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Maternal Final Study Guide:
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Chapter 13-25
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Labor & Birth Process Insights
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Downloaded by PageMaster
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, lOMoARcPSD|61098961
am
Maternal Final Study Guide am am am
Chapter 13: Labor & Birth Process
am am am am am
1) A new mother asks the nurse when the soft spot on her son’s head will go away.
am am am am am am am am am am am am am am am am
The nurse’s answer is based on the knowledge that the anterior fontanel closed after birth
am am am am am am am am am am am am am am
by ___ months.
am am
- 18
2) When assessing a woman in labor, the nurse is aware that the relationship of the
am am am am am am am am am am am am am am
fetal body parts to one another is called fetal
am am am am am am am am
- Attitude
3) When assessing the fetus using Leopold maneuvers, the nurse feels a round, firm,
am am am am am am am am am am am am
moveable fetal part in the fundal portion of the uterus and a long, smooth surface in the
am am am am am am am am am am am am am am am am
mother’s right side close to midline. What is the likely position of the fetus?
am am am am am am am am am am am am am
- RSA
4) The nurse has received report regarding her patient in labor. The woman’s last
am am am am am am am am am am am am
vaginal examination was recorded as 3 cm, 30%, and -2. The nurse’s interpretation of this
am am am am am am am am am am am am am am
assessment is that: am am
- The cervix is 3cm dilated, it is effaced 30%, and the presenting part is 2cm above
am am am am am am am am am am am am am am am
the ischial spines. am am
5) To care for a laboring woman adequately, the nurse understands that the ____
am am am am am am am am am am am am
stage of labor varies the most in length?
am am am am am am am
- First
6) The nurse would expect which maternal cardiovascular finding during labor?
am am am am am am am am am
- Increased cardiac output am am
7) The factors that affect the process of labor and birth, known commonly as the five
am am am am am am am am am am am am am am
P’s, include all except:
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- Pressure
8) The slight overlapping of cranial bones or shaping of the fetal head during labor is
am am am am am am am am am am am am am am
called:
- Molding
9) Which presentation is describes accurately in terms of both presenting part and am am am am am am am am am am am
frequency of occurrence? am am
- Cephalic: occiput; at least 95% am am am am
10)With regard to factors that affect how the fetus moves through the birth canal, nurses
am am am am am am am am am am am am am am am
should be aware that: am am am
- The normal attitude of the fetus is called general flexion. am am am am am am am am am
11)As relates to fetal positioning during labor, nurses should be aware that:
am am am am am am am am am am am am
- Birth is imminent when the presenting part is at +4 to +5 cm below the spine.
am am am am am am am am am am am am am am am
12)Which basic type of pelvis includes the correct description and percentage of
am am am am am am am am am am am am
occurrence in women? am am
Downloaded by PageMaster am am
,am
lOMoARcPSD|61098961
- Platypelloid: flattened, wide, shallow, 3% am am am am
13)In relation to primary and secondary powers, the maternity nurse comprehends that:
am am am am am am am am am am am am
- Primary powers are responsible for effacement and dilation of the cervix. am am am am am am am am am am
14)While providing care to a patient in active labor, the nurse should instruct the woman
am am am am am am am am am am am am am am am
that
- Frequent changes in position will help relieve her fatigue and increase her am am am am am am am am am am am
comfort.
15)Which description of the four stages of labor is correct for both definition and
am am am am am am am am am am am am am am
duration?
- First stage: onset of regular uterine contractions to full dilation; less than 1 hour to
am am am am am am am am am am am am am am
20 hours. am
16)With regards to the turns and other adjustments of the fetus during the birth process,
am am am am am am am am am am am am am am am
known as the mechanism of labor, nurses should be aware that:
am am am am am am am am am am
- The effects of the forces determining descent are modified by the shape of the
am am am am am am am am am am am am am
woman’s pelvis and the size of the fetal head. am am am am am am am am
17)In order to evaluate the condition of the patient accurately during labor, the nurse
am am am am am am am am am am am am am am
should be aware that: am am am
- The endogenous endorphins released during labor will raise the woman’s pain
am am am am am am am am am am
threshold and produce sedation. am am am
18)The maternity nurse understands that as the uterus contracts during labor, maternal-
am am am am am am am am am am am am
fetal exchange of oxygen and waste products.
am am am am am am
- Diminishes as the spiral arteries are compressed. am am am am am am
19)Which statement is the best rationale for assessing maternal vital signs between
am am am am am am am am am am am am
contractions?
- Maternal circulating blood volume increases temporarily during contractions. am am am am am am am
20)In order to care for obstetric patients adequately, the nurse understands that labor
am am am am am am am am am am am am am
contractions facilitate cervical dilation by am am am am
- Pulling the cervix over the fetus and amniotic sac. am am am am am am am am
21)To teach patients about the process of labor adequately, the nurse knows that which
am am am am am am am am am am am am am am
event is the best indicator of true labor?
am am am am am am am
- Cervical dilation and effacement am am am
22)Which occurrence is associated with cervical dilation and effacement?
am am am am am am am am am
- Bloody Show am
23)A primigravida at 39 weeks of gestation is observed for 2 hours in the intrapartum
am am am am am am am am am am am am am am am
unit. The fetal heart rate has been normal. Contractions are 5 to 9 minutes apart, 20 to 30
am am am am am am am am am am am am am am am am am
seconds in duration, and of mild intensity. Cervical dilation is 1 to 2 cm and uneffaced
am am am am am am am am am am am am am am am
(unchanged from admission). Membranes are intact. The nurse should expect the woman
am am am am am am am am am am am
to be
am
- Discharged home to await the onset of true labor am am am am am am am am
Downloaded by PageMaster am am
,am
lOMoARcPSD|61098961
24)Which nursing assessment indicates that a woman who is in second-stage labor is
am am am am am am am am am am am am am
almost
- The vulva bulges and encircles the fetal head. am am am am am am am
25)Signs that precede labor include: (SATA)
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- Lightening
- Bloody Show am
- Rupture of membranes am am
26)Which factors influence cervical dilation? (SATA)
am am am am am am
- Strong uterine contractions am am
- The force of the presenting fetal part against the cervix
am am am am am am am am am
- The pressure applied by the amniotic sac am am am am am am
- Scarring of the cervix. am am am
Chapter 14: Maximizing Comfort for the Laboring Woman
am am am am am am am
1) a An 18-year old pregnant woman, gravida 1, is admitted to the labor and birth unit
am am am am am am am am am am am am am am
with moderate contractions every 5 minutes that last 40 seconds. The woman states, My
am am am am am am am am am am am am am
contractions are so strong that I don’t know what to do with myself. The nurse should:
am am am am am am am am am am am am am am am
- Recognize that pain is personalized for each individual am am am am am am am
2) Nursing care measures are commonly offered to woman in labor. Which nursing
am am am am am am am am am am am
measure reflects application of the gate-control therapy?
am am am am am am
- Massaging the woman’s back am am am
3) A laboring woman received an opioid agonist (meperidine) intravenously 90
am am am am am am am am am
minutes before she gave birth. Which medications should be available to reduce the
am am am am am am am am am am am am
potential effects of Demerol on the neonate?
am am am am am am
- Naloxone (Narcan) am
4) A woman in labor has just received an epidural block, The most important nursing
am am am am am am am am am am am am am
intervention is to am am
- Monitor maternal blood pressure for possible hypotension am am am am am am
5) The nurse should be aware that an effective plan to achieve adequate relief
am am am am am am am am am am am am
without maternal risk is most effective if:
am am am am am am
- The mother and family’s priorities and preferences are incorporated into the plan.
am am am am am am am am am am am
6) A woman in the active phase of the first stage of labor is using a shallow pattern
am am am am am am am am am am am am am am am am
of breathing, which is about twice the normal adult breathing rate. She starts to complain
am am am am am am am am am am am am am am
about feeling light-headed and dizzy and states that her fingers are tingling. The nurse
am am am am am am am am am am am am am
should
- Help her breath into a paper bag am am am am am am
7) A woman is experiencing back labor and complains of intense pain in her lower
am am am am am am am am am am am am am
back. An effective relief measure would be to use
am am am am am am am am
- Counterpressure against the sacrum am am am
Downloaded by PageMaster am am
Maternal Final Study Guide:
am am am
Chapter 13-25
am am
Labor & Birth Process Insights
am am am am
Downloaded by PageMaster
am am
, lOMoARcPSD|61098961
am
Maternal Final Study Guide am am am
Chapter 13: Labor & Birth Process
am am am am am
1) A new mother asks the nurse when the soft spot on her son’s head will go away.
am am am am am am am am am am am am am am am am
The nurse’s answer is based on the knowledge that the anterior fontanel closed after birth
am am am am am am am am am am am am am am
by ___ months.
am am
- 18
2) When assessing a woman in labor, the nurse is aware that the relationship of the
am am am am am am am am am am am am am am
fetal body parts to one another is called fetal
am am am am am am am am
- Attitude
3) When assessing the fetus using Leopold maneuvers, the nurse feels a round, firm,
am am am am am am am am am am am am
moveable fetal part in the fundal portion of the uterus and a long, smooth surface in the
am am am am am am am am am am am am am am am am
mother’s right side close to midline. What is the likely position of the fetus?
am am am am am am am am am am am am am
- RSA
4) The nurse has received report regarding her patient in labor. The woman’s last
am am am am am am am am am am am am
vaginal examination was recorded as 3 cm, 30%, and -2. The nurse’s interpretation of this
am am am am am am am am am am am am am am
assessment is that: am am
- The cervix is 3cm dilated, it is effaced 30%, and the presenting part is 2cm above
am am am am am am am am am am am am am am am
the ischial spines. am am
5) To care for a laboring woman adequately, the nurse understands that the ____
am am am am am am am am am am am am
stage of labor varies the most in length?
am am am am am am am
- First
6) The nurse would expect which maternal cardiovascular finding during labor?
am am am am am am am am am
- Increased cardiac output am am
7) The factors that affect the process of labor and birth, known commonly as the five
am am am am am am am am am am am am am am
P’s, include all except:
am am am
- Pressure
8) The slight overlapping of cranial bones or shaping of the fetal head during labor is
am am am am am am am am am am am am am am
called:
- Molding
9) Which presentation is describes accurately in terms of both presenting part and am am am am am am am am am am am
frequency of occurrence? am am
- Cephalic: occiput; at least 95% am am am am
10)With regard to factors that affect how the fetus moves through the birth canal, nurses
am am am am am am am am am am am am am am am
should be aware that: am am am
- The normal attitude of the fetus is called general flexion. am am am am am am am am am
11)As relates to fetal positioning during labor, nurses should be aware that:
am am am am am am am am am am am am
- Birth is imminent when the presenting part is at +4 to +5 cm below the spine.
am am am am am am am am am am am am am am am
12)Which basic type of pelvis includes the correct description and percentage of
am am am am am am am am am am am am
occurrence in women? am am
Downloaded by PageMaster am am
,am
lOMoARcPSD|61098961
- Platypelloid: flattened, wide, shallow, 3% am am am am
13)In relation to primary and secondary powers, the maternity nurse comprehends that:
am am am am am am am am am am am am
- Primary powers are responsible for effacement and dilation of the cervix. am am am am am am am am am am
14)While providing care to a patient in active labor, the nurse should instruct the woman
am am am am am am am am am am am am am am am
that
- Frequent changes in position will help relieve her fatigue and increase her am am am am am am am am am am am
comfort.
15)Which description of the four stages of labor is correct for both definition and
am am am am am am am am am am am am am am
duration?
- First stage: onset of regular uterine contractions to full dilation; less than 1 hour to
am am am am am am am am am am am am am am
20 hours. am
16)With regards to the turns and other adjustments of the fetus during the birth process,
am am am am am am am am am am am am am am am
known as the mechanism of labor, nurses should be aware that:
am am am am am am am am am am
- The effects of the forces determining descent are modified by the shape of the
am am am am am am am am am am am am am
woman’s pelvis and the size of the fetal head. am am am am am am am am
17)In order to evaluate the condition of the patient accurately during labor, the nurse
am am am am am am am am am am am am am am
should be aware that: am am am
- The endogenous endorphins released during labor will raise the woman’s pain
am am am am am am am am am am
threshold and produce sedation. am am am
18)The maternity nurse understands that as the uterus contracts during labor, maternal-
am am am am am am am am am am am am
fetal exchange of oxygen and waste products.
am am am am am am
- Diminishes as the spiral arteries are compressed. am am am am am am
19)Which statement is the best rationale for assessing maternal vital signs between
am am am am am am am am am am am am
contractions?
- Maternal circulating blood volume increases temporarily during contractions. am am am am am am am
20)In order to care for obstetric patients adequately, the nurse understands that labor
am am am am am am am am am am am am am
contractions facilitate cervical dilation by am am am am
- Pulling the cervix over the fetus and amniotic sac. am am am am am am am am
21)To teach patients about the process of labor adequately, the nurse knows that which
am am am am am am am am am am am am am am
event is the best indicator of true labor?
am am am am am am am
- Cervical dilation and effacement am am am
22)Which occurrence is associated with cervical dilation and effacement?
am am am am am am am am am
- Bloody Show am
23)A primigravida at 39 weeks of gestation is observed for 2 hours in the intrapartum
am am am am am am am am am am am am am am am
unit. The fetal heart rate has been normal. Contractions are 5 to 9 minutes apart, 20 to 30
am am am am am am am am am am am am am am am am am
seconds in duration, and of mild intensity. Cervical dilation is 1 to 2 cm and uneffaced
am am am am am am am am am am am am am am am
(unchanged from admission). Membranes are intact. The nurse should expect the woman
am am am am am am am am am am am
to be
am
- Discharged home to await the onset of true labor am am am am am am am am
Downloaded by PageMaster am am
,am
lOMoARcPSD|61098961
24)Which nursing assessment indicates that a woman who is in second-stage labor is
am am am am am am am am am am am am am
almost
- The vulva bulges and encircles the fetal head. am am am am am am am
25)Signs that precede labor include: (SATA)
am am am am am am
- Lightening
- Bloody Show am
- Rupture of membranes am am
26)Which factors influence cervical dilation? (SATA)
am am am am am am
- Strong uterine contractions am am
- The force of the presenting fetal part against the cervix
am am am am am am am am am
- The pressure applied by the amniotic sac am am am am am am
- Scarring of the cervix. am am am
Chapter 14: Maximizing Comfort for the Laboring Woman
am am am am am am am
1) a An 18-year old pregnant woman, gravida 1, is admitted to the labor and birth unit
am am am am am am am am am am am am am am
with moderate contractions every 5 minutes that last 40 seconds. The woman states, My
am am am am am am am am am am am am am
contractions are so strong that I don’t know what to do with myself. The nurse should:
am am am am am am am am am am am am am am am
- Recognize that pain is personalized for each individual am am am am am am am
2) Nursing care measures are commonly offered to woman in labor. Which nursing
am am am am am am am am am am am
measure reflects application of the gate-control therapy?
am am am am am am
- Massaging the woman’s back am am am
3) A laboring woman received an opioid agonist (meperidine) intravenously 90
am am am am am am am am am
minutes before she gave birth. Which medications should be available to reduce the
am am am am am am am am am am am am
potential effects of Demerol on the neonate?
am am am am am am
- Naloxone (Narcan) am
4) A woman in labor has just received an epidural block, The most important nursing
am am am am am am am am am am am am am
intervention is to am am
- Monitor maternal blood pressure for possible hypotension am am am am am am
5) The nurse should be aware that an effective plan to achieve adequate relief
am am am am am am am am am am am am
without maternal risk is most effective if:
am am am am am am
- The mother and family’s priorities and preferences are incorporated into the plan.
am am am am am am am am am am am
6) A woman in the active phase of the first stage of labor is using a shallow pattern
am am am am am am am am am am am am am am am am
of breathing, which is about twice the normal adult breathing rate. She starts to complain
am am am am am am am am am am am am am am
about feeling light-headed and dizzy and states that her fingers are tingling. The nurse
am am am am am am am am am am am am am
should
- Help her breath into a paper bag am am am am am am
7) A woman is experiencing back labor and complains of intense pain in her lower
am am am am am am am am am am am am am
back. An effective relief measure would be to use
am am am am am am am am
- Counterpressure against the sacrum am am am
Downloaded by PageMaster am am
