A 32-year-old woman presents to the labor and birth suite in active labor.

She is multigravida, relaxed, and talking with her husband.

When examined by the nurse, the fetus is found to be in a cephalic presentation.

His occiput is facing toward the front and slightly to the right of the mother's pelvis, and he is exhibiting a flexed attitude.

How does the nurse document the position of the fetus?.

LOP.

ROA.

LOA.

ROP.

Answer and Explanation

The Correct Answer is B

Answer and explanation

Choice A rationale:

LOP (Left Occiput Posterior) would mean the baby’s occiput is towards the mother’s left and facing posteriorly, which is not the case here.

Choice B rationale:

ROA (Right Occiput Anterior) would mean the baby’s occiput is towards the mother’s right and facing anteriorly, which matches the description.

Choice C rationale:

LOA (Left Occiput Anterior) would mean the baby’s occiput is towards the mother’s left and facing anteriorly, which is not the case here.

Choice D rationale:

ROP (Right Occiput Posterior) would mean the baby’s occiput is towards the mother’s right and facing posteriorly, which is not the case here.

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Correct Answer is B

Explanation

Choice A rationale:

While placental abruption is a serious condition, it is not directly linked to high HbA1c levels in early pregnancy.

Choice B rationale:

Congenital anomalies are a significant concern for pregnancies with high HbA1c levels, as high blood sugar around the time of conception increases the risk of birth defects.

Choice C rationale:

Placenta previa is not directly associated with high HbA1c levels in early pregnancy.

Choice D rationale:

An incompetent cervix is not directly linked to high HbA1c levels in early pregnancy.

A. Butorphanol. B. Promethazine. C. Fentanyl. D. Naloxone.

Correct Answer is D

Explanation

Answer and explanation

Choice A rationale:

Butorphanol is an opioid agonist-antagonist. It would not be the first choice to treat opioid-induced respiratory depression because it can also cause respiratory depression.

Choice B rationale:

Promethazine is an antihistamine that has sedative effects and could potentially worsen respiratory depression.

Choice C rationale:

Fentanyl is a potent opioid and would likely exacerbate respiratory depression.

Choice D rationale:

Naloxone is an opioid antagonist used to reverse the effects of opioids such as respiratory depression.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A pregnant woman with diabetes at 10 weeks' gestation has a glycosylated hemoglobin (HbA1c) level of 13%. At this time the nurse should be most concerned about which possible fetal outcome?.

Correct Answer is B

Explanation

A woman in labor who received an opioid for pain relief develops respiratory depression. The nurse would expect which agent to be administered?.

Correct Answer is D

Explanation

A pregnant woman is diagnosed with iron deficiency anemia and is prescribed an iron supplement. After teaching her about her prescribed iron supplement, which statement indicates successful teaching?.

Assessment of a female client reveals a thick, white vaginal discharge. The client also reports intense itching and dyspareunia. Based on these findings, the nurse would suspect that the client has:

A client is diagnosed with gestational hypertension and is receiving magnesium sulfate. The nurse determines that the medication is at a therapeutic level based on which finding?.

When teaching a group of postmenopausal women about hot flashes and night sweats, the nurse would address which primary cause?.

A nurse is providing care to a woman in labor. After the assessment of the fetus, the nurse documents the fetal lie. Which term would the nurse use?

The pharmacy sends a bag of 150 mLs of D5W/0.456 normal saline with 25 units of Regular Insulin. The patient is ordered to receive an insulin drip at a rate of 9 units/hour. What rate will you set the IV pump to deliver? Numeric values only.

After describing continuous internal electronic fetal monitoring to a laboring woman and her partner, which statement by the woman would indicate the need for additional teaching?.