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?.

"Time isn't important; your health and the baby's health are key.”.

"It will depend on how big the baby is when you go into labor.”.

"It's difficult to predict how your labor will progress, but we'll be there for you the entire time.”.

"Since this is your first pregnancy, you can estimate it will be about 10 hours.”.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

This statement emphasizes the importance of health over time, which is true. However, it doesn’t directly answer the woman’s question about the duration of labor.

Choice B rationale:

The size of the baby can influence labor duration, but it’s not the only factor. Other factors like the woman’s health, age, and labor progression also matter.

Choice C rationale:

This response is supportive and honest. It acknowledges the unpredictability of labor while assuring the woman of continuous support.

Choice D rationale:

While it’s true that first-time mothers may have longer labors, predicting a specific duration like 10 hours isn’t accurate or helpful.

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Correct Answer is D

Explanation

Choice A rationale:

Checking for a compressed umbilical cord is important as it can cause fetal distress. However, it’s not the first step in response to abnormal EFM tracing.

Choice B rationale:

Preparing for an emergency cesarean birth might be necessary if the abnormality persists and indicates fetal distress. But it’s not the immediate first step.

Choice C rationale:

Documenting the finding is part of the nursing process, but immediate interventions to address the abnormality take precedence.

Choice D rationale:

Helping the woman change positions can relieve pressure on the umbilical cord, potentially resolving the abnormality. This is often the first intervention.

A. "My baby's hips are extended, and the knees are flexed.”. B. "My baby's hips are flexed, and the knees are extended.”. C. "My baby's hips and knees are extended.”. D. "My baby's hips and the knees are flexed.”.

Correct Answer is A

Explanation

Choice A rationale:

In the frank breech position, the baby’s hips are flexed, and the knees are extended.

Choice B rationale:

This describes a position where the baby’s hips are flexed and the knees are extended, which is not the frank breech position.

Choice C rationale:

This describes a position where both the baby’s hips and knees are extended, which is not the frank breech position.

Choice D rationale:

This describes a position where both the baby’s hips and knees are flexed, which is not the frank breech position.

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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?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is in active labor. Checking the EFM tracing, the nurse notes variables that are abnormal. What would be the nurse's first nursing intervention?

Correct Answer is D

Explanation

A nurse is explaining the fetus's position to a female client whose baby is in the frank breech position. Which statement by the client would indicate that the teaching was understood?.

Correct Answer is A

Explanation

The nurse is counseling a couple who suspect that they could bear a child with a genetic abnormality. What would be most important for the nurse to do when working with this family?.

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?

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?

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When teaching a class of pregnant women about the effects of substance use during pregnancy, the nurse would include which effect?.

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

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