1. Question Name: 0001 Type: MC

Objective: CH 13: Labor and Birth ProcessesLabor and Birth Pr

ItemBank: Perry Maternal Child Nursing Care 5th edition

A new mother asks the nurse when the “soft spot” on her son’s head will go away. The

nurse’s answer is based on the knowledge that the anterior fontanel closes after birth by

months.

A. 2

B. 8

C. 12

* D. 18

Correct Answer: D

Explanation/Rationale:

ANS: D

The larger of the two fontanels, the anterior fontanel, closes by 18 months after birth.

2. Question Name: 0002 Type: MC

Objective: CH 13: Labor and Birth ProcessesLabor and Birth Pr

ItemBank: Perry Maternal Child Nursing Care 5th edition

When assessing a woman in labor, the nurse is aware that the relationship of the fetal body

parts to one another is called fetal:

A. Lie.

B. Presentation.

* C. Attitude.

D. Position.

Correct Answer: C

Explanation/Rationale:

ANS: C

Attitude is the relation of the fetal body parts to one another. Lie is the relation of the

long axis (spine) of the fetus to the long axis (spine) of the mother. Presentation refers to

the part of the fetus that enters the pelvic inlet first and leads through the birth canal

during labor at term. Position is the relation of the presenting part to the four quadrants of

the mother’s pelvis.

3. Question Name: 0003 Type: MC

Objective: CH 13: Labor and Birth ProcessesLabor and Birth Pr

ItemBank: Perry Maternal Child Nursing Care 5th edition

When assessing the fetus using Leopold maneuvers, the nurse feels a round, firm, movable

fetal part in the fundal portion of the uterus and a long, smooth surface in the mother’s right

side close to midline. What is the likely position of the fetus?

A. ROA

B. LSP

* C. RSA

D. LOA

Correct Answer: C

Explanation/Rationale:

ANS: C

The fetus is positioned anteriorly in the right side of the maternal pelvis with the sacrum

as the presenting part. RSA is the correct three-letter abbreviation to indicate this fetal

position. The first letter indicates the presenting part in either the right or left side of the

maternal pelvis. The second letter indicates the anatomic presenting part of the fetus. The

third letter stands for the location of the presenting part in relation to the anterior,

posterior, or transverse portion of the maternal pelvis. Palpation of a round, firm fetal part

in the fundal portion of the uterus would be the fetal head, indicating that the fetus is in a

breech position with the sacrum as the presenting part in the maternal pelvis. Palpation of

the fetal spine along the mother’s right side denotes the location of the presenting part in

the mother’s pelvis. The ability to palpate the fetal spine indicates that the fetus is

anteriorly positioned in the maternal pelvis.

4. Question Name: 0004 Type: MC

Objective: CH 13: Labor and Birth ProcessesLabor and Birth Pr

ItemBank: Perry Maternal Child Nursing Care 5th edition

The nurse has received report regarding her patient in labor. The woman’s last vaginal

examination was recorded as 3 cm, 30%, and ?2-2. The nurse’s interpretation of this

assessment is that:

A. The cervix is effaced 3 cm, it is dilated 30%, and the presenting part is 2 cm above the

ischial spines.

* B. The cervix is 3 cm dilated, it is effaced 30%, and the presenting part is 2 cm above the

ischial spines.

C. The cervix is effaced 3 cm, it is dilated 30%, and the presenting part is 2 cm below the

ischial spines.

D. The cervix is dilated 3 cm, it is effaced 30%, and the presenting part is 2 cm below the

ischial spines.

Correct Answer: B

Explanation/Rationale:

ANS: B

The correct description of the vaginal examination for this woman in labor is the cervix is

3 cm dilated, it is effaced 30%, and the presenting part is 2 cm above the ischial spines.

The sterile vaginal examination is recorded as centimeters of cervical dilation, percentage

of cervical dilation, and the relationship of the presenting part to the ischial spines (either

above or below).