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PCN 103 - Test 1: Ch 25: Health Promotion and Pregnancy, Ch 26: Labor and Delivery, Ch 27: Care of the Mother and Newborn/ All Exam Questions$13.49
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PCN 103 - Test 1: Ch 25: Health Promotion and Pregnancy, Ch 26: Labor and Delivery, Ch 27: Care of the Mother and Newborn/ All Exam Questions
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Course
PCN 103
Institution
PCN 103
PCN 103 - Test 1: Ch 25: Health Promotion and Pregnancy, Ch 26:
Labor and Delivery, Ch 27: Care of the Mother and Newborn/ All
Exam Questions with Correct Detailed Answers.
PCN 103 - Test 1: Ch 25: Health Promotion and Pregnancy, Ch 26:
Labor and Delivery, Ch 27: Care of the Mother and Newborn/ All
Exam Questions with Correct Detailed Answers.
1. When the patient is diagnosed with a tubal pregnancy, the nurse is aware that in this pregnancy, the
patient will probably:
a. carry the pregnancy to term and have a cesarean delivery.
b. have to remain in bed for the remainder of the pregnancy.
c. spontaneously abort this ectopic pregnancy.
d. require surgery to remove the zygote. - ANSWER : D
Any pregnancy where implantation occurs outside the uterine cavity is called ectopic. Tubal pregnancies
usually must be resolved by surgical removal of the zygote.
2. 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. - ANSWER : A
The symptoms of lightening are a return of urinary frequency, and the patient is able to breathe more
normally.
3. 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.
pg. 1
,d. are only mild. - ANSWER : C
Braxton-Hicks contractions do not dilate the cervix.
4. 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. - ANSWER : C
Contractions get stronger with ambulation in true labor.
5. 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. - ANSWER : A
The size of the true pelvis is more important because the fetal head must be able to pass through.
6. 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. - ANSWER : C
In more than 20 years of use, ultrasonography has had no detrimental effects on the fetus.
7. The nurse plans to use a picture to show the area of the uterus that provides the force during a
contraction, which is the:
a. lower portion.
b. middle portion.
pg. 2
,c. upper portion.
d. cervical portion. - ANSWER : C
The upper portion of the uterus provides the force during contractions.
8. The nurse points out the largest diameter of the fetal skull is the:
a. transverse.
b. biparietal.
c. lateral.
d. frontal-occipital. - ANSWER : B
The largest transverse diameter of the fetal skull is the biparietal measurement.
9. The nurse explains that implantation is the embedding of the fertilized ovum in the uterine mucosa.
This implantation usually occurs in the:
a. lower uterine wall.
b. side of the uterus.
c. fundus of the uterus.
d. body of the uterus. - ANSWER : C
Implantation usually occurs in the fundus of the uterus.
10. The nurse teaches a group of primigravidas that during delivery, pressure on the fetal skull may
produce changes in the shape of the skull called:
a. pressure response.
b. overlapping.
c. molding.
d. spacing. - ANSWER : C
The reshaping of the skull bones in response to pressure is called molding.
11. The relationship of fetal body parts to one another during labor is called fetal attitude. The nurse
explains that the ideal attitude for the fetal body is:
a. extension.
pg. 3
, b. lateral.
c. flexion.
d. transverse. - ANSWER : C
The ideal attitude for the fetal body is flexion.
12. Using Leopold's maneuvers to assess fetal position, the nurse finds a soft rounded prominence at the
level of the fundus, a hard round prominence just above the symphysis pubis, and nodulations on the
left side of the uterus. The fetal position is:
a. right occiput anterior (ROA), vertex.
b. left occiput anterior (LOA), vertex.
c. right occiput transverse (ROT), breech.
d. left occiput anterior (LOA) breech. - ANSWER : A
Fetal position can be determined by Leopold's maneuver, which defines the relationship of presenting
part to maternal pelvis quadrant.
13. During the second stage of labor, the nurse should monitor the fetal heart rate every:
a. 5 minutes.
b. 10 minutes.
c. 15 minutes.
d. 20 minutes. - ANSWER : A
Fetal heart rate should be assessed every 5 minutes during the second stage of labor.
14. The nurse clarifies that the type of monitor that will assess the intensity of the contractions is a(n):
a. external monitor.
b. fetal monitor.
c. maternal monitor.
d. internal monitor. - ANSWER : D
Internal monitoring is used to monitor intensity of contractions.
pg. 4
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