NUR 242 Exam 2 Review Questions
With Complete Verified Solutions.
gynecoid - Answer Vaginal birth is most favorable with a ___ type of pelvis because the inlet is round
and the outlet is roomy.
effacement - Answer The thinning out process of the cervix during labor is termed ___.
sagittal suture - Answer The ___ is located between the parietal bones and divides the skull into the
right and left halves.
0 - Answer ___ station is designated when the presenting part is at the level of the maternal ischial
spines.
Lightening - Answer occurs when the fetal presenting part begins to descend into the maternal pelvis
sensitization - Answer An increase in prostaglandins leads to myometrial ___ and to a reduction in
cervical resistance.
decidua - Answer Oxytocin aids in stimulating prostaglandin synthesis through receptors in the ___.
passageway - Answer The birth ___ is the route through which the fetus must travel to be birthed
vaginally.
nesting - Answer A sudden increase in energy on the part of the expectant woman 24 to 48 hours
before the onset of labor is sometimes referred to as ___.
molding - Answer The elongated shape of the fetal skull at birth as a result of overlapping of the cranial
bones is known as ___.
gynecoid, android, anthropoid, platypelloid - Answer Four types of pelvis
,Frank, Complete, Single Footling, Double Footling - Answer Types of breech positions
Engagement - Answer Occurs when the greatest transverse diameter of the head in vertex passes
through the pelvic inlet.
Descent - Answer Downward movement of the fetal head until it is within the pelvic inlet. A maneuver
that occurs thought the laboring process.
Flexion - Answer Occurs as the vertex meets resistance from the cervix, walls of the pelvis, or the pelvic
floor.
Extension - Answer The head emerges through extension under the symphysis pubis, along the
shoulders.
External Rotation - Answer Allows the shoulders to rotate internally to fit the maternal pelvis.
Latent phase, Active phase, Transition phase, Pelvic phase, Placental separation, Placental expulsion -
Answer Phases of labor
Continue to monitor the client - Answer A client in her third trimester of pregnancy arrives at a health
care facility with a report of cramping and low back pain; she also notes that she is urinating more
frequently and that her breathing has become easier the past few days. Physical examination conducted
by the nurse indicates that the client has edema of the lower extremities, along with an increase in
vaginal discharge. What should the nurse do next?
Reduction in cervical resistance; Myometrial contractions; Softening and thinning of the cervix - Answer
The assessment of a pregnant client, who is toward the end of her third trimester, reveals that she has
increased prostaglandin levels. For which factors should the nurse assess the client?
These contractions help in softening and ripening the cervix - Answer A client experiencing
contractions presents at a health care facility. Assessment conducted by the nurse reveals that the client
has been experiencing Braxton Hicks contractions. The nurse has to educate the client on the usefulness
of Braxton Hicks contractions. Which role do Braxton Hicks contractions pay in aiding labor?
, The cervix takes around 12 to 16 hours to dilate during first pregnancy - Answer A pregnant client
wants to know why the labor of a first time pregnant woman usually lasts longer than that of a woman
who has already delivered once and is pregnant a second time. What explanation should the nurse
offer?
It helps to rotate the fetus in a posterior position - Answer A pregnant client is admitted to a maternity
clinic for birth. The client wishes to adopt the kneeling position during labor. The nurse knows that which
to be an advantage of adopting a kneeling position during labor?
Increase in heart rate; increase in blood pressure; increase in respiratory rate - Answer A nurse is caring
for a pregnant client who is in labor. Which maternal physiologic responses should the nurse monitor for
in the client, as the client progresses through birth?
Decrease in circulation and perfusion to the fetus - Answer A nurse is caring for a client in labor who is
delivering. For which fetal response should the nurse monitor?
To constrict the uterine blood vessels - Answer A client in the third stage of labor has experienced
placental separation and expulsion. Whys is it necessary for a nurse to massage the woman's uterus
briefly until it is firm?
Dilation of the cervix diameter to 10 cm - Answer A nurse is caring for a pregnant client in labor in a
health care facility. The nurse knows that which sign marks the termination of the first stage of labor in
the client?
Lower uterine segment distention; Stretching and tearing of structures; Dilation of the cervix - Answer
A nurse is caring for a client who is in the first stage of labor. The client is experiencing extreme pain due
to the labor. The nurse understands which to be causes of the extreme pain in the client?
Fetal anomalies - Answer A pregnant client in labor has to undergo a sonogram to confirm the fetal
position of a shoulder presentation. For which condition associated with shoulder presentation during a
vaginal birth should the nurse assess?
Provide the client clear information on all the procedures involved; Encourage the client to have a sense
of mastery and self-control; Encourage the client to have a positive reaction to pregnancy - Answer A
With Complete Verified Solutions.
gynecoid - Answer Vaginal birth is most favorable with a ___ type of pelvis because the inlet is round
and the outlet is roomy.
effacement - Answer The thinning out process of the cervix during labor is termed ___.
sagittal suture - Answer The ___ is located between the parietal bones and divides the skull into the
right and left halves.
0 - Answer ___ station is designated when the presenting part is at the level of the maternal ischial
spines.
Lightening - Answer occurs when the fetal presenting part begins to descend into the maternal pelvis
sensitization - Answer An increase in prostaglandins leads to myometrial ___ and to a reduction in
cervical resistance.
decidua - Answer Oxytocin aids in stimulating prostaglandin synthesis through receptors in the ___.
passageway - Answer The birth ___ is the route through which the fetus must travel to be birthed
vaginally.
nesting - Answer A sudden increase in energy on the part of the expectant woman 24 to 48 hours
before the onset of labor is sometimes referred to as ___.
molding - Answer The elongated shape of the fetal skull at birth as a result of overlapping of the cranial
bones is known as ___.
gynecoid, android, anthropoid, platypelloid - Answer Four types of pelvis
,Frank, Complete, Single Footling, Double Footling - Answer Types of breech positions
Engagement - Answer Occurs when the greatest transverse diameter of the head in vertex passes
through the pelvic inlet.
Descent - Answer Downward movement of the fetal head until it is within the pelvic inlet. A maneuver
that occurs thought the laboring process.
Flexion - Answer Occurs as the vertex meets resistance from the cervix, walls of the pelvis, or the pelvic
floor.
Extension - Answer The head emerges through extension under the symphysis pubis, along the
shoulders.
External Rotation - Answer Allows the shoulders to rotate internally to fit the maternal pelvis.
Latent phase, Active phase, Transition phase, Pelvic phase, Placental separation, Placental expulsion -
Answer Phases of labor
Continue to monitor the client - Answer A client in her third trimester of pregnancy arrives at a health
care facility with a report of cramping and low back pain; she also notes that she is urinating more
frequently and that her breathing has become easier the past few days. Physical examination conducted
by the nurse indicates that the client has edema of the lower extremities, along with an increase in
vaginal discharge. What should the nurse do next?
Reduction in cervical resistance; Myometrial contractions; Softening and thinning of the cervix - Answer
The assessment of a pregnant client, who is toward the end of her third trimester, reveals that she has
increased prostaglandin levels. For which factors should the nurse assess the client?
These contractions help in softening and ripening the cervix - Answer A client experiencing
contractions presents at a health care facility. Assessment conducted by the nurse reveals that the client
has been experiencing Braxton Hicks contractions. The nurse has to educate the client on the usefulness
of Braxton Hicks contractions. Which role do Braxton Hicks contractions pay in aiding labor?
, The cervix takes around 12 to 16 hours to dilate during first pregnancy - Answer A pregnant client
wants to know why the labor of a first time pregnant woman usually lasts longer than that of a woman
who has already delivered once and is pregnant a second time. What explanation should the nurse
offer?
It helps to rotate the fetus in a posterior position - Answer A pregnant client is admitted to a maternity
clinic for birth. The client wishes to adopt the kneeling position during labor. The nurse knows that which
to be an advantage of adopting a kneeling position during labor?
Increase in heart rate; increase in blood pressure; increase in respiratory rate - Answer A nurse is caring
for a pregnant client who is in labor. Which maternal physiologic responses should the nurse monitor for
in the client, as the client progresses through birth?
Decrease in circulation and perfusion to the fetus - Answer A nurse is caring for a client in labor who is
delivering. For which fetal response should the nurse monitor?
To constrict the uterine blood vessels - Answer A client in the third stage of labor has experienced
placental separation and expulsion. Whys is it necessary for a nurse to massage the woman's uterus
briefly until it is firm?
Dilation of the cervix diameter to 10 cm - Answer A nurse is caring for a pregnant client in labor in a
health care facility. The nurse knows that which sign marks the termination of the first stage of labor in
the client?
Lower uterine segment distention; Stretching and tearing of structures; Dilation of the cervix - Answer
A nurse is caring for a client who is in the first stage of labor. The client is experiencing extreme pain due
to the labor. The nurse understands which to be causes of the extreme pain in the client?
Fetal anomalies - Answer A pregnant client in labor has to undergo a sonogram to confirm the fetal
position of a shoulder presentation. For which condition associated with shoulder presentation during a
vaginal birth should the nurse assess?
Provide the client clear information on all the procedures involved; Encourage the client to have a sense
of mastery and self-control; Encourage the client to have a positive reaction to pregnancy - Answer A
