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 C

Explanation

Choice A rationale:

The first sign of breast development is not menarche. It is a part of puberty, but it is not the definition of menarche.

Choice B rationale:

A woman’s first sexual experience is not menarche. Menarche refers to a specific biological event.

Choice C rationale:

Menarche is defined as a woman’s first menstrual period. This is the correct definition.

Choice D rationale:

A full hormonal cycle is not menarche. While the hormonal cycle is related to menstruation, it is not the definition of menarche.

A. Inform the family of the need for information. B. Present the information in a factual, nondirective manner. C. Maintain the confidentiality of the information. D. Gather information for three generations. E. Gather information for three generations.

Correct Answer is B

Explanation

Choice A rationale:

Informing the family of the need for information is important, but it is not the most important aspect when working with a family who suspects they could bear a child with a genetic abnormality.

Choice B rationale:

Presenting the information in a factual, nondirective manner is the most important aspect. This allows the family to make informed decisions based on accurate information without being influenced by the nurse’s personal beliefs or opinions.

Choice C rationale:

Maintaining the confidentiality of the information is a standard nursing practice and while it is important, it is not the most important aspect in this scenario.

Choice D rationale:

Gathering information for three generations can provide valuable insight into the family’s genetic history, but it is not the most important aspect in this scenario.

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Naxlex Comprehensive Predictor Exams

After teaching a group of adolescent girls about female reproductive development, the nurse determines that teaching was successful when the girls state that menarche is defined as a woman's first:.

Correct Answer is C

Explanation

The nurse is counseling a couple who suspect that they could bear a child with a genetic abnormality. What would be most important for the nurse to do when working with this family?.

Correct Answer is B

Explanation

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?

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?.

A nurse is providing care to a pregnant woman in labor. The woman is in the first stage of labor. When describing this stage to the client, which event would the nurse identify as the major change occurring during this stage?

Which action is a priority when caring for a woman during the fourth stage of labor?.

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?.

The nurse is reviewing the medical record of a woman in labor and notes that the fetal position is documented as LSA. The nurse interprets this information as indicating which part as the presenting part?.

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.

Touch and massage can be helpful during labor. Which touch and massage methods are used in labor? Select all that apply.