MPN CH 6 Nursing Care of Mother and Infant During
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Questions and Answers

Which term refers to the process of the cervix opening during labor?

  • Effacement
  • Crowning
  • Molding
  • Dilation (correct)

What is the term used to describe the thick mucus plug that is expelled from the cervix as a sign of impending labor?

  • Leopold's maneuver
  • Bloody show (correct)
  • Fontanelle
  • Amniotomy

What is the term used to describe the process of the baby's head appearing at the vaginal opening during labor?

  • Dilation
  • Crowning (correct)
  • Acceleration
  • Deceleration

What is the term used to describe the rhythmic contractions of the uterus during labor?

<p>Powers (D)</p> Signup and view all the answers

Which fetal presentation is the most common and favorable for a vaginal birth?

<p>Vertex presentation (C)</p> Signup and view all the answers

Which fetal presentation is characterized by the head being fully extended and the face presenting?

<p>Face presentation (B)</p> Signup and view all the answers

Which fetal presentation is characterized by the head being neither flexed nor extended?

<p>Military presentation (A)</p> Signup and view all the answers

Which fetal presentation is characterized by the buttocks presenting at the cervix?

<p>Frank breech (D)</p> Signup and view all the answers

During labor, contractions cause the cervix to efface and dilate. Effacement is determined by a vaginal examination and is described as a percentage of the original cervical length. What is the cervix like when it is 100% effaced?

<p>Thin and slick (D)</p> Signup and view all the answers

What is the average duration of a contraction?

<p>45 to 50 seconds (C)</p> Signup and view all the answers

How is the intensity of a contraction described?

<p>Mild, moderate, or strong (D)</p> Signup and view all the answers

What is the interval in relation to contractions?

<p>The amount of time between contractions (A)</p> Signup and view all the answers

Which part of the pelvis is directly involved in childbirth?

<p>The true pelvis (A)</p> Signup and view all the answers

Which fontanelle is formed by the intersection of four sutures?

<p>The anterior fontanelle (B)</p> Signup and view all the answers

What can reduce or eliminate the natural urge to push during childbirth?

<p>Epidural analgesia (A)</p> Signup and view all the answers

What can excessive anxiety or fear during labor cause?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following birth settings allows the mother and infant to remain in the same room until discharge?

<p>Labor, delivery, recovery, and postpartum room (D)</p> Signup and view all the answers

What is a disadvantage of giving birth at home?

<p>Limited choice of birth attendants (A)</p> Signup and view all the answers

What are the two powers of labor?

<p>Uterine contractions and the mother's pushing efforts (A)</p> Signup and view all the answers

What are some advantages of freestanding birth centers?

<p>Homelike setting for the low-risk woman (D)</p> Signup and view all the answers

Which of the following is a traditional birth practice that may vary depending on cultural background?

<p>Presence of a support person during labor and delivery (A)</p> Signup and view all the answers

What is the term for a vaginal birth after a previous cesarean section?

<p>Trial of labor after cesarean (B)</p> Signup and view all the answers

In which settings can a woman choose to deliver her child?

<p>All of the above (D)</p> Signup and view all the answers

What is the role of the bedside nurse in the labor and delivery unit?

<p>To protect the privacy and rights of the mother (D)</p> Signup and view all the answers

Which fetal presentation is considered most favorable for normal labor?

<p>ROA (B)</p> Signup and view all the answers

Which presentation is associated with a longer, 'back labor' birth process?

<p>RMP (A)</p> Signup and view all the answers

Which presentation is associated with the occiput facing the posterior section of the woman's pelvis?

<p>RMP (D)</p> Signup and view all the answers

Which presentation involves the mentum facing anteriorly on the left side?

<p>LMA (B)</p> Signup and view all the answers

Which presentation involves the sacrum facing posteriorly on the right side?

<p>RSP (A)</p> Signup and view all the answers

Which presentations are not included in the given text because they occur infrequently?

<p>Brow, military, and shoulder presentations (A)</p> Signup and view all the answers

Which of the following birth settings is commonly referred to as a labor, delivery, and recovery (LDR) room?

<p>Hospital birthing room (C)</p> Signup and view all the answers

What is the term used to describe the process of the cervix opening during labor?

<p>Dilation (C)</p> Signup and view all the answers

Which fetal presentation is characterized by the head being fully extended and the face presenting?

<p>Face presentation (D)</p> Signup and view all the answers

What is the term used to describe the rhythmic contractions of the uterus during labor?

<p>Contractions (A)</p> Signup and view all the answers

Which term refers to the bluish discoloration of the hands and feet of a newborn shortly after birth?

<p>Acrocyanosis (A)</p> Signup and view all the answers

What is the term used to describe the thinning and shortening of the cervix during labor?

<p>Effacement (B)</p> Signup and view all the answers

What is the term used to describe the process of the baby's head becoming visible at the vaginal opening during labor?

<p>Crowning (C)</p> Signup and view all the answers

What is the term used to describe the stretching and shaping of the baby's head to fit through the birth canal?

<p>Molding (C)</p> Signup and view all the answers

Which part of the pelvis is directly involved in childbirth?

<p>Outlet (D)</p> Signup and view all the answers

What is the term used to describe the rhythmic contractions of the uterus during labor?

<p>Labor (A)</p> Signup and view all the answers

What is the term used to describe the process of the cervix opening during labor?

<p>Dilation (B)</p> Signup and view all the answers

Which of the following is a traditional birth practice that may vary depending on cultural background?

<p>Epidural analgesia (A)</p> Signup and view all the answers

During labor, contractions cause the cervix to efface and dilate. What is effacement?

<p>The cervix becomes thinner and shorter (A)</p> Signup and view all the answers

What is the term used to describe the average time from the beginning of one contraction to the beginning of the next?

<p>Frequency (B)</p> Signup and view all the answers

What is the approximate strength of a mild contraction?

<p>Fundus is easily indented with the fingertips (B)</p> Signup and view all the answers

When the woman's cervix is fully dilated, she adds voluntary pushing to involuntary uterine contractions. What is this stage of labor called?

<p>Stage 2 (A)</p> Signup and view all the answers

Which fetal presentation is the most common and favorable for a vaginal birth?

<p>Vertex presentation (A)</p> Signup and view all the answers

Which fetal presentation involves the head being fully extended and the face presenting?

<p>Face presentation (A)</p> Signup and view all the answers

Which fetal presentation involves the buttocks presenting at the cervix?

<p>Frank breech (A)</p> Signup and view all the answers

Which term is used to describe how the head is oriented if the fetus is in a cephalic vertex presentation?

<p>Occiput (C)</p> Signup and view all the answers

Which of the following birth settings is often operated by full-service hospitals and attended by certified nurse-midwives?

<p>Freestanding birth center (D)</p> Signup and view all the answers

What is the term used to describe the process of the cervix opening during labor?

<p>Dilation (D)</p> Signup and view all the answers

What are the two primary powers of labor?

<p>Uterine contractions and maternal pushing efforts (C)</p> Signup and view all the answers

What are some advantages of hospital-based birth settings?

<p>Preregistration, easy access to specialized services, and family-centered care (C)</p> Signup and view all the answers

Which fetal presentation is characterized by the head being fully extended and the face presenting?

<p>LSA (C)</p> Signup and view all the answers

What is the term for a vaginal birth after a previous cesarean section?

<p>VBAC (C)</p> Signup and view all the answers

Which presentation involves the sacrum facing posteriorly on the right side?

<p>RSA (D)</p> Signup and view all the answers

What is the term used to describe the rhythmic contractions of the uterus during labor?

<p>Contractions (B)</p> Signup and view all the answers

Which fetal presentation is considered most favorable for normal labor?

<p>ROA (C), ROA (D)</p> Signup and view all the answers

What can excessive anxiety or fear during labor cause?

<p>Slower progress (D)</p> Signup and view all the answers

Which term refers to the bluish discoloration of the hands and feet of a newborn shortly after birth?

<p>Acrocyanosis (C)</p> Signup and view all the answers

What is the term used to describe the stretching and shaping of the baby's head to fit through the birth canal?

<p>Molding (A)</p> Signup and view all the answers

Which fetal presentation involves the buttocks presenting at the cervix?

<p>Footling breech (C)</p> Signup and view all the answers

What is the term used to describe the process of the cervix opening during labor?

<p>Dilate (D)</p> Signup and view all the answers

Which part of the pelvis is directly involved in childbirth?

<p>The outlet (C)</p> Signup and view all the answers

What is the term used to describe the stretching and shaping of the baby's head to fit through the birth canal?

<p>Molding (C)</p> Signup and view all the answers

Which presentation involves the mentum facing anteriorly on the left side?

<p>Brow presentation (A)</p> Signup and view all the answers

What is the term used to describe the process of the cervix opening during labor?

<p>Dilation (A)</p> Signup and view all the answers

Which fetal presentation is the most common and favorable for a vaginal birth?

<p>Vertex presentation (C)</p> Signup and view all the answers

What is the term used to describe the process of the cervix opening during labor?

<p>Dilation (D)</p> Signup and view all the answers

Which presentation involves the sacrum facing posteriorly on the right side?

<p>Right sacrum posterior (C)</p> Signup and view all the answers

What is the term used to describe the rhythmic contractions of the uterus during labor?

<p>Uterine contractions (A)</p> Signup and view all the answers

During labor, contractions cause the cervix to efface and dilate. What is effacement?

<p>The process of the cervix thinning (D)</p> Signup and view all the answers

What is the term used to describe the period of increasing strength during a contraction?

<p>Increment (D)</p> Signup and view all the answers

What is the approximate strength of a moderate contraction described as?

<p>Fundus can be indented with the fingertips but with more difficulty; the fundus of the uterus feels similar to the chin (D)</p> Signup and view all the answers

What is the average time from the beginning of one contraction to the beginning of the next called?

<p>Frequency (A)</p> Signup and view all the answers

Which of the following birth settings allows the mother and infant to remain in the same room until discharge?

<p>Hospital-based birth setting (B)</p> Signup and view all the answers

What are some advantages of freestanding birth centers?

<p>Low costs due to lack of expensive departments (A)</p> Signup and view all the answers

What are the primary powers of labor?

<p>Uterine contractions and the mother's pushing efforts (C)</p> Signup and view all the answers

What are some disadvantages of giving birth at home?

<p>Limited choice of birth attendants (D)</p> Signup and view all the answers

Which term refers to a test used to determine the pH level of vaginal fluid during pregnancy?

<p>Nitrazine test (D)</p> Signup and view all the answers

What is the term used to describe the condition where the umbilical cord is wrapped around the fetus's neck?

<p>Nuchal cord (C)</p> Signup and view all the answers

What is the term for an infection of the eyes in a newborn, usually caused by exposure to a mother's sexually transmitted infection during delivery?

<p>Ophthalmia neonatorum (D)</p> Signup and view all the answers

What is the term for the condition where the fetal heart rate shows temporary decreases during labor?

<p>Prolonged decelerations (C)</p> Signup and view all the answers

Which fetal presentation is characterized by the head being fully extended and the face presenting?

<p>Left mentum anterior (B)</p> Signup and view all the answers

What is the term used to describe the process of the baby's head becoming visible at the vaginal opening during labor?

<p>Crowning (B)</p> Signup and view all the answers

Which fetal presentation is the most common and favorable for a vaginal birth?

<p>Left occiput anterior (D)</p> Signup and view all the answers

Which presentation involves the sacrum facing posteriorly on the right side?

<p>Right sacrum posterior (A)</p> Signup and view all the answers

What is the term used to describe the average time from the beginning of one contraction to the beginning of the next?

<p>Frequency (A)</p> Signup and view all the answers

Which part of the pelvis is directly involved in childbirth?

<p>Sacrum (D)</p> Signup and view all the answers

Which term refers to the process of the cervix opening during labor?

<p>Dilation (D)</p> Signup and view all the answers

What is the term used to describe the rhythmic contractions of the uterus during labor?

<p>Tachysystole (C)</p> Signup and view all the answers

Which fetal presentation involves the buttocks presenting at the cervix?

<p>Breech presentation (D)</p> Signup and view all the answers

What are the primary powers of labor?

<p>Contractions and pushing (C)</p> Signup and view all the answers

How is effacement of the cervix determined?

<p>Through vaginal examination (D)</p> Signup and view all the answers

What is the term used to describe the period of increasing strength during a contraction?

<p>Increment (C)</p> Signup and view all the answers

What is the average dilation for a fully dilated cervix?

<p>10 cm (B)</p> Signup and view all the answers

What is the approximate strength of a firm contraction described as?

<p>Similar to the forehead (C)</p> Signup and view all the answers

What is the term used to describe the bluish discoloration of the hands and feet of a newborn?

<p>Acrocyanosis (D)</p> Signup and view all the answers

What is the term used to describe the rupture of the amniotic sac during labor?

<p>Amniotomy (A)</p> Signup and view all the answers

What is the term used to describe the process of the cervix thinning and shortening during labor?

<p>Efface (D)</p> Signup and view all the answers

What is the term used to describe the rhythmic contractions of the uterus during labor?

<p>Powers (C)</p> Signup and view all the answers

Which part of the pelvis is directly involved in childbirth?

<p>The true pelvis (A)</p> Signup and view all the answers

What is the term used to describe the process of the cervix opening during labor?

<p>Dilation (B)</p> Signup and view all the answers

Which fetal presentation involves the buttocks presenting at the cervix?

<p>Breech presentation (B)</p> Signup and view all the answers

What is the term used to describe the stretching and shaping of the baby's head to fit through the birth canal?

<p>Molding (B)</p> Signup and view all the answers

Which fetal presentation is characterized by the head being fully flexed and the smallest possible diameter of the head entering the pelvis?

<p>Vertex presentation (C)</p> Signup and view all the answers

Which fetal presentation is characterized by the head being neither flexed nor extended?

<p>Military presentation (D)</p> Signup and view all the answers

Which fetal presentation is characterized by the head being fully extended and the face presenting?

<p>Face presentation (C)</p> Signup and view all the answers

Which presentation involves the sacrum facing posteriorly on the right side?

<p>Right sacrum posterior (B)</p> Signup and view all the answers

What are the advantages of hospital-based birth settings?

<p>Preregistration, access to specialized personnel, family-centered care (C)</p> Signup and view all the answers

What are the advantages of freestanding birth centers?

<p>Homelike setting, lower costs, certified nurse-midwives (B)</p> Signup and view all the answers

What are the advantages of a home birth?

<p>Control over who is present, low risk of acquiring pathogens, low-technology birth (A)</p> Signup and view all the answers

What are the primary powers of labor?

<p>Uterine contractions and the mother's pushing efforts (C)</p> Signup and view all the answers

Which fetal presentation is most favorable for normal labor?

<p>LOA (A)</p> Signup and view all the answers

What is the term for the presentation where the occiput faces the posterior section of the woman's pelvis?

<p>ROA (A)</p> Signup and view all the answers

Which presentation involves the mentum facing anteriorly on the left side?

<p>LMA (B)</p> Signup and view all the answers

What are the abbreviations for the right occiput transverse and left occiput transverse presentations, respectively?

<p>LOT, RSP (C)</p> Signup and view all the answers

Which presentation is associated with a longer, 'back labor' birth process?

<p>OP (A)</p> Signup and view all the answers

Which fetal presentation is characterized by the head being fully extended and the face presenting?

<p>LMA (D)</p> Signup and view all the answers

Which term refers to the process of the cervix thinning and shortening during labor?

<p>Effacement (A)</p> Signup and view all the answers

What is the term used to describe the rupture of the amniotic sac during labor?

<p>Amniotomy (B)</p> Signup and view all the answers

Which part of the pelvis is directly involved in childbirth?

<p>Outlet (B)</p> Signup and view all the answers

What is the term used to describe the rhythmic contractions of the uterus during labor?

<p>Contractions (A)</p> Signup and view all the answers

What is the term used to describe the process of the cervix thinning and shortening during labor?

<p>Effacement (A)</p> Signup and view all the answers

What is the average duration of a contraction?

<p>30 to 45 seconds (D)</p> Signup and view all the answers

What is the approximate strength of a mild contraction?

<p>Similar to the tip of the nose (B)</p> Signup and view all the answers

What is the term used to describe the period of increasing strength during a contraction?

<p>Increment (D)</p> Signup and view all the answers

Which fetal presentation is characterized by the head being fully extended and the face presenting?

<p>Face presentation (D)</p> Signup and view all the answers

What is the most common presentation in childbirth?

<p>Vertex presentation (B)</p> Signup and view all the answers

What is the term used to describe how the head is oriented if the fetus is in a cephalic vertex presentation?

<p>Occiput (A)</p> Signup and view all the answers

Which fetal presentation involves the buttocks presenting at the cervix?

<p>Frank breech (C)</p> Signup and view all the answers

Which term refers to the process of the cervix opening during labor?

<p>Dilation (A)</p> Signup and view all the answers

What is the term used to describe the rhythmic contractions of the uterus during labor?

<p>Powers (A)</p> Signup and view all the answers

Which presentation involves the sacrum facing posteriorly on the right side?

<p>Right occiput posterior (B)</p> Signup and view all the answers

What is the term used to describe the average time from the beginning of one contraction to the beginning of the next?

<p>Frequency (D)</p> Signup and view all the answers

Which part of the pelvis is directly involved in childbirth?

<p>The true pelvis (B)</p> Signup and view all the answers

What is the term used to describe the process of the baby's head changing shape as it passes through the pelvis?

<p>Molding (B)</p> Signup and view all the answers

Which fontanelle is formed by the intersection of four sutures and has a diamond shape?

<p>The anterior fontanelle (A)</p> Signup and view all the answers

What is the most common orientation of the fetus to the mother's spine?

<p>Longitudinal lie (B)</p> Signup and view all the answers

Which of the following birth settings is operated by full-service hospitals and often attended by certified nurse-midwives?

<p>Freestanding birth centers (C)</p> Signup and view all the answers

What is the main advantage of hospital-based birth settings?

<p>Preregistration (A)</p> Signup and view all the answers

Which of the following is a disadvantage of giving birth at home?

<p>Limited choice of birth attendants (A)</p> Signup and view all the answers

What are the primary powers of labor?

<p>Uterine contractions and the mother's pushing efforts (B)</p> Signup and view all the answers

Which fetal presentation is associated with a longer, 'back labor' birth process?

<p>OA (D)</p> Signup and view all the answers

Which presentation involves the sacrum facing posteriorly on the right side?

<p>RSA (B)</p> Signup and view all the answers

Which presentation involves the mentum facing anteriorly on the left side?

<p>LMA (B)</p> Signup and view all the answers

What is the term used to describe the process of the cervix opening during labor?

<p>Dilation (C)</p> Signup and view all the answers

What are the primary powers of labor?

<p>Contractions and pushing (D)</p> Signup and view all the answers

What is the term used to describe the rhythmic contractions of the uterus during labor?

<p>Contractions (B)</p> Signup and view all the answers

True or false: Vertex presentations include LOA, ROA, ROT, and LOT positions.

<p>True (A)</p> Signup and view all the answers

True or false: Face presentations include LMA, RMA, LMP, and RMP positions.

<p>True (A)</p> Signup and view all the answers

True or false: Breech presentations include LSA, RSA, LSP, and RSP positions.

<p>True (A)</p> Signup and view all the answers

True or false: Brow, military, and shoulder presentations occur frequently.

<p>False (B)</p> Signup and view all the answers

True or false: The occiput facing the posterior section of the woman's pelvis is associated with a longer, 'back labor' birth process.

<p>True (A)</p> Signup and view all the answers

True or false: The ROA or LOA position is most favorable for normal labor.

<p>True (A)</p> Signup and view all the answers

True or false: Abbreviations for brow, military, and shoulder presentations are included in the text.

<p>False (B)</p> Signup and view all the answers

True or false: The vertex presentation involves the head being fully extended and the face presenting.

<p>False (B)</p> Signup and view all the answers

True or false: The right occiput transverse and left occiput transverse presentations are not included in the text.

<p>False (B)</p> Signup and view all the answers

True or false: The sacrum facing posteriorly on the right side is associated with a longer, 'back labor' birth process.

<p>True (A)</p> Signup and view all the answers

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