NURS 254 MATERNITY AND PEDIATRICS REAL FINAL EXAM WITH COMPLETE QUESTIONS AND
CORRECT ANSWERS ALREADY GRADED A GALEN COLLEGE OF NURSING
Which of the following hormones decreases just before labor?
a. oxytocin
b. prostaglandins
c. progesterone
d. estrogen
C
Which of the following hormones increases before labor? Select all that apply.
a. oxytocin
b. prostaglandins
c. progesterone
d. estrogen
A, B
5 Ps of Labor
Powers, passenger, passageway, psychology, position
Though there are 5 Ps of labor, which ones are we focusing more on? Select all that apply.
a. Psychology
b. powers
c. position
d. passageway
e. passenger
B, D, E
If the fetus was determined to be breech, which fetal lie is it in?
a. longitudinal
b. transverse
c. oblique
d. cannot tell from data provided
A
If the fetus was determined to be vertex, which fetal lie is it in?
,a. longitudinal
b. transverse
c. oblique
d. cannot tell from data provided
A
If the fetus was determined to have shoulder presentation, which fetal lie are they in?
a. longitudinal
b. transverse
c. oblique
d. cannot tell from data provided
B
Which fetal lie is considered to be unstable?
a. longitudinal
b. transverse
c. oblique
d. cannot tell from data provided
C
Fetal attitude
relationship of fetal head to the rest of its body
Which of the following is the most ideal fetal attitude?
a. Flexion
b. Military
c. Partial Extension
d. Complete Extension
A
What is considered to be the passenger in labor?
fetus
a fetus' head has sutures that are not fused at the time of birth. This is because the head is ________
in order to fit through the _______.
moldable; passageway
Biparietal diameter
,largest transverse diameter of the fetal head; measured between the parietal bones
A pregnant woman describes to her nurse that she has suddenly felt a "drop" and is now experiencing
back discomfort and pressure within her pelvis. What is most likely happening?
a. the woman experienced a contraction
b. the fetus was simply "kicking"
c. the woman is undergoing active labor
d. the fetus has engaged
D
The RN knows that "lightening" occurs when:
a. the mom starts to "push"
b. the fetus has engaged
c. the mom is having contractions
d. the mom is experiencing a miscarriage
B
All of the following are feto-pelvic relationships except:
a. comfort level
b. lie
c. attitude
d. position
e. presentation
A
What is the largest part of the fetal head
biparietal
What is the average biparietal measurement at term?
9.5 cm
The RN knows that fetal lie can be determined via:
a. intra-vaginal ultrasound
b. palpation
c. auscultation & percussion
d. vaginal examination
B
flexion fetal attitude
Military fetal attitude
, Partial extension fetal attitude
Complete extension fetal attitude
Which part of the passenger is showing in the passageway refers to:
a. lie
b. attitude
c. presentation
d. position
C
Which presenting part would we ideally want?
a. foot
b. butt
c. shoulder
d. head
D
complete breech
Fetus is sitting with legs crossed in pelvis.
frank breech
The fetal legs are flexed at the hips and extend toward the shoulders; this is the most common type of
breech presentation. The buttocks present at the cervix
footling breech
one or both feet are present first at the cervix
The relationship of an assigned area of the presenting part to quadrants of the maternal pelvis is
known as:
a. lie
b. position
c. presentation
d. attitude
B
If the fetus was found to have its head presenting at the cervix, was facing the right side, and had most
of its weight shifted forward, what would the RN document in the EMR?
a. ROP
b. RSA
CORRECT ANSWERS ALREADY GRADED A GALEN COLLEGE OF NURSING
Which of the following hormones decreases just before labor?
a. oxytocin
b. prostaglandins
c. progesterone
d. estrogen
C
Which of the following hormones increases before labor? Select all that apply.
a. oxytocin
b. prostaglandins
c. progesterone
d. estrogen
A, B
5 Ps of Labor
Powers, passenger, passageway, psychology, position
Though there are 5 Ps of labor, which ones are we focusing more on? Select all that apply.
a. Psychology
b. powers
c. position
d. passageway
e. passenger
B, D, E
If the fetus was determined to be breech, which fetal lie is it in?
a. longitudinal
b. transverse
c. oblique
d. cannot tell from data provided
A
If the fetus was determined to be vertex, which fetal lie is it in?
,a. longitudinal
b. transverse
c. oblique
d. cannot tell from data provided
A
If the fetus was determined to have shoulder presentation, which fetal lie are they in?
a. longitudinal
b. transverse
c. oblique
d. cannot tell from data provided
B
Which fetal lie is considered to be unstable?
a. longitudinal
b. transverse
c. oblique
d. cannot tell from data provided
C
Fetal attitude
relationship of fetal head to the rest of its body
Which of the following is the most ideal fetal attitude?
a. Flexion
b. Military
c. Partial Extension
d. Complete Extension
A
What is considered to be the passenger in labor?
fetus
a fetus' head has sutures that are not fused at the time of birth. This is because the head is ________
in order to fit through the _______.
moldable; passageway
Biparietal diameter
,largest transverse diameter of the fetal head; measured between the parietal bones
A pregnant woman describes to her nurse that she has suddenly felt a "drop" and is now experiencing
back discomfort and pressure within her pelvis. What is most likely happening?
a. the woman experienced a contraction
b. the fetus was simply "kicking"
c. the woman is undergoing active labor
d. the fetus has engaged
D
The RN knows that "lightening" occurs when:
a. the mom starts to "push"
b. the fetus has engaged
c. the mom is having contractions
d. the mom is experiencing a miscarriage
B
All of the following are feto-pelvic relationships except:
a. comfort level
b. lie
c. attitude
d. position
e. presentation
A
What is the largest part of the fetal head
biparietal
What is the average biparietal measurement at term?
9.5 cm
The RN knows that fetal lie can be determined via:
a. intra-vaginal ultrasound
b. palpation
c. auscultation & percussion
d. vaginal examination
B
flexion fetal attitude
Military fetal attitude
, Partial extension fetal attitude
Complete extension fetal attitude
Which part of the passenger is showing in the passageway refers to:
a. lie
b. attitude
c. presentation
d. position
C
Which presenting part would we ideally want?
a. foot
b. butt
c. shoulder
d. head
D
complete breech
Fetus is sitting with legs crossed in pelvis.
frank breech
The fetal legs are flexed at the hips and extend toward the shoulders; this is the most common type of
breech presentation. The buttocks present at the cervix
footling breech
one or both feet are present first at the cervix
The relationship of an assigned area of the presenting part to quadrants of the maternal pelvis is
known as:
a. lie
b. position
c. presentation
d. attitude
B
If the fetus was found to have its head presenting at the cervix, was facing the right side, and had most
of its weight shifted forward, what would the RN document in the EMR?
a. ROP
b. RSA
