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Introduction to Maternity And Pediatric Nursing, 7th Edition by Gloria Leifer -Test Bank

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  • ISBN-10 ‏ : ‎ 0323310974
  • ISBN-13 ‏ : ‎ 978-0323310970

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SKU:tb1002604

Introduction to Maternity And Pediatric Nursing, 7th Edition by Gloria Leifer -Test Bank

Chapter 06: Nursing Care of Mother and Infant During Labor and Birth

MULTIPLE CHOICE

1. What does the nurse note when measuring the frequency of a laboring woman’s contractions?
a. How long the patient states the contractions last
b. The time between the end of one contraction and the beginning of the next
c. The time between the beginning and the end of one contraction
d. The time between the beginning of one contraction and the beginning of the next

ANS: D
The frequency of contractions is the elapsed time from the beginning of one contraction to the beginning of the next contraction.

DIF: Cognitive Level: Comprehension REF: Page 120 OBJ: 9
TOP: Frequency of Contractions KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation

2. Why is the relaxation phase between contractions important?
a. The laboring woman needs to rest.
b. The uterine muscles fatigue without relaxation.
c. The contractions can interfere with fetal oxygenation.
d. The infant progresses toward delivery at these times.

ANS: C
Blood flow from the mother into the placenta gradually decreases during contractions. During the interval between contractions, the placenta refills with oxygenated blood for the fetus.

DIF: Cognitive Level: Comprehension REF: Page 121-122
OBJ: 6 TOP: Interval KEY: Nursing Process Step: N/A
MSC: NCLEX: Physiological Integrity: Physiological Adaptation

3. What contraction duration and interval does the nurse recognize could result in fetal compromise?
a. Duration shorter than 30 seconds, interval longer than 75 seconds
b. Duration shorter than 90 seconds, interval longer than 120 seconds
c. Duration longer than 90 seconds, interval shorter than 60 seconds
d. Duration longer than 60 seconds, interval shorter than 90 seconds

ANS: C
Persistent contraction durations longer than 90 seconds or contraction intervals less than 60 seconds may reduce fetal oxygen supply.

DIF: Cognitive Level: Comprehension REF: Page 122, Safety Alert
OBJ: 9 TOP: Contraction/Fetal Compromise
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Reduction of Risk

4. Vaginal examination reveals the presenting part is the infant’s head, which is well flexed on the chest. What is this presentation?
a. Vertex
b. Military
c. Brow
d. Face

ANS: A
In the vertex presentation, the fetal head is the presenting part. The head is fully flexed on the chest.

DIF: Cognitive Level: Comprehension REF: Page 122-123
OBJ: 9 TOP: Fetal Position
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

5. What does meconium-stained amniotic fluid indicate when the infant is in a vertex presentation?
a. Fetal distress
b. Fetal maturity
c. Intact gastrointestinal tract
d. Dehydration in the mother

ANS: A
Green-stained amniotic fluid means that the fetus passed the first stool before birth, and it is an indicator of fetal compromise.

DIF: Cognitive Level: Comprehension REF: Page 137 OBJ: 9
TOP: Meconium-Stained Amniotic Fluid KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

6. It is determined that the presenting part of the fetus is the buttocks. At delivery the fetus’s hips are flexed and the knees are extended. How would the nurse record this presentation?
a. Complete breech
b. Frank breech
c. Double footling
d. Buttocks presentation

ANS: B
When a fetus presents in a frank breech position, the legs are flexed at the hips and extend toward the shoulders.

DIF: Cognitive Level: Application REF: Page 123-124, Figure 6-7
OBJ: 9 TOP: Components of the Birth Process
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

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