A nurse is providing care to a client in labor.

A pelvic exam reveals a vertex presentation with the presenting part tilted toward the left side of the mother's pelvis and directed toward the anterior portion of the pelvis.

When developing this client's plan of care, which intervention would the nurse include?

Implementing measures for a vaginal birth.

Instituting continuous internal fetal monitoring.

Assisting with artificial rupture of the membranes.

Preparing the client for a cesarean birth.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Implementing measures for a vaginal birth is a reasonable intervention as the baby is in a favorable position for a normal delivery.

Choice B rationale:

Continuous internal fetal monitoring is not necessary unless there are complications or high-risk factors present.

Choice C rationale:

Artificial rupture of the membranes can be done to induce or augment labor, but it’s not necessary in this case.

Choice D rationale:

Preparing for a cesarean birth is not necessary as the baby is in a favorable position for a vaginal birth.

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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.

A. Estrogen deficiency. B. Changes in vaginal pH. C. Active lifestyle. D. Poor dietary intake.

Correct Answer is A

Explanation

Choice A rationale:

Estrogen deficiency is the primary cause of hot flashes and night sweats in postmenopausal women. As estrogen levels decrease, it affects the hypothalamus, which is responsible for regulating body temperature, leading to these symptoms.

Choice B rationale:

Changes in vaginal pH occur during menopause due to estrogen deficiency, but this is not the primary cause of hot flashes and night sweats.

Choice C rationale:

An active lifestyle can help manage symptoms of menopause, but it is not the primary cause of hot flashes and night sweats.

Choice D rationale:

Poor dietary intake can exacerbate symptoms of menopause, but it is not the primary cause of hot flashes and night sweats.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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:

Correct Answer is B

Explanation

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

Correct Answer is A

Explanation

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 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?

A nurse is assessing a woman in labor. Which finding would the nurse identify as a cause for concern during a contraction?.

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?.

A woman in labor received an opioid close to the time of birth. The nurse would assess the newborn for which effect?

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

A client has just given birth to a healthy baby boy, but the placenta has not yet delivered. What stage of labor does this scenario represent?.

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