For a patient in active labor, the nurse-midwife plans to use an internal electronic fetal monitoring (EFM) device. What must occur before the internal EFM can be applied? A. The membranes must rupture. B. The fetus must be at 0 station. C. The cervix must be dilated fully. D. The patient… Read More »
FHR can be auscultated with a fetoscope as early as which of the following? A. 5 weeks gestation B. 10 weeks gestation C. 15 weeks gestation D. 20 weeks gestation Correct Answer: D. 20 weeks gestation The FHR can be auscultated with a fetoscope at about 20… Read More »
Which of the following would be the nurse’s most appropriate response to a client who asks why she must have a cesarean delivery if she has a complete placenta previa? A. “You will have to ask your physician when he returns.” B. “You need a cesarean to prevent hemorrhage.” C. “The placenta… Read More »
In Bartholomew’s Rule of 4, when the level of the fundus is midway between the umbilicus and xiphoid process the estimated age of gestation (AOG) is: A. 5th month B. 6th month C. 7th month D. 8th month Correct Answer: C. 7th month In Bartholomew’s Rule of… Read More »
The partograph is a tool used to monitor labor. The maternal parameters measured/monitored are the following, except? A. Vital signs B. Fluid intake and output C. Uterine contraction D. Cervical dilatation Correct Answer: B. Fluid intake and output Partograph is a monitoring tool designed by the World… Read More »
The following are natural childbirth procedures, except? A. Lamaze method B. Dick-Read method C. Ritgen’s maneuver D. Psychoprophylactic method Correct Answer: C. Ritgen’s maneuver Ritgen’s method is used to prevent perineal tear/laceration during the delivery of the fetal head. Lamaze method is also known as psychoprophylactic method… Read More »
A primigravida patient is admitted to the labor delivery area. Assessment reveals that she is in the early part of the first stage of labor. Her pain is likely to be most intense: A. Around the pelvic girdle B. Around the pelvic girdle and in the upper arms C. Around the pelvic… Read More »
A client LMP began July 5, 2020. Her estimated date of delivery (EDD) should be which of the following? A. January 2, 2021 B. March 28, 2021 C. April 12, 2021 D. October 12, 2020 Correct Answer: C. April 12, 2021 LMP of the woman is July… Read More »
The nurse understands that the fetal head is in which of the following positions with a face presentation? A. Completely flexed B. Completely extended C. Partially extended D. Partially flexed Correct Answer: B. Completely extended In a face presentation, the fetal head and neck are hyperextended, causing… Read More »
The following are ways of determining the expected date of delivery (EDD) when the LMP is unknown EXCEPT: A. Naegele’s rule B. Quickening C. McDonald’s rule D. Batholomew’s rule of 4 Correct Answer: A. Naegele’s rule Naegele’s Rule is determined based on the last menstrual period of the… Read More »