Chapter 26: Labor and Delivery

Foundations Of Nursing 6th Edition by Barbara Lauritsen Christensen

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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. The nurse recognizes this as:
a. lightening.
b. Braxton-Hicks contractions.
c. initiation of labor.
d. engagement.

 

ANS:   A

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

 

DIF:    Cognitive Level: Application             REF:    Page 805         OBJ:    4

TOP:    Lightening      KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Health Promotion and Maintenance

 

  1. Braxton-Hicks contractions, which may begin in the first trimester and become increasingly stronger during the pregnancy, differ from labor contractions in that they:
a. last several minutes.
b. are always regular.
c. do not dilate the cervix.
d. are only mild.

 

ANS:   C

Braxton-Hicks contractions do not dilate the cervix.

 

DIF:    Cognitive Level: Comprehension      REF:    Page 806         OBJ:    5

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

MSC:   NCLEX: N/A

 

  1. The nurse differentiates false from true labor by explaining that in true labor:
a. discomfort of the contraction is in the fundus.
b. contractions do not follow a pattern.
c. contractions get stronger with ambulation.
d. contractions may stop with ambulation.

 

ANS:   C

Contractions get stronger with ambulation in true labor.

DIF:    Cognitive Level: Comprehension      REF:    Page 806         OBJ:    5

TOP:    True labor       KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Health Promotion and Maintenance

 

  1. The pelvis is divided into two parts, the false and true pelvis. The nurse explains that the size of the true pelvis is most important because:
a. the fetal head must pass through this part.
b. these are the mother’s measurements.
c. the false pelvis can change.
d. it needs to be larger.

 

ANS:   A

The size of the true pelvis is more important because the fetal head must be able to pass through.

 

DIF:    Cognitive Level: Comprehension      REF:    Page 807         OBJ:    6

TOP:    True pelvis      KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Health Promotion and Maintenance

 

  1. The nurse reassures the patient that the method used to determine the size of the true pelvis for over 20 years with no detrimental effects to the fetus is:
a. pelvimetry.
b. palpation.
c. ultrasonography.
d. x-ray.

 

ANS:   C

In more than 20 years of use, ultrasonography has had no detrimental effects on the fetus.

 

DIF:    Cognitive Level: Comprehension      REF:    Page 808         OBJ:    6

TOP:    Ultrasound      KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Health Promotion and Maintenance

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