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 ["D","E"]

Explanation

Choice A rationale:

Cervical effacement of 30% is more indicative of the early phase of labor, not the active phase. In the active phase, effacement is usually 80-100%.

Choice B rationale:

A strong desire to push is usually associated with the transition phase of labor, not the active phase.

Choice C rationale:

Contractions every 90 seconds could be indicative of the active phase, but this can vary between individuals.

Choice D rationale:

Cervical dilation of 6 cm is indeed indicative of the active phase of labor, which is typically characterized by cervical dilation of 4-7 cm.

Choice E rationale:

Contractions every 2 to 3 minutes are common in the active phase of labor.

A. Mercury, which could harm the developing fetus if eaten in large amounts. B. Excess folic acid, which could increase the risk for neural tube defects. C. Low-quality protein that does not meet the woman's requirements. D. Lactose, which leads to abdominal discomfort, gas, and diarrhea.

Correct Answer is A

Explanation

Choice A rationale:

Mercury, which could harm the developing fetus if eaten in large amounts, is indeed found in high levels in swordfish and tilefish. Pregnant women are advised to avoid these types of fish due to the risk of mercury poisoning.

Choice B rationale:

Excess folic acid, which could increase the risk for neural tube defects, is not typically associated with swordfish and tilefish. Folic acid is a nutrient that is actually beneficial for pregnant women.

Choice C rationale:

Low-quality protein that does not meet the woman’s requirements is not a concern with swordfish and tilefish. These fish are actually high in quality protein.

Choice D rationale:

Lactose, which leads to abdominal discomfort, gas, and diarrhea, is not found in swordfish and tilefish. Lactose is a sugar found in milk and dairy products.

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Naxlex Comprehensive Predictor Exams

A nurse is providing care to a woman in labor. The nurse determines that the client is in the active phase based on which assessment findings? Select all that apply.

Correct Answer is ["D","E"]

Explanation

A nurse strongly encourages a pregnant client to avoid eating swordfish and tilefish because these fish contain which component?.

Correct Answer is A

Explanation

Your patient is ordered to receive 20 units Pitocin in D5%W 500 mLs at 12 milliunits/minute. What flow rate will you set the IV pump to deliver? Numeric values only.

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

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?.

The nurse teaches a primigravida client that lightening occurs about 2 weeks before the onset of labor. What will the mother likely experience at that time?.

A nurse is preparing a presentation for a group of pregnant women about the labor experience. Which factors would the nurse include when discussing measures to promote coping for a positive labor experience? Select all that apply.

Assessment of a woman in labor reveals that the fetus is in a cephalic presentation and engagement has occurred. The nurse interprets this finding to indicate that the presenting part is at which station?.

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