Nokea
It is determined that the presenting part of the fetus is the buttocks. At delivery the fetus's hips are flexed and the knees are extended. How would the nurse record this presentation?
- A. Complete breech
- B. Frank breech
- C. Double footing
- D. Buttocks presentation
Correct Answer: B
Rationale: When a fetus presents in a frank breech position, the legs are flexed at the hips and extend toward the shoulders.
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What marks the end of the third stage of labor?
- A. Full cervical dilation
- B. Expulsion of the placenta and membranes
- C. Birth of the infant
- D. Engagement of the head
Correct Answer: B
Rationale: The third stage of labor extends from the birth of the infant until the placenta is detached and expelled.
Vaginal examination reveals the presenting part is the infant's head, which is well flexed on the chest. What is this presentation?
- A. Vertex
- B. Military
- C. Brow
- D. Face
Correct Answer: A
Rationale: In the vertex presentation, the fetal head is the presenting part. The head is fully flexed on the chest.
When she begins cursing at her birthing coach and the nurse, what does the nurse assess as the most likely explanation for the woman's change in behavior?
- A. Labor has progressed to the transition phase.
- B. She lacked adequate preparation for the labor experience.
- C. The woman would benefit from a different form of analgesia.
- D. The contractions have increased from mild to moderate intensity.
Correct Answer: A
Rationale: If a woman suddenly loses control and becomes irritable, suspect that she has progressed to the transition stage of labor.
What will the nurse remind the patient about contractions during this stage of labor?
- A. They get the infant positioned for delivery.
- B. They push the infant into the vagina.
- C. They dilate and efface the cervix.
- D. They get the mother prepared for true labor.
Correct Answer: C
Rationale: The first stage of labor describes the time from the onset of labor until full dilation of the cervix.
The nurse observes on the fetal monitor a pattern of a 15-beat increase in the fetal heart rate that lasts 15 to 20 seconds. What does this pattern indicate?
- A. A well-oxygenated fetus
- B. Compression of the umbilical cord
- C. Compression of the fetal head
- D. Uteroplacental insufficiency
Correct Answer: A
Rationale: Accelerations in the fetal heart rate suggest that the fetus is well oxygenated.