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","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.

A. Participating in regular daily exercise. B. Eating high-fiber, high-calorie foods. C. Taking vitamin supplements. D. Restricting fluid to 1,000 mL daily.

Correct Answer is A

Explanation

Answer and explanation

Choice A rationale:

Participating in regular daily exercise, especially weight-bearing exercises, can help maintain bone density and reduce the risk of osteoporosis.

Choice B rationale:

Eating high-fiber, high-calorie foods does not directly contribute to reducing the risk of osteoporosis.

Choice C rationale:

Taking vitamin supplements, particularly Vitamin D and calcium, can help maintain bone health and reduce the risk of osteoporosis.

Choice D rationale:

Restricting fluid to 1,000 mL daily is not recommended for reducing the risk of osteoporosis.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Explanation

Which measure would the nurse include in the teaching plan for a woman to reduce the risk of osteoporosis after menopause?.

Correct Answer is A

Explanation

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 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.

A nurse palpates a woman's fundus to determine contraction intensity. What would be most appropriate for the nurse to use for palpation?.

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?.

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 client states "I think my water broke! I felt this gush of fluid between my legs.”. The nurse tests the fluid with nitrazine paper and confirms membrane rupture if the swab turns:.

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?.