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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.

Internal rotation.

Flexion.

Pronation.

Abduction.

Descent.

Answer and Explanation

Correct Answer : A,E

Choice A rationale:

Internal rotation is a movement the fetus makes as it travels through the birth canal.

Choice B rationale:

Flexion is another movement that occurs as the fetus adjusts its position during labor.

Choice C rationale:

Pronation is not typically included in the description of fetal movements during labor and birth.

Choice D rationale:

Abduction is not a movement associated with the fetus’s journey through the birth canal.

Choice E rationale:

Descent is a key movement that occurs as the fetus moves down through the birth canal.

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Correct Answer is D

Explanation

Choice A rationale:

Notifying the primary care provider is important but not the immediate next step. The nurse has other immediate responsibilities to ensure the safety of the mother and baby.

Choice B rationale:

A vaginal exam could introduce bacteria into the uterus and is not the immediate next step after rupture of membranes.

Choice C rationale:

Changing the linen saver pad is not the immediate next step. While it might be necessary for the comfort of the mother, it does not address the potential risks associated with rupture of membranes.

Choice D rationale:

Checking the fetal heart rate is the correct next step. This ensures that the baby is not in distress following the rupture of membranes.

A. Bacterial vaginosis. B. Candidiasis. C. Genital herpes simplex. D. Trichomoniasis.

Correct Answer is B

Explanation

Choice A rationale:

Bacterial vaginosis typically presents with a thin, grayish-white discharge with a fishy odor. It does not usually cause intense itching or dyspareunia.

Choice B rationale:

Candidiasis is characterized by a thick, white, cottage cheese-like vaginal discharge, intense itching, and dyspareunia. These symptoms align with the client’s presentation.

Choice C rationale:

Genital herpes simplex usually presents with painful blisters or ulcers in the genital area, not a thick, white discharge.

Choice D rationale:

Trichomoniasis often causes a frothy, yellow-green discharge with a fishy smell. Itching can occur, but the discharge is not typically thick and white.

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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.

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Naxlex Comprehensive Predictor Exams

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

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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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.