Chapter 26: Labor and Delivery

Chapter 26: Labor and Delivery

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. A woman who is 38 weeks pregnant tells the nurse that the baby has dropped and she is having urinary frequency again. What do these symptoms describe?

ANS:  A

The symptoms of lightening are a return of urinary frequency, and the patient is able to breathe more normally.

DIF:    Cognitive Level: Comprehension     REF:   Page 805        OBJ:   3

TOP:   Lightening      KEY:  Nursing Process Step: Assessment

MSC:  NCLEX: Health Promotion and Maintenance

2. How do Braxton-Hicks contractions, which may begin in the first trimester and become increasingly stronger during the pregnancy, differ from labor contractions?

ANS:  C

Braxton-Hicks contractions do not dilate the cervix. Braxton-Hicks contractions remain irregular, can range from mild to moderate in severity, and increase in duration as the pregnancy progresses.

DIF:    Cognitive Level: Comprehension     REF:   Page 806        OBJ:   4

TOP:   Braxton-Hicks contractions              KEY:  Nursing Process Step: N/A

MSC:  NCLEX: N/A

3. When trying to differentiate false labor from true labor, the nurse realizes which of the following statements regarding true labor is correct?

ANS:  C

Contractions get stronger with ambulation in true labor. True labor is also marked by the onset of regular, rhythmic contractions.

DIF:    Cognitive Level: Comprehension     REF:   Page 806        OBJ:   4

TOP:   True labor      KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Health Promotion and Maintenance

4. Why is the size and shape of the true pelvis more important than that of the false pelvis?

ANS:  A

The size and shape of the true pelvis is more important than the false pelvis because the fetal head must be able to pass through for vaginal delivery to occur.

DIF:    Cognitive Level: Comprehension     REF:   Page 807        OBJ:   5

TOP:   True pelvis     KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Health Promotion and Maintenance

5. What method is used to visualize soft tissue and to determine adequacy of the pelvis with no detrimental effects to the fetus?

ANS:  C

In more than 20 years of use, ultrasonography has had no detrimental effects on the fetus. Pelvimetry and x-ray uses radiation to visualize bony prominences. Pelvimetry is not used in the pregnant patient due to detrimental effects to the fetus. Palpation does not allow for visualization of soft tissue.

DIF:    Cognitive Level: Comprehension     REF:   Page 808        OBJ:   5

TOP:   Ultrasound     KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Health Promotion and Maintenance