- Study guides, Class notes & Summaries

1. Internal rotation during labor allows the fetal head to: A. Be born B. Exit the pelvis without turning C. Return to its original position after birth D. Turn so the sagittal suture aligns with the anteroposterior diameter of the pelvic outlet Correct Answer: D. Turn so the sagittal suture aligns with the anteroposterior diameter of the pelvic outlet Rationale: The outlet's widest diameter is anteroposterior. Restitution, the return to alignment with the shoulders, happens after the...

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34 pages

Written in 2026/2027

Grade A+

TheePlug

1. The most common and favorable fetal presentation is: A. Frank breech B. Shoulder C. Brow D. Cephalic vertex with the occiput leading Correct Answer: D. Cephalic vertex with the occiput leading Rationale: About 95% of term fetuses present vertex, which provides the smallest diameter through the pelvis. Breech, shoulder and brow presentations increase the risk of complications. 2. Maternal white blood cell count in labor: A. Always falls B. Is unaffected C. May rise to 20,000 to 25,0...

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34 pages

Written in 2026/2027

Grade A+

TheePlug

Labor & Delivery - 2026 Intrapartum Nursing: Exam 3 Questions with Correct Answers 2 Exam (elaborations) Labor & Delivery - 2026 Intrapartum Nursing: Final Exam (Comprehensive) - Questions with Correct Answers 3 Exam (elaborations) Labor & Delivery - 2026 Intrapartum Nursing: Midterm Exam (Units 1-7) - Questions with Correct Answers 4 Exam (elabora

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8 items

TheePlug

Labor & Delivery - 2026 Intrapartum Nursing: Final Exam (Comprehensive) - Questions with Correct Answers 3 Exam (elaborations) Labor & Delivery - 2026 Intrapartum Nursing: Midterm Exam (Units 1-7) - Questions with Correct Answers 4 Exam (elaborations) Labor & Delivery - 2026 Intrapartum Nursing: Exam 1 Questions with Correct Answers 5 Exam (elabora

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5 items

TheePlug

1. Signs Of impending labor include: A. Decreased Braxton Hicks contractions B. Weight gain of 3 kg in a week C. Bloody show, lightening, a burst of energy and possible rupture of membranes D. Absent fetal movement Correct Answer: C. Bloody show, lightening, a burst Of energy and possible rupture Of membranes Rationale: Weight Often decreases slightly as fluid shifts before labor. Absent fetal movement is a warning sign requiring evaluation. 2. A transverse lie at term in active labor m...

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33 pages

Written in 2026/2027

Grade A+

TheePlug

1. In the first Leopold maneuver, a soft, irregular mass in the uterine fundus suggests: A. The fetal head, indicating breech B. The fetal buttocks, indicating a cephalic presentation C. A transverse lie D. Twins Correct Answer: B. The fetal buttocks, indicating a cephalic presentation Rationale: The head feels hard, round and ballotable. A soft, irregular fundal part is typically the breech. 2. A fetus in a persistent occiput posterior (OP) position commonly causes: A. Intense back pai...

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33 pages

Written in 2026/2027

Grade A+

TheePlug

1. Fetal factors thought to help trigger labor include: A. Decreased fetal growth only B. Fetal hiccups C. Fetal sleep cycles D. Rising fetal cortisol and placental corticotropin-releasing hormone Correct Answer: D. Rising fetal cortisol and placental corticotropin-releasing hormone Rationale: Placental CRH has been called a placental clock. Hiccups and sleep cycles do not trigger labor. 2. Effacement describes: A. Opening of the cervix in centimeters B. Descent of the fetus C. Membra...

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34 pages

Written in 2026/2027

Grade A+

TheePlug

1. Signs of hypovolemic shock in postpartum hemorrhage that may appear late in healthy pregnant patients include: A. Bradycardia first B. Hypertension C. Increased urine output D. Hypotension, because compensation maintains blood pressure until significant loss Correct Answer: D. Hypotension, because compensation maintains blood pressure until significant loss Rationale: Tachycardia is an earlier sign. Shock index helps detect hidden loss. 2. The most common cause of postpartum hemorrha...

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33 pages

Written in 2026/2027

Grade A+

TheePlug

1. Signs of impending labor include: A. Decreased Braxton Hicks contractions B. Weight gain of 3 kg in a week C. Bloody show, lightening, a burst of energy and possible rupture of membranes D. Absent fetal movement Correct Answer: C. Bloody show, lightening, a burst of energy and possible rupture of membranes Rationale: Weight often decreases slightly as fluid shifts before labor. Absent fetal movement is a warning sign requiring evaluation. 2. A transverse lie at term in active labor m...

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33 pages

Written in 2026/2027

Grade A+

TheePlug

1. The android pelvis increases the risk of: A. Arrest of descent and persistent occiput posterior positions B. Precipitous birth C. Placenta previa D. Polyhydramnios Correct Answer: A. Arrest of descent and persistent occiput posterior positions Rationale: Its heart-shaped inlet and narrow forepelvis limit space. Placental location and amniotic fluid volume are unrelated to pelvic shape. 2. The false pelvis is located: A. Below the ischial spines B. Above the linea terminalis and supp...

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34 pages

Written in 2026/2027

Grade A+

TheePlug