Processes Of Birth

This question bank verified by Studydeets

Questions Bank

Maternity and Women’s Health Care Today
Social, Ethical, and Legal Issues
Reproductive Anatomy and Physiology
Hereditary and Environmental Influences on Childbearing
Conception and Prenatal Development
Maternal Adaptations to Pregnancy
Antepartum Assessment, Care, and Education
Nutrition for Childbearing
Assessing the Fetus
Complications of Pregnancy
The Childbearing Family with Special Needs
Processes of Birth
Pain Management During Childbirth
Intrapartum Fetal Surveillance
Nursing Care During Labor and Birth
Intrapartum Complications
Postpartum Adaptations and Nursing Care
Postpartum Maternal Complications
Normal Newborn: Processes of Adaptation
Assessment of the Normal Newborn
Care of the Normal Newborn
Infant Feeding
High-Risk Newborn: Complications Associated with Gestational Age and Development
High-Risk Newborn: Acquired and Congenital Conditions
Family Planning
Infertility
Women’s Health

All Questions

Question 1

Free

Multiple Choice

The nurse is explaining the physiology of uterine contractions to a group of nursing students. Which statement best explains the maternal-fetal exchange of oxygen and waste products during a contraction?

Choose correct answer/s

Little to no affect

Increases as blood pressure decreases

Diminishes as the spiral arteries are compressed

Continues except when placental functions are reduced

Check answer

Question 2

Free

Multiple Choice

The nurse is directing an unlicensed assistive personnel (UAP) to obtain maternal vital signs between contractions. Which statement is the appropriate rationale for assessing maternal vital signs between contractions rather than at another interval?

Choose correct answer/s

Vital signs taken during contractions are inaccurate.

During a contraction, assessing fetal heart rate is the priority.

Maternal blood flow to the heart is reduced during contractions.

Maternal circulating blood volume increases temporarily during contractions.

Check answer

Question 3

Free

Multiple Choice

Uncontrolled maternal hyperventilation during labor results in

Choose correct answer/s

metabolic acidosis.

metabolic alkalosis.

respiratory acidosis.

respiratory alkalosis.

Check answer

Question 4

Free

Multiple Choice

Which mechanism of labor occurs when the largest diameter of the fetal presenting part passes the pelvic inlet?

Choose correct answer/s

Extension

Engagement

Internal rotation

External rotation

Check answer

Question 5

Free

Multiple Choice

The laboring patient asks the nurse how the labor contractions cause the cervix to dilate. The nurse responds that labor contractions facilitate cervical dilation by

Choose correct answer/s

promoting blood flow to the cervix.

contracting the lower uterine segment.

enlarging the internal size of the uterus.

pulling the cervix over the fetus and amniotic sac.

Check answer

Question 6

Multiple Choice

Pregnant patients can usually tolerate the normal blood loss associated with childbirth because of which physiologic adaptation to pregnancy?

Choose correct answer/s

A higher hematocrit

Increased leukocytes

Increased blood volume

A lower fibrinogen level

To unlock the question

Question 7

Multiple Choice

The nurse is assessing the duration of a patient's labor contractions. Which method does the nurse implement to assess the duration of labor contractions?

Choose correct answer/s

Assess the strongest intensity of each contraction.

Assess uterine relaxation between two contractions.

Assess from the beginning to the end of each contraction.

Assess from the beginning of one contraction to the beginning of the next.

To unlock the question

Question 8

Multiple Choice

Which physiologic event is the key indicator of the commencement of true labor?

Choose correct answer/s

Bloody show

Cervical dilation and effacement

Fetal descent into the pelvic inlet

Uterine contractions every 7 minutes

To unlock the question

Question 9

Multiple Choice

Which factor ensures that the smallest anterior-posterior diameter of the fetal head enters the pelvis?

Choose correct answer/s

Station

Flexion

Descent

Engagement

To unlock the question

Question 10

Multiple Choice

An increase in urinary frequency and leg cramps after the 36th week of pregnancy are an indication of

Choose correct answer/s

lightening.

breech presentation.

urinary tract infection.

onset of Braxton-Hicks contractions.

To unlock the question

Question 11

Multiple Choice

A patient just delivered her baby via the vaginal route. The patient asks the nurse why the baby's head is not round, but oval. Which explanation should the nurse provide the patient?

Choose correct answer/s

This results from molding.

This results from lightening.

This results from the fetal lie.

This results from the fetal presentation.

To unlock the question

Question 12

Multiple Choice

A patient whose cervix is dilated to 6 cm is considered to be in which phase of labor?

Choose correct answer/s

Latent phase

Active phase

Second stage

Third stage

To unlock the question

Question 13

Multiple Choice

The nurse is assessing a patient in the active phase of labor. What should the nurse expect during this phase?

Choose correct answer/s

The patient is sociable and excited.

The patient is requesting pain medication.

The patient begins to experience the urge to push.

The patient experiences loss of control and irritability.

To unlock the question

Question 14

Multiple Choice

A laboring patient asks the nurse how she will know that the contraction is at its peak. The nurse explains that the contraction peaks during which stage of measurement?

Choose correct answer/s

The acme

The interval

The increment

The decrement

To unlock the question

Question 15

Multiple Choice

A patient in labor presents with a breech presentation. The nurse understands that a breech presentation is associated with

Choose correct answer/s

more rapid labor.

a high risk of infection.

maternal perineal trauma.

umbilical cord compression.

To unlock the question

Question 16

Multiple Choice

The primary difference between the labor of a nullipara and that of a multipara is

Choose correct answer/s

total duration of labor.

level of pain experienced.

amount of cervical dilation.

sequence of labor mechanisms.

To unlock the question

Question 17

Multiple Choice

Which maternal factor may inhibit fetal descent during labor?

Choose correct answer/s

A full bladder

Decreased peristalsis

Rupture of membranes

Reduction in internal uterine size

To unlock the question

Question 18

Multiple Choice

Which assessment finding would cause a concern for a patient who had delivered vaginally?

Choose correct answer/s

Estimated blood loss (EBL) of 500 mL during the birth process

White blood cell count of 28,000 mm3 postbirth

Patient complains of fingers tingling

Patient complains of thirst

To unlock the question

Question 19

Multiple Choice

On admission to the labor and birth unit, a 38-year-old female, gravida 4, para 3, at term in early labor is found to have a transverse lie on vaginal examination. What is the priority intervention at this time?

Choose correct answer/s

Perform a vaginal exam to denote progress.

Notify the health care provider.

Initiate parenteral therapy.

Apply oxygen via nasal cannula at 8 L/minute.

To unlock the question

Question 20

Multiple Choice

Which assessment finding indicates that cervical dilation and/or effacement has occurred?

Choose correct answer/s

Onset of irregular contractions

Cephalic presentation at 0 station

Bloody mucus drainage from vagina

Fetal heart tones (FHTs) present in the lower right quadrant

To unlock the question