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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?

A.

Implementing measures for a vaginal birth.

B.

Instituting continuous internal fetal monitoring.

C.

Assisting with artificial rupture of the membranes.

D.

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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Related Questions

Correct Answer is D

Explanation

Choice A rationale:

While HPV can cause fertility issues in some cases, it is not the primary risk associated with the virus.

Choice B rationale:

Dysmenorrhea, or painful periods, is not directly linked to HPV.

Choice C rationale:

Dyspareunia, or painful intercourse, is not a common symptom of HPV.

Choice D rationale:

Women with HPV are at a higher risk for cervical cancer. This is why regular follow-up care is crucial.

So, the correct answer is D, Cervical cancer.

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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