OB Exam II PrepU Guaranteed Success
Assessments and Findings in Labor and Delivery
1. Rupture of Membranes Confirmation (Select all that apply): - A) A pool of fluid visible in the vagina - B) Ferning is present - C) Nitrazine paper turns blue - D) The client reports having wet pants - E) The c...
OB Exam II PrepU Guaranteed Success
Assessments and Findings in Labor and Delivery
1. Rupture of Membranes Confirmation (Select all that apply):
- A) A pool of fluid visible in the vagina
- B) Ferning is present
- C) Nitrazine paper turns blue
- D) The client reports having wet pants
- E) The cervix is effaced
✔️ A, B, C: Indicates ruptured membranes.
2. Placenta Separation Assessment (Select all that apply):
- A) Falling downward of uterus in the abdomen
- B) Fresh gushing of blood from the vagina
- C) Umbilical cord descending lower down
- D) A relaxed and distended uterus
- E) A globular shaped uterus
✔️ B, C, E: Signs of placenta separating.
3. Contraction Decrement Effects (Select all that apply):
- A) The mother feels a gush of water in the perineal area
- B) The fetus is pushed down the birth canal
- C) Fetal heart rate should return to baseline
- D) The mother feels the contraction intensifying
- E) Blood flow to the fetus improves
✔️ C, E: Indicates fetal well-being and heart recovery.
4. Braxton Hicks Contractions Information (Select all that apply):
, - A) "They often spread downward before they go away"
- B) "They usually happen in a regular pattern"
- C) "They go away when you walk around or change position"
- D) "They typically last for about 3 minutes each time you have them"
- E) "They usually feel like a tightening across the top of your uterus"
✔️ A, C, E: Accurate characteristics of Braxton Hicks.
5. Response Indicating Need for Further Teaching:
- A) "My 6 yr old son will be in the birthing room too"
- B) "We will hire a doula for our labor support"
- C) "I would like the baby's father to cut the umbilical cord"
- D) "I will remain in my bed for my labor and birth like last time"
✔️ D: Suggests a misunderstanding of labor dynamics.
6. Client Statement Requiring Clarification:
- A) "The health care provider states my labor is imminent."
- B) "The health care provider will reassess me next week, if I make it."
- C) "I hope that the end of my pregnancy will be uneventful."
- D) "I will go home and pack my bag and await the labor process to begin."
✔️ A: Misinterpretation of the situation.
7. Most Definitive Onset of Labor:
- A) Expulsion of the mucus plug.
- B) The mother reports frequent urination.
- C) The fetal head is engaged in the pelvis.
- D) Cervical ripening is noted on examination.
✔️ D: Indicates labor onset.
,8. Strongest Afterpains:
- A) A primigravid whose breast milk has not come in
- B) A multipara who is breast-feeding
- C) The primigravid who delivers a 6 lb (2,688 g) newborn
- D) A multigravid with twins who decided to formula feed
✔️ B: Multipara experiences stronger afterpains.
9. Expected Fundus Location Post Birth:
- A) 2 cm above the umbilicus
- B) One fingerbreadth below the umbilicus
- C) Between the umbilicus and symphysis pubis
- D) At the level of the umbilicus
✔️ D: Normal position immediately post-delivery.
10. Timing of Contraction Phases:
- A) Decrement
- B) Increment
- C) Peak
- D) Acme
✔️ B: Refers to the contraction's increasing phase.
11. Fetal Movement Through the Birth Canal:
- A) Frontal bones
- B) Fontanelles
- C) Sutures
- D) Biparietal diameter
✔️ C: Sutures allow for flexibility during passage.
, 12. Patient Presentation Documentation:
- A) With the right side presenting, and the occiput facing the anterior quadrant
- B) Rear facing with the occiput facing the posterior quadrant of the pelvis
- C) With the occiput facing the right anterior quadrant of the pelvis
- D) With the brow facing the right anterior quadrant of the pelvis
✔️ C: Correct presentation noted.
13. Cephalic Presentation Identification:
- A) Relation of the fetal presenting part to the maternal ischial spine
- B) Relationship of the presenting part to the maternal pelvis
- C) Part of the fetal body entering the maternal pelvis first
- D) Relation of the different fetal body parts to one another
✔️ C: Defines presentation accurately.
14. Newborn Head Shape Concern Response:
- A) Prolonged labor
- B) Extreme pressure in the vaginal vault
- C) Cranial bones overlapping at the suture lines
- D) A congenital defect
✔️ C: Overlapping sutures cause head shape changes.
15. Station Interpretation:
- A) -1
- B) +1
- C) -2
- D) 0
✔️ D: Station 0 indicates engagement.
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