Chapter 13: Labor and Birth Processes Perry: Maternal Child Nursing Care, 6th Edition Answers with Rationales Rated A+

Chapter 13: Labor and Birth Processes – Questions and Answers. A new mother asks the nurse when the “soft spot” on her son’s head will go away. The nurse’s answer is based on the knowledge that the anterior fontanel closes after birth by _____ months. a. 2 c. 12 b. 8 d. 18 ANS: D The larger of the two fontanels, the anterior fontanel, closes by 18 months after birth. PTS: 1 DIF: Cognitive Level: Knowledge REF: 342 OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance 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. ANS: C Attitude is the relation of the fetal body parts to one another. Lie is the relation of the long axis (spine) of the fetus to the long axis (spine) of the mother. Presentation 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 relation of the presenting part to the four quadrants of the mother’s pelvis. PTS: 1 DIF: Cognitive Level: Knowledge REF: 344 OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance 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 mother’s right side close to midline. What is the likely position of the fetus? a. ROA c. RSA b. LSP d. LOA ANS: C The fetus is positioned anteriorly 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. The first letter indicates the presenting part in either the right or left side of the maternal pelvis. The second letter indicates the anatomic presenting part of the fetus. The third letter stands for thelocationofthepresentingpartinrelationtotheanterior,posterior,ortransverseportionof 4. The nurse has received report regarding her patient in labor. The woman’s last vaginal examination was recorded as 3 cm, 30%, and ?2-2. The nurse’s 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.