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Exam (elaborations)

Maternal Child Nursing Care 4th edition EXAM QUESTIONS WITH ANSWERS GRADED A+

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Maternal Child Nursing Care 4th edition EXAM QUESTIONS WITH ANSWERS GRADED A+

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OB Study Guide / Practice 1,813 terms Christine_Vo
Questions
Homework
Maternal Child Nursing Care 4th edition




The nurse has D) The cervix is 4 cm dilated, it is effaced 80%,
received a report and the presenting part is 2 cm above the ischial
about a woman in spines
labor. The woman's
last vaginal
examination was
recorded as 4, 80%,
and -2. The nurse's
interpretation of this
assessment is that:
A) The cervix is
dilated 4 cm, it is
effaced 80%, and the
presenting part is 2
cm below the ischial
spines
B) The cervix is
effaced 4 cm, it is
dilated 80%, and
the presenting part
is 2


Page 1 of 97

,cm below the
ischial spines.
C) The cervix is
effaced 4 cm, it is
dilated 80%, and
the presenting part
is 2 cm above the
ischial spines
D) The cervix is 4 cm
dilated, it is effaced
80%, and the
presenting part is 2
cm above the ischial
spines

What is the correct A) D, B, A, E, C
order of the cardinal p. 388-389
movements?
A.Extension
B.Internal Rotation
C.Expulsion
D.Engagement,
Flexion Descent
E.External Rotation
A) D, B, A, E, C
B) D, A, B, E, C
C) B, D, A, C, E
D) D, B, A, C. E

When assessing a D) Attitude.
woman in labor, the •Lie = relationship between the longitudinal axis of
nurse is aware that fetus and mother




Page 2 of 97

,the relationship of •Position = relationship of the presenting part to the
the fetal body 4 quadrants of the mother's pelvis, ie 3 letter abr:
parts to one 1.) R or L
another is called 2.) O, S, M or Sc (Occiput, Sacrum,
fetal: Mentum, SCapula)
A) Lie. 3.) A, P, or T (Anterior, Posterior, Transverse)
B)Position. •Presentation = presenting part that overlies pelvic
C) Presentation. inlet
D) Attitude.
To adequately care A) First
for a laboring p. 387-388
woman, the nurse
knows that which
stage of labor varies
the most in length?
A) First
B) Fourth
C) Third
D) Second

Which position B) Squatting
would the nurse p. 385
suggest for second-
stage labor if the
pelvic outlet needs
to be increased?
A) Sitting
B) Squatting
C) Side-lying
D) Semirecumbent

When assessing the D) LOA
fetus using Leopold p. 422




Page 3 of 97

, maneuvers, the
nurse feels a round,
hard, movable fetal
part just above the
symphysis and a
long, smooth surface
in the mother's left
side close to midline.
In the fundus, there
is a prominence-
when pushed the
whole body seems
to follow. What is the
likely position of the
fetus?
A) RSA
B) ROA
C) LSP
D) LOA

With regard to fetal A) Birth is imminent when the presenting part is at +4
positioning during to +5 cm, below the spine.
labor, nurses should p. 378
be aware that: •Primary Powers (involuntary uterine contractions)
A) Birth is imminent = term used to describe the beginning of labor.
when the presenting •The largest transverse diameter of the presenting
part is at +4 to +5 cm, part is the biparietal or occipitomental diameter.
below the spine. •Station = measure of the degree of descent of the
B) Engagement is the presenting part of the fetus through the birth canal.
term used to
describe the
beginning of labor.



Page 4 of 97

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