EXERCISES:

1. Fetal presentation refers to which of the following descriptions?

A. Fetal body part that enters the maternal pelvis first
B. Relationship of the presenting part to the maternal pelvis
C. Relationship of the long axis of the fetus to the long axis of the mother
D. A classification according to the fetal part

2. A client is admitted to the L & D suite at 36 weeks’ gestation. She has a history of C-section and
complains of severe abdominal pain that started less than 1 hour earlier. When the nurse palpates
tetanic contractions, the client again complains of severe pain. After the client vomits, she states that
the pain is better and then passes out. Which is the probable cause of her signs and symptoms?

A. Hysteria compounded by the flu

B. Placental abruption
C. Uterine rupture
D. Dysfunctional labor

Uterine rupture is a medical emergency that may occur before or during labor. Signs and symptoms
typically include abdominal pain that may ease after uterine rupture. vomiting. vaginal bleeding.
hypovolemic shock. and fetal distress. With placental abruption. the client typically complains of vaginal
bleeding and constant abdominal pain.

3. Upon completion of a vaginal examination on a laboring woman, the nurse records 50%, 6 cm, -1.
Which of the following is a correct interpretation of the data?

A. Fetal presenting part is 1 cm above the ischial spines

B. Effacement is 4 cm from completion
C. Dilation is 50% completed
D. Fetus has achieved passage through the ischial spines

4. Which of the following findings meets the criteria of a reassuring FHR pattern?

A. FHR does not change as a result of fetal activity

B. Average baseline rate ranges between 100 – 140 BPM
C. Mild late deceleration patterns occur with some contractions
D. Variability averages between 6 – 10 BPM

FHR should accelerate with fetal movement. Baseline range for the FHR is 120 to 160 beats/min. Late
deceleration patterns are never reassuring, although early and mild variable decelerations are expected,
reassuring findings. Variability indicates a well-oxygenated fetus with a functioning autonomic nervous
system.