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

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

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

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