1. MC A clinic nurse is preparing diagrams of pelvic shapes.

Which pelvic
shapes should the nurse describe as considered favorable for childbirth?
(Select all that apply.)
A. Android
B. Anthropoid
C. Gynecoid
D. Platypelloid

2. MC The client is asking about the fontanelles of her fetus. What should the
nurse include when teaching about the similarities between the anterior and
posterior fontanelles of a newborn? "Anterior and posterior fontanelles:
A. Are approximately the same size."
B. Close within 12 months of birth."
C. Are used in labor to identify station."
D. Allow for molding of the head."

3. MC The nurse is caring for a laboring client. To identify the duration of a

contraction, the nurse should:
A. Start timing from the beginning of one contraction to the
completion of the same contraction.
B. Time from the beginning of one contraction to the beginning of the
next contraction.
C. Palpate the uterus through the lower abdomen at the peak of a
contraction for the intensity.
D. Time from the beginning of one contraction to the peak of the same
contraction.

4. MC The primiparous client in early labor asks the nurse what the
contractions are like as labor progresses. The nurse responds, "In normal
labor, as the uterine contractions become stronger, they usually also become:
A. Less frequent."
B. Less painful."
C. Longer in duration."
D. Shorter in duration."

5. MC The primiparous client at 39 weeks' gestation calls the clinic and

reports increased bladder pressure but easier breathing and irregular, mild
contractions. She also states that she just cleaned the entire house. Which
statement should the nurse make?
A. "You shouldn't work so much at this point in pregnancy."
B. "What you are describing is not commonly experienced in the last
weeks."
C. "Your body may be telling you it is going into labor soon."
D. "If the bladder pressure continues, come in to the clinic
tomorrow."

6. MC The nurse is teaching a prenatal class about false labor. The nurse
should teach clients that false labor most likely will include which of the
following? (Select all that apply.)
A. Contractions that do not intensify while walking
B. An increase in the intensity and frequency of contractions
C. Progressive cervical effacement and dilatation
D. Pain in the abdomen that does not radiate
E. Increased thin vaginal secretions

7. MC Four minutes after the birth of a client's baby, there is a sudden gush
of blood from the client's vagina and about eight inches of umbilical cord
slides out of her vagina. What action should the nurse take first?
A. Place the bed in Trendelenberg position.
B. Watch for the emergence of the placenta.
C. Prepare for the delivery of an undiagnosed twin.
D. Roll her onto her left side.

8. MC The nurse has determined through digital exam that the client's cervix
is 8 cm dilated. The client has a slight urge to push. The nurse should
encourage the mother to not bear down until after the cervix is completely
dilated to prevent: (Select all that apply.)
A. Maternal exhaustion.
B. Cervical edema.
C. Tearing and bruising of the cervix.
D. Enhanced perineal thinning.
E. Lack of pain control.

9. MC While caring for a labor client, the nurse determines during a vaginal
exam that the baby's head has internally rotated. This information is given to
the family. The labor support person asks the nurse, "What other position
changes will the baby undertake during labor and birth?" How should the nurse
describe the rest of the cardinal movements for a baby in a vertex
presentation?
A. Flexion, extension, restitution, external rotation, and expulsion
B. Expulsion, external rotation, and restitution
C. Restitution, flexion, external rotation, and expulsion
D. Extension, restitution, external rotation, and expulsion

10. MC During the fourth stage of labor, your client's assessment includes a
BP of 110/60, pulse 90, and the fundus is firm midline and halfway between the
symphysis pubis and the umbilicus. The priority action of the nurse should be
to:
A. Turn the client onto her left side.
B. Place the bed in Trendelenburg position.
C. Massage the fundus.
D. Continue to monitor.

11. MC The labor and birth nurse is preparing a prenatal class about
facilitating the progress of labor. Which of the following frequent responses
to pain should the nurse indicate is most likely to impede progress in labor?
A. Increased pulse
B. Elevated blood pressure
C. Muscle tension
D. Increased respirations

12. MC A client is admitted to the labor unit with contractions 1.5 to 2

minutes apart and lasting 60 to 90 seconds. The client is apprehensive and
irritable. This nurse understands this information to indicate that the client
is most likely in what phase of labor?
A. Active
B. Transition
C. Latent
D. Second

13. MC The nurse has just palpated a laboring woman's contractions. The uterus
cannot be indented during a contraction. The nurse compares the consistency of
the uterus during a contraction with that of the forehead. The intensity of
these contractions would best be identified as:
A. Weak.
B. Mild.
C. Moderate.
D. Strong.

14. MC A nurse is aware that labor and birth will most likely proceed normally
when the fetal position is:
A. Occiput posterior.
B. Mentum anterior.
C. Occiput anterior.
D. Mentum posterior.

15. MC A nurse needs to evaluate the progress of a woman's labor. The nurse
obtains the following data: cervical dilatation 6 cm; contractions mild in
intensity, and occur every five minutes, with a duration of 30 to 40 seconds.
Which cue in this data does not fit the pattern suggested by the rest of the
cues?
A. Cervical dilatation 6 cm
B. Mild contraction intensity
C. Contraction frequency every two minutes
D. Contraction duration 30 to 40 seconds