Nokea
A nurse is teaching a group of primigravidas that during delivery pressure on the fetal skull may produce changes in the shape of the skull. What is the reshaping of the skull called?
- A. Pressure response
- B. Overlapping
- C. Molding
- D. Spacing
Correct Answer: C
Rationale: The reshaping of the skull bones in response to pressure is called molding.
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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.
Correct Answer: A
Rationale: 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.
A nurse shows the patient an x-ray of the fetal spine in parallel alignment with the mother's to demonstrate a ___ lie.
Correct Answer: longitudinal
Rationale: A longitudinal lie is when the fetal spine and the maternal spine are parallel to each other.
Why is oxytocin administered in the third stage of labor?
- A. To stimulate lactation
- B. To relieve postpartum pain
- C. To stimulate uterine contractions
- D. To sedate the mother so she can rest
Correct Answer: C
Rationale: Oxytocin makes the uterus contract and reduces postpartum hemorrhage.
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
Correct Answer: A
Rationale: The symptoms of lightening are a return of urinary frequency, and the patient is able to breathe more normally.
A nurse is assessing the printout from the fetal monitor. What is the legal responsibility of the nurse?
- A. Correctly identifying abnormal FHR patterns and prescribing medication
- B. Correctly identifying abnormal FHR patterns and notifying the health care provider
- C. The nurse is not legally responsible for fetal monitoring
- D. Providing technical assessment to the monitor technicians
Correct Answer: B
Rationale: Nurses are responsible for the timely notification of the primary caregiver in the event of an abnormal fetal heart rate (FHR) pattern. The nurse cannot write a medication order.