NUR202 EXAM 1 QUESTIONS AND ANSWERS
With regard to chromosome abnormalities, nurses should be aware that:
a. They occur in approximately 10% of newborns.
b. Abnormalities of number are the leading cause of pregnancy loss.
c. Down syndrome is a result of an abnormal chromosome structure.
d. Unbalanced translocation results in a mild abnormality that the child will outgrow. -
Answers-b
With regard to the development of the respiratory system, maternity nurses should be
aware that:
a. The respiratory system does not begin developing until after the embryonic stage
b. The infant's lungs are considered mature when the L/S ratio is 1:1, at about 32 weeks
c. Maternal hypertension can reduce maternal-placental blood flow, accelerating lung
maturity
d. Fetal respiratory movements are not visible on ultrasound scans until at least 16 weeks
- Answers-C
(fetal lungs are considered mature at 35 weeks, fetal respiratory movements are not
visible on ultrasound exams until 11 weeks)
The mucous plug that forms in the endocervical canal is called the:
a. Operculum
b. Leukorrhea
c. Funic souffle
d. Ballottement - Answers-A
(leukorrhea is normal pregnant discharge, funic souffle is the blowing sound heard while
listening to fetal heartbeat, ballottement is a palpation pregnancy test)
In understanding and guiding a woman through her acceptance of pregnancy, a maternity
nurse should be aware that:
a. Nonacceptance of the pregnancy very often equates to rejection of the child.
b. Mood swings most likely are the result of worries about finances and a changed lifestyle
as well as profound hormonal changes.
c. ambivalent feelings during pregnancy usually are seen only in emotionally immature or
very young mothers. - Answers-B
With regard to the initial physical exam of a woman beginning prenatal care, maternity
nurses should be aware that:
a. Only women who show physical signs or meet the sociologic profile should be
assessed for physical abuse
,b. The woman should empty her bladder before the pelvic examination
c. The distribution, amount, and quality of body hair are of no particular importance
d. The size of the uterus is discounted in the initial examination because it is just going to
get bigger soon - Answers-B
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
b. Presentation
c. Attitude
d. Position - Answers-C
(lie is fetal back to mother spine, presentation is how the fetus will expel, position is __)
Which statement is the best rationale for assessing maternal vital signs between
contractions?
a. During a contraction assessing FHR's is the priority
b. Maternal circulating blood volume increases temporarily during contractions
c. Maternal blood flow to the heart is reduced during contractions
d. Vital signs taken during contractions are not accurate - Answers-B
A normal uterine activity pattern in labor is characterized by:
a. Contractions every 2-5 mins
b. Contractions lasting about 2 mins
c. Contractions about 1 min apart
d. Contraction intensity of about 1000 mm Hg with relaxation at 50 mm Hg - Answers-A
A woman is experiencing back labor and complains of intense pain in her lower back. An
effective relief measure would be to use:
A) Counterpressure against the sacrum
B) Pant-blow (breaths and puffs) breathing techniques
C) Effleurage.
D) Conscious relaxation or guided imagery. - Answers-A
(pant-blow & effleurage are for visceral pain)
For the labor nurse, care of the expectant mother begins with any or all of these situations,
with the exception of:
a. The onset of progressive, regular contractions.
b. The bloody, or pink, show.
c. The spontaneous rupture of membranes.
d. Formulation of the woman's plan of care for labor. - Answers-D
Leopold maneuvers would be an inappropriate method of assessment to determine:
a. Gender of fetus
, b. # of fetuses
c. Fetal lie and attitude
d. Degree of the presenting part's descent into the pelvis - Answers-A
Nurses alert to signs of the onset of the second stage of labor can be certain that this
stage has begun when:
a. The woman has a sudden episode of vomiting
b. The nurse is unable to feel the cervix during a vaginal exam
c. Bloody show increases
d. The woman involuntarily bears down - Answers-B
The nurse would anticipate that a woman from which country would have the father of the
baby in attendance?
a. Mexico
b. China
c. Iran
d. India - Answers-A
Which factors influence cervical dilation? (select all that apply)
A. strong uterine contractions
B. the force of the presenting fetal part against the cervix
C. the size of the female pelvis
D. the pressure applied by the amniotic sac
E. scarring of the cervix - Answers-A B D E
Signs of opioid/narcotic withdrawal in the mother would include (select all that apply):
a. Yawning, runny nose
b. Increase appetite
c. Chills and hot flashes
d. Constipation
e. Irritability, restlessness - Answers-A C E
When should the nurse administer pain medications to the mother in labor? Why? -
Answers-first stage or beginning of second stage; it can decrease respiratory power and
the ability to feel oncoming contractions.
Where are epidurals given? - Answers-Between the 4th and 5th lumbar vertebrae of the
spine
Labor and birth are affected by the five Ps: - Answers-passenger (fetus/placenta)
passageway (birth canal)
powers (contractions)
position of the woman
psychologic response
By the time the baby's head has reached ___, delivery is assured - Answers-+4
With regard to chromosome abnormalities, nurses should be aware that:
a. They occur in approximately 10% of newborns.
b. Abnormalities of number are the leading cause of pregnancy loss.
c. Down syndrome is a result of an abnormal chromosome structure.
d. Unbalanced translocation results in a mild abnormality that the child will outgrow. -
Answers-b
With regard to the development of the respiratory system, maternity nurses should be
aware that:
a. The respiratory system does not begin developing until after the embryonic stage
b. The infant's lungs are considered mature when the L/S ratio is 1:1, at about 32 weeks
c. Maternal hypertension can reduce maternal-placental blood flow, accelerating lung
maturity
d. Fetal respiratory movements are not visible on ultrasound scans until at least 16 weeks
- Answers-C
(fetal lungs are considered mature at 35 weeks, fetal respiratory movements are not
visible on ultrasound exams until 11 weeks)
The mucous plug that forms in the endocervical canal is called the:
a. Operculum
b. Leukorrhea
c. Funic souffle
d. Ballottement - Answers-A
(leukorrhea is normal pregnant discharge, funic souffle is the blowing sound heard while
listening to fetal heartbeat, ballottement is a palpation pregnancy test)
In understanding and guiding a woman through her acceptance of pregnancy, a maternity
nurse should be aware that:
a. Nonacceptance of the pregnancy very often equates to rejection of the child.
b. Mood swings most likely are the result of worries about finances and a changed lifestyle
as well as profound hormonal changes.
c. ambivalent feelings during pregnancy usually are seen only in emotionally immature or
very young mothers. - Answers-B
With regard to the initial physical exam of a woman beginning prenatal care, maternity
nurses should be aware that:
a. Only women who show physical signs or meet the sociologic profile should be
assessed for physical abuse
,b. The woman should empty her bladder before the pelvic examination
c. The distribution, amount, and quality of body hair are of no particular importance
d. The size of the uterus is discounted in the initial examination because it is just going to
get bigger soon - Answers-B
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
b. Presentation
c. Attitude
d. Position - Answers-C
(lie is fetal back to mother spine, presentation is how the fetus will expel, position is __)
Which statement is the best rationale for assessing maternal vital signs between
contractions?
a. During a contraction assessing FHR's is the priority
b. Maternal circulating blood volume increases temporarily during contractions
c. Maternal blood flow to the heart is reduced during contractions
d. Vital signs taken during contractions are not accurate - Answers-B
A normal uterine activity pattern in labor is characterized by:
a. Contractions every 2-5 mins
b. Contractions lasting about 2 mins
c. Contractions about 1 min apart
d. Contraction intensity of about 1000 mm Hg with relaxation at 50 mm Hg - Answers-A
A woman is experiencing back labor and complains of intense pain in her lower back. An
effective relief measure would be to use:
A) Counterpressure against the sacrum
B) Pant-blow (breaths and puffs) breathing techniques
C) Effleurage.
D) Conscious relaxation or guided imagery. - Answers-A
(pant-blow & effleurage are for visceral pain)
For the labor nurse, care of the expectant mother begins with any or all of these situations,
with the exception of:
a. The onset of progressive, regular contractions.
b. The bloody, or pink, show.
c. The spontaneous rupture of membranes.
d. Formulation of the woman's plan of care for labor. - Answers-D
Leopold maneuvers would be an inappropriate method of assessment to determine:
a. Gender of fetus
, b. # of fetuses
c. Fetal lie and attitude
d. Degree of the presenting part's descent into the pelvis - Answers-A
Nurses alert to signs of the onset of the second stage of labor can be certain that this
stage has begun when:
a. The woman has a sudden episode of vomiting
b. The nurse is unable to feel the cervix during a vaginal exam
c. Bloody show increases
d. The woman involuntarily bears down - Answers-B
The nurse would anticipate that a woman from which country would have the father of the
baby in attendance?
a. Mexico
b. China
c. Iran
d. India - Answers-A
Which factors influence cervical dilation? (select all that apply)
A. strong uterine contractions
B. the force of the presenting fetal part against the cervix
C. the size of the female pelvis
D. the pressure applied by the amniotic sac
E. scarring of the cervix - Answers-A B D E
Signs of opioid/narcotic withdrawal in the mother would include (select all that apply):
a. Yawning, runny nose
b. Increase appetite
c. Chills and hot flashes
d. Constipation
e. Irritability, restlessness - Answers-A C E
When should the nurse administer pain medications to the mother in labor? Why? -
Answers-first stage or beginning of second stage; it can decrease respiratory power and
the ability to feel oncoming contractions.
Where are epidurals given? - Answers-Between the 4th and 5th lumbar vertebrae of the
spine
Labor and birth are affected by the five Ps: - Answers-passenger (fetus/placenta)
passageway (birth canal)
powers (contractions)
position of the woman
psychologic response
By the time the baby's head has reached ___, delivery is assured - Answers-+4
