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</p> Signup and view all the answers

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

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

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

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

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

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

    What is the average duration of a contraction?

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

    How is the intensity of a contraction described?

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

    What is the interval in relation to contractions?

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

    Which part of the pelvis is directly involved in childbirth?

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

    Which fontanelle is formed by the intersection of four sutures?

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

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

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

    What can excessive anxiety or fear during labor cause?

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

    What is a disadvantage of giving birth at home?

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

    What are the two powers of labor?

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

    What are some advantages of freestanding birth centers?

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

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

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

    Which fetal presentation is considered most favorable for normal labor?

    <p>ROA</p> Signup and view all the answers

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

    <p>RMP</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</p> Signup and view all the answers

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

    <p>LMA</p> Signup and view all the answers

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

    <p>RSP</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</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</p> Signup and view all the answers

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

    <p>Dilation</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</p> Signup and view all the answers

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

    <p>Contractions</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</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</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</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</p> Signup and view all the answers

    Which part of the pelvis is directly involved in childbirth?

    <p>Outlet</p> Signup and view all the answers

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

    <p>Labor</p> Signup and view all the answers

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

    <p>Dilation</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</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</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</p> Signup and view all the answers

    What is the approximate strength of a mild contraction?

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

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

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

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

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

    Which fetal presentation involves the buttocks presenting at the cervix?

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

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

    <p>Dilation</p> Signup and view all the answers

    What are the two primary powers of labor?

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

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

    <p>LSA</p> Signup and view all the answers

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

    <p>VBAC</p> Signup and view all the answers

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

    <p>RSA</p> Signup and view all the answers

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

    <p>Contractions</p> Signup and view all the answers

    Which fetal presentation is considered most favorable for normal labor?

    <p>ROA</p> Signup and view all the answers

    What can excessive anxiety or fear during labor cause?

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

    Which fetal presentation involves the buttocks presenting at the cervix?

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

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

    <p>Dilate</p> Signup and view all the answers

    Which part of the pelvis is directly involved in childbirth?

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

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

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

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

    <p>Dilation</p> Signup and view all the answers

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

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

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

    <p>Dilation</p> Signup and view all the answers

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

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

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

    <p>Increment</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</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</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</p> Signup and view all the answers

    What are some advantages of freestanding birth centers?

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

    What are the primary powers of labor?

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

    What are some disadvantages of giving birth at home?

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

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

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

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

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

    Which part of the pelvis is directly involved in childbirth?

    <p>Sacrum</p> Signup and view all the answers

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

    <p>Dilation</p> Signup and view all the answers

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

    <p>Tachysystole</p> Signup and view all the answers

    Which fetal presentation involves the buttocks presenting at the cervix?

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

    What are the primary powers of labor?

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

    How is effacement of the cervix determined?

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

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

    <p>Increment</p> Signup and view all the answers

    What is the average dilation for a fully dilated cervix?

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

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

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

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

    <p>Amniotomy</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</p> Signup and view all the answers

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

    <p>Powers</p> Signup and view all the answers

    Which part of the pelvis is directly involved in childbirth?

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

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

    <p>Dilation</p> Signup and view all the answers

    Which fetal presentation involves the buttocks presenting at the cervix?

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

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

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

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

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

    What are the advantages of freestanding birth centers?

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

    What are the primary powers of labor?

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

    Which fetal presentation is most favorable for normal labor?

    <p>LOA</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</p> Signup and view all the answers

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

    <p>LMA</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</p> Signup and view all the answers

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

    <p>OP</p> Signup and view all the answers

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

    <p>LMA</p> Signup and view all the answers

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

    <p>Effacement</p> Signup and view all the answers

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

    <p>Amniotomy</p> Signup and view all the answers

    Which part of the pelvis is directly involved in childbirth?

    <p>Outlet</p> Signup and view all the answers

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

    <p>Contractions</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</p> Signup and view all the answers

    What is the average duration of a contraction?

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

    What is the approximate strength of a mild contraction?

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

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

    <p>Increment</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</p> Signup and view all the answers

    What is the most common presentation in childbirth?

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

    Which fetal presentation involves the buttocks presenting at the cervix?

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

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

    <p>Dilation</p> Signup and view all the answers

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

    <p>Powers</p> Signup and view all the answers

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

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

    Which part of the pelvis is directly involved in childbirth?

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

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

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

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

    <p>Preregistration</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</p> Signup and view all the answers

    What are the primary powers of labor?

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

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

    <p>OA</p> Signup and view all the answers

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

    <p>RSA</p> Signup and view all the answers

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

    <p>LMA</p> Signup and view all the answers

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

    <p>Dilation</p> Signup and view all the answers

    What are the primary powers of labor?

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

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

    <p>Contractions</p> Signup and view all the answers

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

    <p>True</p> Signup and view all the answers

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

    <p>True</p> Signup and view all the answers

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

    <p>True</p> Signup and view all the answers

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

    <p>False</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</p> Signup and view all the answers

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

    <p>True</p> Signup and view all the answers

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

    <p>False</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</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</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</p> Signup and view all the answers

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