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Test Bank for Maternity and Women’s Health Care, 13th Edition, Chapter 1-37, (2025), All C, Exams of Nursing

University College of London (UCL)Nursing

Test Bank for Maternity and Women’s Health Care, 13th Edition, Chapter 1-37, (2025), All Chapters | LATEST Update| Test Bank Directly From The publisher, 100% Verified Answers. Test Bank for Maternity and Women’s Health Care, 13th Edition, Chapter 1-37, (2025), All Chapters | LATEST Update| Test Bank Directly From The publisher, 100% Verified Answers.

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Test Bank for Maternity and Women’s Health

Care, 13th Edition, Chapter 1-37, (2025), All

Chapters | LATEST Update| Test Bank Directly

From The publisher, 100% Verified

Answers.

1. A new mother asks the nurse when the soft spot on her sons

head will go away. The nurses Answer is based on the

knowledge that the anterior fontanel closes after birth by _____

months.

a. 2 c. 12

b. 8 d. 18 - Answer-d. 18

2. When assessing a woman in labor, the nurse is aware that the

relationship of the fetal body parts to one another is called fetal:

a. Lie. c. Attitude.

b. Presentation. d. Position. - Answer-c. Attitude.

3. When assessing the fetus using Leopold maneuvers, the nurse

feels a round, firm, movable fetal part in the fundal portion of the

uterus and a long, smooth surface in the mothers right side close

to midline. What is the likely position of the fetus?

a. ROA c. RSA

b. LSP d. LOA - Answer-c. RSA

4. The nurse has received report regarding her patient in labor.

The womans last vaginal examination was recorded as 3 cm,

30%, and ?2-2. The nurses interpretation of this assessment is

that:

Partial preview of the text

Download Test Bank for Maternity and Women’s Health Care, 13th Edition, Chapter 1-37, (2025), All C and more Exams Nursing in PDF only on Docsity!

Test Bank for Maternity and Women’s Health

Care, 13th Edition, Chapter 1-37, (2025), All

Chapters | LATEST Update| Test Bank Directly

From The publisher, 100% Verified

Answers.

A new mother asks the nurse when the soft spot on her sons head will go away. The nurses Answer is based on the knowledge that the anterior fontanel closes after birth by _____ months. a. 2 c. 12 b. 8 d. 18 - Answer -d. 18
When assessing a woman in labor, the nurse is aware that the relationship of the fetal body parts to one another is called fetal: a. Lie. c. Attitude. b. Presentation. d. Position. - Answer -c. Attitude.
When assessing the fetus using Leopold maneuvers, the nurse feels a round, firm, movable fetal part in the fundal portion of the uterus and a long, smooth surface in the mothers right side close to midline. What is the likely position of the fetus? a. ROA c. RSA b. LSP d. LOA - Answer -c. RSA
The nurse has received report regarding her patient in labor. The womans last vaginal examination was recorded as 3 cm, 30%, and ?2-2. The nurses interpretation of this assessment is that:

a. The cervix is effaced 3 cm, it is dilated 30%, and the presenting part is 2 cm above the ischial spines. b. The cervix is 3 cm dilated, it is effaced 30%, and the presenting part is 2 cm above the ischial spines. c. The cervix is effaced 3 cm, it is dilated 30%, and the presenting part is 2 cm below the ischial spines. d. The cervix is dilated 3 cm, it is effaced 30%, and the presenting part is 2 cm below the ischial spines. - Answer -b. The cervix is 3 cm dilated, it is effaced 30%, and the presenting part is 2 cm above the ischial spines.

To care for a laboring woman adequately, the nurse understands that the __________ stage of labor varies the most in length? a. First c. Third b. Second d. Fourth - Answer -a. First
The nurse would expect which maternal cardiovascular finding during labor? a. Increased cardiac output b. Decreased pulse rate c. Decreased white blood cell (WBC) count d. Decreased blood pressure - Answer -a. Increased cardiac output
The factors that affect the process of labor and birth, known commonly as the five Ps, include all except: a. Passenger. c. Powers. b. Passageway. d. Pressure. - Answer -d. Pressure.
The slight overlapping of cranial bones or shaping of the fetal head during labor is called: a. Lightening. c. Ferguson reflex. b. Molding. d. Valsalva maneuver. - Answer -b. Molding.

d. Platypelloid: flattened, wide, shallow; 3% - Answer -d. Platypelloid: flattened, wide, shallow; 3%

In relation to primary and secondary powers, the maternity nurse comprehends that: a. Primary powers are responsible for effacement and dilation of the cervix. b. Effacement generally is well ahead of dilation in women giving birth for the first time; they are closer together in subsequent pregnancies. c. Scarring of the cervix caused by a previous infection or surgery may make the delivery a bit more painful, but it should not slow or inhibit dilation. d. Pushing in the second stage of labor is more effective if the woman can breathe deeply and control some of her involuntary needs to push, as the nurse directs. - Answer -a. Primary powers are responsible for effacement and dilation of the cervix
While providing care to a patient in active labor, the nurse should instruct the woman that: a. The supine position commonly used in the United States increases blood flow. b. The all fours position, on her hands and knees, is hard on her back. c. Frequent changes in position will help relieve her fatigue and increase her comfort. d. In a sitting or squatting position, her abdominal muscles will have to work harder - Answer -c. Frequent changes in position will help relieve her fatigue and increase her comfort.
Which description of the four stages of labor is correct for both definition and duration? a. First stage: onset of regular uterine contractions to full dilation; less than 1 hour to 20 hours

b. Second stage: full effacement to 4 to 5 cm; visible presenting part; 1 to 2 hours c. Third state: active pushing to birth; 20 minutes (multiparous women), 50 minutes (first-timer) d. Fourth stage: delivery of the placenta to recovery; 30 minutes to 1 hour - Answer -a. First stage: onset of regular uterine contractions to full dilation; less than 1 hour to 20 hours

With regard to the turns and other adjustments of the fetus during the birth process, known as the mechanism of labor, nurses should be aware that: a. The seven critical movements must progress in a more or less orderly sequence. b. Asynclitism sometimes is achieved by means of the Leopold maneuver. c. The effects of the forces determining descent are modified by the shape of the womans pelvis and the size of the fetal head. d. At birth the baby is said to achieve restitution (i.e., a return to the C-shape of the womb). - Answer -c. The effects of the forces determining descent are modified by the shape of the womans pelvis and the size of the fetal head.
In order to evaluate the condition of the patient accurately during labor, the nurse should be aware that: a. The womans blood pressure will increase during contractions and fall back to prelabor normal between contractions. b. Use of the Valsalva maneuver is encouraged during the second stage of labor to relieve fetal hypoxia. c. Having the woman point her toes will reduce leg cramps. d. The endogenous endorphins released during labor will raise the womans pain threshold and produce sedation. - Answer -d. The endogenous endorphins released during labor will raise the womans pain threshold and produce sedation.

a. Bloody show c. Lightening b. False labor d. Bladder distention - Answer -a. Bloody show

The primary difference between the labor of a nullipara and that of a multipara is the: a. Amount of cervical dilation. c. Level of pain experienced. b. Total duration of labor. d. Sequence of labor mechanisms. - Answer -b. Total duration of labor.
A primigravida at 39 weeks of gestation is observed for 2 hours in the intrapartum unit. The fetal heart rate has been normal. Contractions are 5 to 9 minutes apart, 20 to 30 seconds in duration, and of mild intensity. Cervical dilation is 1 to 2 cm and uneffaced (unchanged from admission). Membranes are intact. The nurse should expect the woman to be: a. Admitted and prepared for a cesarean birth. b. Admitted for extended observation. c. Discharged home with a sedative. d. Discharged home to await the onset of true labor. - Answer -d. Discharged home to await the onset of true labor.
Which nursing assessment indicates that a woman who is in second-stage labor is almost ready to give birth? a. The fetal head is felt at 0 station during vaginal examination. b. Bloody mucus discharge increases. c. The vulva bulges and encircles the fetal head. d. The membranes rupture during a contraction. - Answer -c. The vulva bulges and encircles the fetal head. MULTIPLE RESPONSES
Signs that precede labor include (Select all that apply): a. Lightening. b. Exhaustion. c. Bloody show. d. Rupture of membranes.

e. Decreased fetal movement. - Answer -a. Lightening. c. Bloody show. d. Rupture of membranes.

Which factors influence cervical dilation (Select all that apply)? a. Strong uterine contractions b. The force of the presenting fetal part against the cervix c. The size of the female pelvis d. The pressure applied by the amniotic sac e. Scarring of the cervix - Answer -a. Strong uterine contractions b. The force of the presenting fetal part against the cervix d. The pressure applied by the amniotic sac e. Scarring of the cervix For vaginal birth to be successful, the fetus must adapt to the birth canal during the descent. The turns and other adjustments necessary in the human birth process are termed the mechanism of labor. Please list the seven cardinal movements in the mechanism of labor in the correct order. a. Flexion e. Engagement b. Internal rotation f. Descent c. External rotation g. Extension d. Expulsion
One
Two
Three
Four
Five
Six
Seven - Answer -28. E
F
A

A laboring woman received an opioid agonist (meperidine) intravenously 90 minutes before she gave birth. Which medication should be available to reduce the postnatal effects of Demerol on the neonate? a. Fentanyl (Sublimaze) c. Naloxone (Narcan) b. Promethazine (Phenergan) d. Nalbuphine (Nubain) - Answer - c. Naloxone (Narcan)
A woman in labor has just received an epidural block. The most important nursing intervention is to: a. Limit parenteral fluids. b. Monitor the fetus for possible tachycardia. c. Monitor the maternal blood pressure for possible hypotension. d. Monitor the maternal pulse for possible bradycardia. - Answer - c. Monitor the maternal blood pressure for possible hypotension.
The nurse should be aware that an effective plan to achieve adequate pain relief without maternal risk is most effective if: a. The mother gives birth without any analgesic or anesthetic. b. The mother and familys priorities and preferences are incorporated into the plan. c. The primary health care provider decides the best pain relief for the mother and family. d. The nurse informs the family of all alternative methods of pain relief available in the hospital setting. - Answer -b. The mother and familys priorities and preferences are incorporated into the plan.
A woman in the active phase of the first stage of labor is using a shallow pattern of breathing, which is about twice the normal adult breathing rate. She starts to complain about feeling lightheaded and dizzy and states that her fingers are tingling. The nurse should: a. Notify the womans physician.

b. Tell the woman to slow the pace of her breathing. c. Administer oxygen via a mask or nasal cannula. d. Help her breathe into a paper bag - Answer -d. Help her breathe into a paper bag

A woman is experiencing back labor and complains of intense pain in her lower back. An effective relief measure would be to use: a. Counterpressure against the sacrum. b. Pant-blow (breaths and puffs) breathing techniques. c. Effleurage. d. Conscious relaxation or guided imagery. - Answer -a. Counterpressure against the sacrum.
If an opioid antagonist is administered to a laboring woman, she should be told that: a. Her pain will decrease. b. Her pain will return. c. She will feel less anxious. d. She will no longer feel the urge to push. - Answer -b. Her pain will return.
A woman has requested an epidural for her pain. She is 5 cm dilated and 100% effaced. The baby is in a vertex position and is engaged. The nurse increases the womans intravenous fluid for a preprocedural bolus. She reviews her laboratory values and notes that the womans hemoglobin is 12 g/dL, hematocrit is 38%, platelets are 67,000, and white blood cells (WBCs) are 12,000/mm3. Which factor would contraindicate an epidural for the woman? a. She is too far dilated. c. She has thrombocytopenia. b. She is anemic. d. She is septic. - Answer -c. She has thrombocytopenia.
The role of the nurse with regard to informed consent is to:

Which statement correctly describes the effects of various pain factors? a. Higher prostaglandin levels arising from dysmenorrhea can blunt the pain of childbirth. b. Upright positions in labor increase the pain factor because they cause greater fatigue. c. Women who move around trying different positions are experiencing more pain. d. Levels of pain-mitigating b-endorphins are higher during a spontaneous, natural childbirth. - Answer -d. Levels of pain- mitigating b-endorphins are higher during a spontaneous, natural childbirth.
Nurses with an understanding of cultural differences regarding likely reactions to pain may be better able to help clients. Nurses should know that _____ women may be stoic until late in labor, when they may become vocal and request pain relief. a. Chinese c. Hispanic b. Arab or Middle Eastern d. African-American - Answer -c. Hispanic
With regard to a pregnant womans anxiety and pain experience, nurses should be aware that: a. Even mild anxiety must be treated. b. Severe anxiety increases tension, which increases pain, which in turn increases fear and anxiety, and so on. c. Anxiety may increase the perception of pain, but it does not affect the mechanism of labor. d. Women who have had a painful labor will have learned from the experience and have less anxiety the second time because of increased familiarity. - Answer -b. Severe anxiety increases tension, which increases pain, which in turn increases fear and anxiety, and so on.

Nurses should be aware of the differences experience can make in labor pain such as: a. Sensory pain for nulliparous women often is greater than for multiparous women during early labor. b. Affective pain for nulliparous women usually is less than for multiparous women throughout the first stage of labor. c. Women with a history of substance abuse experience more pain during labor. d. Multiparous women have more fatigue from labor and therefore experience more pain. - Answer -a. Sensory pain for nulliparous women often is greater than for multiparous women during early labor.
In the current practice of childbirth preparation, emphasis is placed on: a. The Dick-Read (natural) childbirth method. b. The Lamaze (psychoprophylactic) method. c. The Bradley (husband-coached) method. d. Having expectant parents attend childbirth preparation in any or no specific method. - Answer -d. Having expectant parents attend childbirth preparation in any or no specific method
With regard to breathing techniques during labor, maternity nurses should understand that: a. Breathing techniques in the first stage of labor are designed to increase the size of the abdominal cavity to reduce friction. b. By the time labor has begun, it is too late for instruction in breathing and relaxation. c. Controlled breathing techniques are most difficult near the end of the second stage of labor. d. The patterned-paced breathing technique can help prevent hyperventilation. - Answer -a. Breathing techniques in the first stage of labor are designed to increase the size of the abdominal cavity to reduce friction.

c. A pudendal nerve block is designed to relieve the pain from uterine contractions. d. A pudendal nerve block, if done correctly, does not significantly lessen the bearing-down reflex. - Answer -a. Most local agents are related chemically to cocaine and end in the suffix -caine.

With regard to spinal and epidural (block) anesthesia, nurses should know that: a. This type of anesthesia is commonly used for cesarean births but is not suitable for vaginal births. b. A high incidence of after-birth headache is seen with spinal blocks. c. Epidural blocks allow the woman to move freely. d. Spinal and epidural blocks are never used together. - Answer - b. A high incidence of after-birth headache is seen with spinal blocks.
A woman in labor is breathing into a mouthpiece just before the start of her regular contractions. As she inhales, a valve opens, and gas is released. She continues to inhale the gas slowly and deeply until the contraction starts to subside. When the inhalation stops, the valve closes. This procedure is: a. Not used much anymore. b. Likely to be used in the second stage of labor but not in the first stage. c. An application of nitrous oxide. d. A prelude to cesarean birth. - Answer -c. An application of nitrous oxide.
In assessing a woman for pain and discomfort management during labor, a nurse most likely would: a. Have the woman use a visual analog scale (VAS) to determine her level of pain. b. Note drowsiness as a sign that the medications were working.

c. Interpret a womans fist clenching as an indication that she is angry at her male partner and the physician. d. Evaluate the womans skin turgor to see whether she needs a gentle oil massage. - Answer -a. Have the woman use a visual analog scale (VAS) to determine her level of pain.

After change-of-shift report the nurse assumes care of a multiparous client in labor. The woman is complaining of pain that radiates to her abdominal wall, lower back, and buttocks and down her thighs. Before implementing a plan of care, the nurse should understand that this type of pain is: a. Visceral. c. Somatic. b. Referred. d. Afterpain. - Answer -b. Referred
It is important for the nurse to develop a realistic birth plan with the pregnant woman in her care. The nurse can explain that a major advantage of nonpharmacologic pain management is: a. Greater and more complete pain relief is possible. b. No side effects or risks to the fetus are involved. c. The woman remains fully alert at all times. d. A more rapid labor is likely. - Answer -b. No side effects or risks to the fetus are involved.
The nurse providing newborn stabilization must be aware that the primary side effect of maternal narcotic analgesia in the newborn is: a. Respiratory depression. c. Acrocyanosis. b. Bradycardia. d. Tachypnea. - Answer -a. Respiratory depression
The nerve block used in labor that provides anesthesia to the lower vagina and perineum is called: a. An epidural. c. A local. b. A pudendal. d. A spinal block. - Answer -b. A pudendal

e. Perform a vaginal examination. - Answer -b. Place the woman in a lateral position. c. Increase intravenous (IV) fluids. d. Administer oxygen.

The class of drugs known as opioid analgesics (butorphanol, nalbuphine) is not suitable for administration to women with known opioid dependence. The antagonistic activity could precipitate withdrawal symptoms (abstinence syndrome) in both mothers and newborns. Signs of opioid/narcotic withdrawal in the mother would include (Select all that apply): a. Yawning, runny nose. b. Increase in appetite. c. Chills and hot flashes. d. Constipation. e. Irritability, restlessness. - Answer -a. Yawning, runny nose. c. Chills and hot flashes. e. Irritability, restlessness.
While developing an intrapartum care plan for the patient in early labor, it is important that the nurse recognize that psychosocial factors may influence a womans experience of pain. These include (Select all that apply): a. Culture. b. Anxiety and fear. c. Previous experiences with pain. d. Intervention of caregivers. e. Support systems - Answer -a. Culture. b. Anxiety and fear. c. Previous experiences with pain. e. Support systems Many women seek alternative or complementary pain relief during labor to delay or avoid pharmacologic or invasive therapies. Evidence regarding the use of these modalities has been sparse,

and so they remain underutilized. Published reviews of the best- known therapies identified the benefits of each modality for the woman in labor. Please match the alternative modality with the correct research finding. a. Yoga d. Water immersion b. Massage e. Aromatherapy c. Acupuncture

Less pain intensity, decreased use of analgesia, fewer instrumental births
Significantly decreased use of analgesia, shorter labor
No difference when compared with placebo
Less pain and anxiety during the first stage of labor
Reduced length of labor, increased satisfaction of pain relief - Answer -37. C
D
E
B
A Chapter 15: Fetal Assessment During Labor - Answer -
Fetal bradycardia is most common during: a. Intraamniotic infection. b. Fetal anemia. c. Prolonged umbilical cord compression. d. Tocolytic treatment using terbutaline. - Answer -c. Prolonged umbilical cord compression.
While evaluating an external monitor tracing of a woman in active labor, the nurse notes that the fetal heart rate (FHR) for five sequential contractions begins to decelerate late in the contraction, with the nadir of the decelerations occurring after the peak of the contraction. The nurses first priority is to: a. Change the womans position. c. Assist with amnioinfusion.

Test Bank for Maternity and Women’s Health Care, 13th Edition, Chapter 1-37, (2025), All C, Exams of Nursing

Related documents

Partial preview of the text

Download Test Bank for Maternity and Women’s Health Care, 13th Edition, Chapter 1-37, (2025), All C and more Exams Nursing in PDF only on Docsity!

Test Bank for Maternity and Women’s Health

Care, 13th Edition, Chapter 1-37, (2025), All

Chapters | LATEST Update| Test Bank Directly

From The publisher, 100% Verified

Answers.