pg. 1 PCN 103 - Test 1: Ch 25: Health Promotion and Pregnancy, Ch 26:
Labor and Delivery, Ch 27: Care of the Mother and Newborn/ All
Exam Questions with Correct Detailed Answers.
- When the patient is diagnosed with a tubal pregnancy, the nurse is aware that in this pregnancy, the
patient will probably:
- carry the pregnancy to term and have a cesarean delivery.
- have to remain in bed for the remainder of the pregnancy.
- spontaneously abort this ectopic pregnancy.
d. require surgery to remove the zygote. - ANSWER : D
Any pregnancy where implantation occurs outside the uterine cavity is called ectopic. Tubal pregnancies usually must be resolved by surgical removal of the zygote.
- A woman who is 38 weeks pregnant tells the nurse that the baby has dropped and she is having
urinary frequency again. The nurse recognizes this as:
- lightening.
- Braxton-Hicks contractions.
- initiation of labor.
d. engagement. - ANSWER : A
The symptoms of lightening are a return of urinary frequency, and the patient is able to breathe more normally.
- Braxton-Hicks contractions, which may begin in the first trimester and become increasingly stronger
during the pregnancy, differ from labor contractions in that they:
- last several minutes.
- are always regular.
- do not dilate the cervix. 1 / 4
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d. are only mild. - ANSWER : C
Braxton-Hicks contractions do not dilate the cervix.
- The nurse differentiates false from true labor by explaining that in true labor:
- discomfort of the contraction is in the fundus.
- contractions do not follow a pattern.
- contractions get stronger with ambulation.
d. contractions may stop with ambulation. - ANSWER : C
Contractions get stronger with ambulation in true labor.
- The pelvis is divided into two parts, the false and true pelvis. The nurse explains that the size of the
true pelvis is most important because:
- the fetal head must pass through this part.
- these are the mother's measurements.
- the false pelvis can change.
d. it needs to be larger. - ANSWER : A
The size of the true pelvis is more important because the fetal head must be able to pass through.
- The nurse reassures the patient that the method used to determine the size of the true pelvis for over
20 years with no detrimental effects to the fetus is:
- pelvimetry.
- palpation.
- ultrasonography.
d. x-ray. - ANSWER : C
In more than 20 years of use, ultrasonography has had no detrimental effects on the fetus.
- The nurse plans to use a picture to show the area of the uterus that provides the force during a
contraction, which is the:
- lower portion.
- middle portion. 2 / 4
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- upper portion.
d. cervical portion. - ANSWER : C
The upper portion of the uterus provides the force during contractions.
8. The nurse points out the largest diameter of the fetal skull is the:
- transverse.
- biparietal.
- lateral.
d. frontal-occipital. - ANSWER : B
The largest transverse diameter of the fetal skull is the biparietal measurement.
- The nurse explains that implantation is the embedding of the fertilized ovum in the uterine mucosa.
This implantation usually occurs in the:
- lower uterine wall.
- side of the uterus.
- fundus of the uterus.
d. body of the uterus. - ANSWER : C
Implantation usually occurs in the fundus of the uterus.
- The nurse teaches a group of primigravidas that during delivery, pressure on the fetal skull may
produce changes in the shape of the skull called:
- pressure response.
- overlapping.
- molding.
d. spacing. - ANSWER : C
The reshaping of the skull bones in response to pressure is called molding.
- The relationship of fetal body parts to one another during labor is called fetal attitude. The nurse
explains that the ideal attitude for the fetal body is:
- extension. 3 / 4
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- lateral.
- flexion.
d. transverse. - ANSWER : C
The ideal attitude for the fetal body is flexion.
- Using Leopold's maneuvers to assess fetal position, the nurse finds a soft rounded prominence at the
level of the fundus, a hard round prominence just above the symphysis pubis, and nodulations on the
left side of the uterus. The fetal position is:
- right occiput anterior (ROA), vertex.
- left occiput anterior (LOA), vertex.
- right occiput transverse (ROT), breech.
d. left occiput anterior (LOA) breech. - ANSWER : A
Fetal position can be determined by Leopold's maneuver, which defines the relationship of presenting part to maternal pelvis quadrant.
- During the second stage of labor, the nurse should monitor the fetal heart rate every:
- 5 minutes.
- 10 minutes.
- 15 minutes.
d. 20 minutes. - ANSWER : A
Fetal heart rate should be assessed every 5 minutes during the second stage of labor.
- The nurse clarifies that the type of monitor that will assess the intensity of the contractions is a(n):
- external monitor.
- fetal monitor.
- maternal monitor.
d. internal monitor. - ANSWER : D
Internal monitoring is used to monitor intensity of contractions.
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