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What is the ideal attitude for the fetal body during labor?
- A. Extension
- B. Lateral
- C. Flexion
- D. Transverse
Correct Answer: C
Rationale: The ideal attitude for the fetal body is flexion.
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Using Leopold 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. How should the nurse document the fetal position?
- A. Right occiput anterior (ROA) vertex
- B. Left occiput anterior (LOA) vertex
- C. Right occiput transverse (ROT) breech
- D. Left occiput anterior (LOA) breech
Correct Answer: A
Rationale: Fetal position can be determined by the Leopold maneuver, which defines the relationship of the presenting part to the maternal pelvis quadrant. 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 indicate a right occiput anterior (ROA), vertex positioning.
The nurse is admitting a patient to the labor and delivery unit. While performing the initial assessment which assessment is the priority?
- A. The number of previous pregnancies
- B. When the baby is due
- C. When the patient last ate
- D. The timing of contractions
Correct Answer: D
Rationale: Assessment begins with timing the contractions on admission to form a database.
After the delivery of a newborn what is the priority action of the nurse?
- A. Place the newborn on the right side.
- B. Cover the cord stump.
- C. Dry the infant immediately.
- D. Suction nose and mouth.
Correct Answer: D
Rationale: To prevent aspiration of amniotic fluid, the baby should be suctioned, then quickly dried to prevent hypothermia.
The patient's membranes have just ruptured. What is the first priority of the nurse?
- A. Turn the patient on the left side.
- B. Perform a Nitrazine test.
- C. Check the fetal heart rate (FHR).
- D. Perform a vaginal examination.
Correct Answer: C
Rationale: The FHR should be assessed immediately after rupture of the membranes to determine the well-being of the baby.
A mother is in early labor and asks the nurse how long the labor will last. The nurse explains that the first stage of labor lasts from the beginning of regular contractions until when?
- A. The cervix is completely effaced.
- B. The baby is in position.
- C. The cervix is fully dilated.
- D. The woman begins pushing.
Correct Answer: C
Rationale: The first stage of labor begins with regular contractions and ends with complete dilation of the cervix.