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:

Bradypnea and hypertension are not typically signs of impending shock.

Choice B rationale:

Tachycardia and a falling blood pressure are classic signs of shock as the body tries to compensate for the decreased blood flow.

Choice C rationale:

Tachypnea and a widening pulse pressure can be signs of shock, but they are not as indicative as tachycardia and a falling blood pressure.

Choice D rationale:

Bradycardia and auscultation of fluid in the base of the lungs are not typically signs of impending shock.

A. Back of the hand. B. Finger tips. C. Palm of the hand. D. Finger pads. E. Finger pads.

Correct Answer is C

Explanation

Choice A rationale:

The back of the hand is sensitive to temperature, not pressure, making it less suitable for assessing contraction intensity.

Choice B rationale:

Finger tips are sensitive and can detect small changes, but they may not cover a large enough area to accurately assess contraction intensity.

Choice C rationale:

The palm of the hand covers a larger area and can better gauge the overall firmness of the uterus.

Choice D rationale:

Finger pads are sensitive to texture, not pressure, making them less suitable for this task.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

While waiting for the placenta to deliver during the third stage of labor, the nurse must assess the new mother's vital signs every 15 minutes. What sign would indicate impending shock?.

Correct Answer is B

Explanation

A nurse palpates a woman's fundus to determine contraction intensity. What would be most appropriate for the nurse to use for palpation?.

Correct Answer is C

Explanation

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 movements would the nurse include? Select all that apply.

When assessing a woman at follow-up prenatal visits, the nurse would anticipate which procedure to be performed?.

When teaching a class of pregnant women about the effects of substance use during pregnancy, the nurse would include which effect?.

A woman in the 34th week of pregnancy says to the nurse, "I still feel like having intercourse with my husband.”. The woman's pregnancy has been uneventful. The nurse responds based on the understanding that:.

Your patient is receiving Heparin via a continuous IV infusion at a rate of 1600 units per hour. The bag is labeled N/S 500 mLs and contains Heparin 40,000 units. What rate should the IV pump be set at to deliver this ordered amount of Heparin? mLs/hr.

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

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?.

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: