Exam (elaborations)
Chapter 26 Labor and Delivery
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- Nursing
- Institution
- Western Piedmont Community College
Chapter 26 Labor and Delivery
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TEST BANK FOR FOUNDATIONS AND ADULT HEALTHNURSING 9th Edition BY KIM COOPER KELLY GOSNELL
Chapter 26: Labor and Delivery
Cooper and Gosnell: Foundations and Adult Health Nursing, 9th Edition
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?
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.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 798
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?
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. Braxton-Hicks contractions remain
irregular, can range from mild to moderate in severity, and increase in duration as the
pregnancy progresses.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 799
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?
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. True labor is also marked by the onset
of regular, rhythmic contractions.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 800, Table 26-1
OBJ: 4 TOP: True labor KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance
TEST BANK FOR FOUNDATIONS AND ADULT HEALTH NURSING 9th Edition BY KIM COOPER KELLY
GOSNELL
, TEST BANK FOR FOUNDATIONS AND ADULT HEALTH
NURSING 9th Edition BY KIM COOPER KELLY GOSNELL
4. Why is the size and shape of the true pelvis more important than that of the false pelvis?
a. The fetal head must be able to pass through the true pelvis.
b. The true pelvis are the mother‘s measurements.
c. The size of the false pelvis can change.
d. The size of the true pelvis needs to be larger.
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.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 800
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?
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.
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.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 801
OBJ: 5 TOP: Ultrasound KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance
6. What area of the uterus provides the force during a contraction?
a. Lower portion
b. Middle portion
c. Upper portion
d. Cervical portion
ANS: C
The upper portion of the uterus provides the force during contractions.
PTS: 1 DIF: Cognitive Level: Knowledge REF: Page 805
OBJ: 7 TOP: Passageway KEY: Nursing Process Step: Planning
MSC: NCLEX: Health Promotion and Maintenance
7. What is the largest diameter of the fetal skull?
a. Temporal
b. Biparietal
c. Lateral
d. Frontal-occipital
ANS: B
TEST BANK FOR FOUNDATIONS AND ADULT HEALTH NURSING 9th Edition BY KIM COOPER KELLY
GOSNELL
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