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.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

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. View of birth as a stressor. B. Fear of loss of control. C. Participation in a pregnancy exercise program. D. Presence of a support partner.

Correct Answer is ["C"]

Explanation

Choice A rationale:

Viewing birth as a stressor can increase anxiety and hinder coping mechanisms during labor.

Choice B rationale:

Fear of loss of control can also increase anxiety and negatively impact the labor experience.

Choice C rationale:

Participation in a pregnancy exercise program can promote physical well-being, enhance mood, and improve coping abilities during labor.

Choice D rationale:

The presence of a support partner can provide emotional reassurance and practical assistance, promoting a positive labor experience.

Choice E rationale:

A low anxiety level can facilitate coping and contribute to a positive perception of the labor experience. So, the correct answer is C. Participation in a pregnancy exercise program,

D. Presence of a support partner, and E. Low anxiety level after analyzing all choices.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Nursing Test Bank

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

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.

Correct Answer is ["C"]

Explanation

A woman's amniotic fluid is noted to be cloudy. The nurse interprets this finding as:.

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

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?

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?.

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

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

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