1) A client is admitted to the labor and delivery unit with contractions that are 3-5 minutes apart, lasting 60-
70 seconds. She reports that she isleaking fluid. A vaginal exam reveals that her cervix is 80 percent effaced
and 4 cm dilated and a -1 station. The LPN/LVN knows that theclient is in which phase and stage of labor?
A) Latent phase, First Stage
B) Active Phase of First Stage
C) Latent phase of Second Stage
D) Transition
Ans:
B) Active Phase of First Stage Second stage = full dilation
until birth
2) To assess uterine contractions the LPN/LVN would
A) Asses duration from the beginning of the contraction to the peak ofthe same contraction, frequency by
measuring the time between the beginning of one contraction to the beginning of the next contraction.
B) Assess frequency as the time between the end of one contraction andthe beginning of the next
contraction, duration as the length of time from the beginning to the end of contractions, and palpate the
uterus forstrength
C) Assess duration from beginning to end of each contraction. Assessthe strength of the contraction by
the external fetal monitor reading. Measure frequency by measuring the beginning of one contraction to
another.
D) Assess duration from beginning to end of each contraction.,frequency by measuring the time
between the beginnings of
, lOMoAR cPSD| 39987428
contractions, and palpate the fundus of the uterus for strength.Ans:
D) Assess duration from beginning to end of each contraction., frequency by measuring the time between the
beginnings of contractions, and palpatethe fundus of the uterus for strength.
3) Which basic type of pelvis includes the correct description and percentageof occurrence in women?
A) Platypelloid: flattened, wide, shallow; 3%
B) Anthropoid: resembling the ape; narrower; 10%
C) Android: resembling the male; wider oval; 15%
D) Gynecoid: classic female; heart shaped; 75%Ans:
A) Platypelloid: flattened, wide, shallow; 3%
4) What position would be least effective when gravity is desired toassist in fetal descent?
A) Lithotomy
B) Walking
C) Kneeling
D) Sitting
Ans:
A) Lithotomy
5) The factors that affect the process of labor and birth, knowncommonly as the five Ps, include
all EXCEPT:
A) Passageway.
B) Powers.
C) Passenger.
D) Pressure.
D) Pressure.
, lOMoAR cPSD| 39987428
Ans:
:: The 5 P's are:
1. Powers (contractions)
2. Passengers (fetus & placenta)
3. Passageway (birth canal)
4. Position (of the mother)
5. Psychological Response
6) While evaluating an external monitor tracing of a woman in active labor, the nurse notes that the fetal
heart rate (FHR) for five sequentialcontractions begins to decelerate late in the contraction, with the nadir of
the decelerations occurring after the peak of the contraction. The
LPN/LVN first priority is to:
A) Notify the care provider.
B) Assist with amnioinfusion
C) Change the woman's position
D) Insert a scalp electrode.Ans:
C) Change the woman's position
7) During labor a fetus with an average heart rate of 175 beats/min overa 15-minute period would be
considered to have:
A) A normal baseline heart rate.
B) Bradycardia.
C) Hypoxia.
D) Tachycardia.Ans:
D) Tachycardia.
8) As a perinatal LPN/LVN you realize that a fetal heart rate that is
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