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Worksheets

Long Quiz

Total questions: 20

Worksheet time: 19mins

Name
Class
Date
1.

The factors that affect the process of labor and birth, known commonly as the five Ps, includes all EXCEPT:

a)

Passageway.

b)

Powers.

c)

Passenger.

d)

Pressure.

2.

The nurse assesses a client in labor and finds that the fetal long axis is longitudinal to the maternal long axis. The nurse documents this finding as which of the following?

a)

Attitude

b)

Lie

c)

Position

d)

Presentation

3.

The initial descent of the fetus into the pelvis to zero station is which one of the cardinal movements of labor?

a)

Engagement

b)

Flexion

c)

Extension

d)

Expulsion

4.

The skull is the most important factor in relation to the labor and birth process. The fetal skull must be small enough to travel through the bony pelvis. What feature of the fetal skull helps to make this passage possible?

a)

Vertex presentation

b)

Caput succedaneum

c)

Molding

d)

Cephalohematoma

5.

What landmark is used to assess fetal station?

a)

Iliac spine

b)

Ischial spine

c)

Ischium

d)

Pubic symphysis

6.

A 35-year-old female is in labor. The baby is engaged in the pelvis. As the nurse you know that this means that the fetal station is approximately?

a)

+1

b)

+2

c)

0

d)

-1

7.

During the assessment of a laboring woman, it is noted the fetal station is +2. You interpret this to mean?

a)

The baby’s presenting part is 2 cm above the iliac spine.

b)

The baby’s presenting part is 2 cm below the iliac spine.

c)

The baby’s presenting part is 2 cm above the ischial spine.

d)

The baby’s presenting part is 2 cm below the ischial spine.

8.

Assessment reveals that the fetus of a client in labor is in the vertex presentation. The nurse determines that the presenting part is which of the following?

a)

Brow

b)

Buttocks

c)

Shoulders

d)

Occiput

9.

Identify the fetal position presented beside.

a)

Right occipitoposterior

b)

Left occipitoposterior

c)

Right occipitoanterior

d)

Left occipitoanterior

10.

Determine the fetal presentation presented in this picture.

a)

Compete breech

b)

Shoulder presentation

c)

Frank breech

d)

Single footling breech

11.

Determine the fetal position presented in the picture on the left side.

a)

Left occipitotransverse

b)

Right occipitoposterior

c)

Left occipitoposterior

d)

Right occipitotransverse

12.

A 32-year-old woman presents to the labor-and-delivery suite in active labor. She is multigravida, relaxed, and talking with her husband. When examined by the nurse, the fetus is found to be in a cephalic presentation. His occiput is facing toward the front and slightly to the right of the mother's pelvis, and he is exhibiting a flexed attitude. How does the nurse document the position of the fetus?

a)

LOA

b)

ROA

c)

LOP

d)

ROP

13.

The nurse is caring for a client in labor. Which assessment finding indicates to the nurse that the client is beginning the second stage of labor?

a)

The contractions are regular.

b)

The membranes have ruptured.

c)

The cervix is dilated completely.

d)

The client begins to expel clear vaginal fluid.

14.

The nurse notes that the fetal head is at the vaginal opening and does not regress between contractions. The nurse interprets this finding as which of the following?

a)

Engagement

b)

Crowning

c)

Descent

d)

Restitution

15.

A fetus is assessed at 2 cm above the ischial spines. The nurse would document fetal station as:

a)

+2

b)

0

c)

-2

d)

+4

16.

The third stage of labor is considered to be expulsion of the placenta. This stage can last anywhere from five to 20 minutes. What is a sign that the placenta is separating from the wall of the uterus?

a)

Expulsion of blood clots

b)

Firm fundus

c)

Shortening of the umbilical cord

d)

Globular shape to the fundus

17.

The nurse is measuring a contraction from the beginning of the increment to the end of the decrement for the same contraction, documenting this as which of the following?

a)

Peak

b)

Duration

c)

Frequency

d)

Intensity

18.

The woman has just delivered a healthy baby boy, but the placenta has not yet delivered. What stage of labor does this scenario represent?

a)

Third

b)

Second

c)

Fourth

d)

First

19.

The nurse is performing an assessment of a client who is scheduled for a cesarean delivery. Which assessment finding would indicate the need to contact the health care provider?

a)

Hemoglobin of 11 g/dL

b)

Fetal heart rate of 180 beats/minute

c)

Maternal pulse rate of 85 beats/minute

d)

White blood cell count of 12,000 cells/mm3

20.

A nurse is providing emergency measures to a client in labor who has been diagnosed with a prolapsed cord. The mother becomes anxious and frightened and says to the nurse, "Why are all of these people in here? Is my baby going to be all right?" Which client problem is most appropriate to address at this time?

a)

The client's fear

b)

The client's fatigue

c)

The client's inability to control the situation

d)

The client's inability to cope with the situation