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Chapter 06: Nursing Care of
Mother and Infant During Labor
and Birth Leifer: Introduction to
Maternity and Pediatric Nursing,
8th Edition
MULTIPLE
CHOICE
1. What does the nurse note when measuring the frequency of a laboring
woman’s contractions?
a. How long the patient states the contractions last
b. The time between the end of one contraction and the beginning of
the next
c. The time between the beginning and the end of one contraction
d. The time between the beginning of one contraction and the
beginning of the next
ANS: D
The frequency of contractions is the elapsed time from the beginning
of one contraction to the beginning of the next contraction.
DIF: Cognitive Level: Comprehension REF: p. 127 OBJ: 3
TOP: Frequency of Contractions KEY: Nursing Process
Step: Data Collection MSC: NCLEX: Physiological
Integrity: Physiological Adaptation
2. Why is the relaxation phase between contractions important?
a. The laboring woman needs to rest.
b. The uterine muscles fatigue without relaxation.
c. The contractions can interfere with fetal oxygenation.
d. The infant progresses toward delivery at these times.
ANS: C
Blood flow from the motheTrEinStoTtBhAe NplKacSeEntLa
LgrEaRdu.aCllyOdMecreases during contractions. During the interval between
contractions, the placenta refills with oxygenated blood for the fetus.
DIF: Cognitive Level: Comprehension REF:
p. 127 OBJ: 3 TOP: Interval KEY:
Nursing Process Step: N/A
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MSC: NCLEX: Physiological Integrity: Physiological Adaptation
3. What contraction duration and interval does the nurse
recognize could result in fetal compromise?
a. Duration shorter than 30 seconds, interval longer than 75 seconds
b. Duration shorter than 90 seconds, interval longer than 120 seconds
c. Duration longer than 90 seconds, interval shorter than 60 seconds
d. Duration longer than 60 seconds, interval shorter than 90 seconds
ANS: C
Persistent contraction durations longer than 90 seconds or contraction
intervals less than 60 seconds may reduce fetal oxygen supply.
DIF: Cognitive Level: Comprehension REF:
p. 127|Safety Alert OBJ: 4 TOP:
Contraction/Fetal Compromise
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Reduction of Risk
4. Vaginal examination reveals the presenting part is the infant’s head,
which is well flexed on the chest. What is this presentation?
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a. Vertex
b. Military
c. Brow
d. Face
ANS: A
In the vertex presentation, the fetal head is the presenting part. The
head is fully flexed on the chest.
DIF: Cognitive Level: Comprehension REF: p. 129 OBJ: 3
TOP: Fetal Position KEY: Nursing Process Step: Data
Collection MSC: NCLEX: Health Promotion and Maintenance:
Prevention and Early Detection of Disease
5. What does meconium-stained amniotic fluid indicate when
the infant is in a vertex presentation?
a. Fetal distress
b. Fetal maturity
c. Intact gastrointestinal tract
d. Dehydration in the mother
ANS: A
Green-stained amniotic fluid means that the fetus passed the first stool
before birth, and it is an indicator of fetal compromise.
DIF: Cognitive Level: Comprehension REF: p. 144 OBJ: 4
TOP: Meconium-Stained Amniotic Fluid KEY: Nursing
Process Step: Data Collection MSC: NCLEX: Health Promotion
and Maintenance: Prevention and Early Detection of Disease
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6. It is determined that the presenting part of the fetus is the buttocks. At
delivery the fetus’s hips
are flexed and the knees are extended. How would the nurse record
this presentation?
a. Complete breech
b. Frank breech
c. Double footling
d. Buttocks presentation
ANS: B
When a fetus presents in a frank breech position, the legs are flexed at
the hips and extend toward the shoulders.
DIF: Cognitive Level: Application REF: p.
129|Figure 6-7 OBJ: 3 | 4 TOP:
Components of the Birth Process
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and
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Early Detection of Disease
7. At a prenatal visit, a primigravida asks the nurse how she will know
her labor has started. The nurse knows that what indicates the
beginning of true labor?
a. Contractions that are relieved by walking
b. Discomfort in the abdomen and groin
c. A decrease in vaginal discharge
d. Regular contractions becoming more frequent and intense
ANS: D
TESTBANKSELLER.COM
Chapter 06: Nursing Care of
Mother and Infant During Labor
and Birth Leifer: Introduction to
Maternity and Pediatric Nursing,
8th Edition
MULTIPLE
CHOICE
1. What does the nurse note when measuring the frequency of a laboring
woman’s contractions?
a. How long the patient states the contractions last
b. The time between the end of one contraction and the beginning of
the next
c. The time between the beginning and the end of one contraction
d. The time between the beginning of one contraction and the
beginning of the next
ANS: D
The frequency of contractions is the elapsed time from the beginning
of one contraction to the beginning of the next contraction.
DIF: Cognitive Level: Comprehension REF: p. 127 OBJ: 3
TOP: Frequency of Contractions KEY: Nursing Process
Step: Data Collection MSC: NCLEX: Physiological
Integrity: Physiological Adaptation
2. Why is the relaxation phase between contractions important?
a. The laboring woman needs to rest.
b. The uterine muscles fatigue without relaxation.
c. The contractions can interfere with fetal oxygenation.
d. The infant progresses toward delivery at these times.
ANS: C
Blood flow from the motheTrEinStoTtBhAe NplKacSeEntLa
LgrEaRdu.aCllyOdMecreases during contractions. During the interval between
contractions, the placenta refills with oxygenated blood for the fetus.
DIF: Cognitive Level: Comprehension REF:
p. 127 OBJ: 3 TOP: Interval KEY:
Nursing Process Step: N/A
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, TESTBANKSELLER.COM
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
3. What contraction duration and interval does the nurse
recognize could result in fetal compromise?
a. Duration shorter than 30 seconds, interval longer than 75 seconds
b. Duration shorter than 90 seconds, interval longer than 120 seconds
c. Duration longer than 90 seconds, interval shorter than 60 seconds
d. Duration longer than 60 seconds, interval shorter than 90 seconds
ANS: C
Persistent contraction durations longer than 90 seconds or contraction
intervals less than 60 seconds may reduce fetal oxygen supply.
DIF: Cognitive Level: Comprehension REF:
p. 127|Safety Alert OBJ: 4 TOP:
Contraction/Fetal Compromise
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Reduction of Risk
4. Vaginal examination reveals the presenting part is the infant’s head,
which is well flexed on the chest. What is this presentation?
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a. Vertex
b. Military
c. Brow
d. Face
ANS: A
In the vertex presentation, the fetal head is the presenting part. The
head is fully flexed on the chest.
DIF: Cognitive Level: Comprehension REF: p. 129 OBJ: 3
TOP: Fetal Position KEY: Nursing Process Step: Data
Collection MSC: NCLEX: Health Promotion and Maintenance:
Prevention and Early Detection of Disease
5. What does meconium-stained amniotic fluid indicate when
the infant is in a vertex presentation?
a. Fetal distress
b. Fetal maturity
c. Intact gastrointestinal tract
d. Dehydration in the mother
ANS: A
Green-stained amniotic fluid means that the fetus passed the first stool
before birth, and it is an indicator of fetal compromise.
DIF: Cognitive Level: Comprehension REF: p. 144 OBJ: 4
TOP: Meconium-Stained Amniotic Fluid KEY: Nursing
Process Step: Data Collection MSC: NCLEX: Health Promotion
and Maintenance: Prevention and Early Detection of Disease
TESTBANKSELLER.COM
6. It is determined that the presenting part of the fetus is the buttocks. At
delivery the fetus’s hips
are flexed and the knees are extended. How would the nurse record
this presentation?
a. Complete breech
b. Frank breech
c. Double footling
d. Buttocks presentation
ANS: B
When a fetus presents in a frank breech position, the legs are flexed at
the hips and extend toward the shoulders.
DIF: Cognitive Level: Application REF: p.
129|Figure 6-7 OBJ: 3 | 4 TOP:
Components of the Birth Process
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and
TESTBANKSELLER.COM
, TESTBANKSELLER.COM
Early Detection of Disease
7. At a prenatal visit, a primigravida asks the nurse how she will know
her labor has started. The nurse knows that what indicates the
beginning of true labor?
a. Contractions that are relieved by walking
b. Discomfort in the abdomen and groin
c. A decrease in vaginal discharge
d. Regular contractions becoming more frequent and intense
ANS: D
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