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. Vagina. B. Pelvic inlet. C. Pelvic outlet. D. Mid pelvis. E. Pelvic Floor Muscles. F. Cervix.

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

Explanation

Choice A rationale:

The vagina is not part of the true pelvis. It is the canal that leads from the uterus to the exterior of the body.

Choice B rationale:

The pelvic inlet is the upper part of the lesser pelvis where the baby’s head engages during labor. It is part of the true pelvis.

Choice C rationale:

The pelvic outlet is the lower opening of the pelvis. It is part of the true pelvis.

Choice D rationale:

The mid pelvis is the part of the pelvis where the baby turns to get into the right position for birth. It is part of the true pelvis.

Choice E rationale:

The pelvic floor muscles support the pelvic organs and help in the process of childbirth. They are part of the true pelvis.

Choice F rationale:

The cervix is the lower part of the uterus that opens into the vagina. It is not part of the true pelvis. So, the correct answers are B, C, D, and E.

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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

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

Explanation

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.

If a fetus were not receiving enough oxygen during labor because of uteroplacental insufficiency, which pattern would the nurse anticipate seeing on the monitor?.

A young adult woman who is HIV-positive is receiving anti-retroviral therapy (ART) and is having difficulty with adherence. To promote adherence, which area would be most important for the nurse to assess?.

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?.

During a follow-up prenatal visit, a pregnant woman asks the nurse, "How long do you think I will be in labor?" Which response by the nurse would be most appropriate?.

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 client is in active labor. Checking the EFM tracing, the nurse notes variables that are abnormal. What would be the nurse's first nursing intervention?

A client's membranes spontaneously ruptured, as evidenced by a gush of clear fluid with a contraction. What would the nurse do next?