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WorksheetsLong Quiz
Total questions: 20
Worksheet time: 19mins
The factors that affect the process of labor and birth, known commonly as the five Ps, includes all EXCEPT:
Passageway.
Powers.
Passenger.
Pressure.
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?
Attitude
Lie
Position
Presentation
The initial descent of the fetus into the pelvis to zero station is which one of the cardinal movements of labor?
Engagement
Flexion
Extension
Expulsion
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?
Vertex presentation
Caput succedaneum
Molding
Cephalohematoma
What landmark is used to assess fetal station?
Iliac spine
Ischial spine
Ischium
Pubic symphysis
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?
+1
+2
0
-1
During the assessment of a laboring woman, it is noted the fetal station is +2. You interpret this to mean?
The baby’s presenting part is 2 cm above the iliac spine.
The baby’s presenting part is 2 cm below the iliac spine.
The baby’s presenting part is 2 cm above the ischial spine.
The baby’s presenting part is 2 cm below the ischial spine.
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?
Brow
Buttocks
Shoulders
Occiput
Identify the fetal position presented beside.
Right occipitoposterior
Left occipitoposterior
Right occipitoanterior
Left occipitoanterior
Determine the fetal presentation presented in this picture.
Compete breech
Shoulder presentation
Frank breech
Single footling breech
Determine the fetal position presented in the picture on the left side.
Left occipitotransverse
Right occipitoposterior
Left occipitoposterior
Right occipitotransverse
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?
LOA
ROA
LOP
ROP
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?
The contractions are regular.
The membranes have ruptured.
The cervix is dilated completely.
The client begins to expel clear vaginal fluid.
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?
Engagement
Crowning
Descent
Restitution
A fetus is assessed at 2 cm above the ischial spines. The nurse would document fetal station as:
+2
0
-2
+4
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?
Expulsion of blood clots
Firm fundus
Shortening of the umbilical cord
Globular shape to the fundus
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?
Peak
Duration
Frequency
Intensity
The woman has just delivered a healthy baby boy, but the placenta has not yet delivered. What stage of labor does this scenario represent?
Third
Second
Fourth
First
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?
Hemoglobin of 11 g/dL
Fetal heart rate of 180 beats/minute
Maternal pulse rate of 85 beats/minute
White blood cell count of 12,000 cells/mm3
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?
The client's fear
The client's fatigue
The client's inability to control the situation
The client's inability to cope with the situation
