birth canal. spine.
b. Birth is imminent when the presenting part is at +4
to +5 cm below the spine.
c. The largest transverse diameter of the presenting
part is the suboccipitobregmatic diameter.
d. Engagement is the term used to describe the begin-
ning of labor.
13. 12. Which basic type of pelvis includes the correct d. Platypelloid: flattened,
description and percentage of occurrence in women? wide, shallow; 3%
a. Gynecoid: classic female; heart shaped; 75%
b. Android: resembling the male; wider oval; 15%
c. Anthropoid: resembling the ape; narrower; 10%
d. Platypelloid: flattened, wide, shallow; 3%
, Maternity Test Bank Exam 1
Study online at https://quizlet.com/_7a0q0v
14. 13. In relation to primary and secondary powers, the a. Primary powers are re-
maternity nurse comprehends that: sponsible for effacement
a. Primary powers are responsible for effacement and and dilation of the cervix
dilation of the cervix.
b. Effacement generally is well ahead of dilation in
women giving birth for the first time; they are closer
together in subsequent pregnancies.
c. Scarring of the cervix caused by a previous infection
or surgery may make the delivery a bit more painful,
but it should not slow or inhibit dilation.
d. Pushing in the second stage of labor is more ef-
fective if the woman can breathe deeply and control
some of her involuntary needs to push, as the nurse
directs.
15. 14. While providing care to a patient in active labor, the c. Frequent changes in
nurse should instruct the woman that: position will help relieve
a. The supine position commonly used in the United her fatigue and increase
States increases blood flow. her comfort.
b. The all fours position, on her hands and knees, is
hard on her back.
c. Frequent changes in position will help relieve her
fatigue and increase her comfort.
d. In a sitting or squatting position, her abdominal
muscles will have to work harder
16. 15. Which description of the four stages of labor is a. First stage: onset of reg-
correct for both definition and duration? ular uterine contractions
a. First stage: onset of regular uterine contractions to to full dilation; less than 1
full dilation; less than 1 hour to 20 hours hour to 20 hours
b. Second stage: full effacement to 4 to 5 cm; visible
presenting part; 1 to 2 hours
