What is an important factor to consider when analyzing labor progression?
Number of previous pregnancies
Maternal age
Gestational weight gain
Fetal size
The Correct Answer is D
A. Number of previous pregnancies: While previous pregnancies can influence labor speed (multiparous clients often progress faster), it is not the most critical factor in assessing labor progression.
B. Maternal age: Advanced maternal age may increase labor complications, but it does not directly determine labor progression.
C. Gestational weight gain: Excessive weight gain can impact fetal size, but it is not the primary factor affecting labor progression.
D. Fetal size: Fetal size plays a significant role in labor progression. A large fetus may cause cephalopelvic disproportion (CPD), leading to slow or arrested labor, whereas a smaller fetus may allow for quicker labor progression.
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Related Questions
Correct Answer is ["A","C","D"]
Explanation
A. Weight loss: Severe and prolonged nausea/vomiting leads to weight loss (>5% of pre-pregnancy weight). This is a key feature of hyperemesis gravidarum.
B. Abdominal cramping: Hyperemesis gravidarum does not cause abdominal cramping. Cramping is more associated with miscarriage, ectopic pregnancy, or gastrointestinal conditions.
C. Severe vomiting: Persistent, severe vomiting is the hallmark sign of hyperemesis gravidarum. It is much more severe than typical morning sickness and leads to dehydration and nutritional deficiencies.
D. Electrolyte imbalance: Prolonged vomiting leads to dehydration and loss of essential electrolytes (e.g., hypokalemia, hyponatremia, metabolic alkalosis).
E. Vaginal blood spotting: Hyperemesis gravidarum does not cause vaginal bleeding. Vaginal spotting could indicate a miscarriage or another obstetric complication.
Correct Answer is B
Explanation
A. Pyelonephritis in pregnancy does not pose any risks to the fetus. Pyelonephritis can lead to complications such as preterm labor, low birth weight, and maternal sepsis, making this statement incorrect.
B. Untreated pyelonephritis in pregnancy can increase the risk of preterm labor and low birth weight. Pyelonephritis can cause systemic inflammation, leading to complications such as preterm labor and fetal growth restriction. Prompt treatment is necessary to reduce these risks.
C. Pyelonephritis is a common condition during pregnancy. While urinary tract infections (UTIs) are common in pregnancy, pyelonephritis (kidney infection) is less frequent but more serious.
D. Pyelonephritis is a mild infection that does not require treatment. Pyelonephritis is a serious condition that requires immediate antibiotic therapy to prevent maternal and fetal complications.
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