LABOR AND BIRTH PROCESS QUESTIONS.

A client is admitted to the labor and birthing suite in early labor. On review of her medical
record, the nurse determines that the client’s pelvic shape as identified in the antepartal progress notes is the most favorable one for a vaginal delivery. Which pelvic shape would the
nurse have noted?
A) Platypelloid
B) Gynecoid
C) Android
D) Anthropoid

10. A woman telephones her health care provider and reports that her “water just broke.” Which
suggestion by the nurse would be most appropriate?
A) “Call us back when you start having contractions.”
B) “Come to the clinic or emergency department for an evaluation.”
C) “Drink 3 to 4 glasses of water and lie down.”
D) “Come in as soon as you feel the urge to push.”

11. After teaching a group of students about the maternal bony pelvis, which statement by the
group indicates that the teaching was successful?
A) The bony pelvis plays a lesser role during labor than soft tissue.
B) The pelvic outlet is associated with the true pelvis.
C) The false pelvis lies below the imaginary linea terminalis.
D) The false pelvis is the passageway through which the fetus travels.

12. A fetus is assessed at 2 cm above the ischial spines. The nurse would document fetal station
as: A) +4
B) +2
C) 0
D) –2

13. Assessment of a fetus identifies the buttocks as the presenting part, with the legs extended
upward. The nurse identifies this as which type of breech presentation?
A) Frank
B) Full
C) Complete
D) Footling

14. A woman in her third trimester comes to the clinic for a prenatal visit. During assessment the
woman reports that her breathing has become much easier in the last week but she has noticed
increased pelvic pressure , cramping and lower back pain. The nurse determines that which of
the following has most likely occurred?
A) Cervical dilation
B) Lightening
C) Bloody show
D) Braxton-Hicks contractions

After teaching a group of students about the factors affecting the labor process, the instructor
determines that the teaching was successful when the group identifies which of the following as
a component of the true pelvis? (Select all that apply.)
A) Pelvic inlet
B) Cervix
C) Mid pelvis D) Pelvic outlet E) Vagina F) Pelvic floor muscles

16. A nurse is documenting fetal lie of a woman in labor. Which term would the nurse most
likely use? A) Flexion
B) Extension
C) Longitudinal
D) Cephalic

17. The nurse is reviewing the medical record of a woman in labor and notes that the fetal
position is documented as LSA.
The nurse interprets this information as indicating which of the following is the presenting part?
A) Occiput
B) Face
C) Buttocks
D) Shoulder

. A nurse is preparing a class for pregnant women about labor and birth. When describing the
typical movements that the fetus goes through as it travels through the passageway, which of the
following would the nurse most likely include?
(Select all that apply.)
A) Internal rotation
B) Abduction
C) Descent
D) Pronation
E) Flexion

The nurse is reviewing the monitoring strip of a woman in labor who is experiencing a
contraction. The nurse notes the time the contraction takes from its onset to reach its highest
intensity. The nurse interprets this time as which of the following?
A) Increment
B) Acme
C) Peak
D) Decrement

A nurse is assessing a woman in labor. Which finding would the nurse identify as a cause for
concern during a contraction?
A) Heart rate increase from 76 bpm to 90 bpm
B) Blood pressure rise from 110/60 mm Hg to 120/74
C) White blood cell count of 12,000 cells/mm3
D) Respiratory rate of 10 breaths /minute