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The nurse should anticipate the labor pattern for a fetal occiput posterior position to be
- A. Prolonged and more painful
- B. Precipitous
- C. Rapid during transition
- D. Shorter than average during the latent phase
Correct Answer: A
Rationale: The nurse should anticipate the labor pattern for a fetal occiput posterior position to be prolonged and more painful. This is because in occiput posterior position, the baby's head is facing the mother's abdomen instead of her back, which can lead to slower descent and dilation of the cervix. The baby's head may have difficulty rotating to the optimal position for birth, causing longer labor and increased back pain for the mother. Nurses should be prepared to provide additional support and pain management strategies for women experiencing labor with a fetal occiput posterior position.
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The nurse assigned to the care of newborn infants understands the importance of keeping these infants swaddled in a warm blanket to prevent heat loss. Why is this important in the care of the newborn?
- A. Chilling leads to increased heat production and greater oxygen needs.
- B. The newborn's metabolic rate is decreased.
- C. Evaporation will affect the newborn's ability to feed.
- D. The newborn will sleep more comfortably.
Correct Answer: A
Rationale: Preventing chilling reduces metabolic demands.
What should be included in teaching a young woman how to use the female condom?
- A. Reuse female condoms no more than five times.
- B. Refrain from using lubricant because the condom may slip out of the vagina.
- C. Wear both female and male condoms together to maximize effectiveness.
- D. Remove the condom by twisting the outer ring and pulling gently.
Correct Answer: D
Rationale: Twisting the outer ring prevents spillage of semen.
The nurse is performing Leopold's maneuvers. What is the primary goal?
- A. Determine fetal well-being.
- B. Assess fetal position and presentation.
- C. Measure amniotic fluid volume.
- D. Evaluate uterine contractions.
Correct Answer: B
Rationale: Leopold's maneuvers are used to assess fetal position, presentation, and engagement.
How would the nurse best analyze the results from a patient sonogram that shows the fetal shoulder is the presenting part? What position?
- A. Bridge transverse
- B. Cephalic presentation
- C. Breech presentation
- D. Vertex presentation
Correct Answer: A
Rationale: When the sonogram shows the fetal shoulder as the presenting part, it indicates a bridge transverse position. This position means that the baby is lying sideways in the uterus, with one shoulder presenting first. It is essential for the nurse to recognize this position as it may impact the mode of delivery and require additional monitoring to ensure the safe delivery of the baby. Through proper analysis and understanding of the sonogram results, healthcare providers can make informed decisions and provide appropriate care for both the mother and the baby.
The primiparous patient that's 40 weeks' gestation reports to the nurse that she has increased pelvic pressure and increased urinary frequency. Which response by the nurse is best?
- A. This symptom usually means the baby's head has descended further
- B. Unless you have pain with urination, we don't need to worry it
- C. Come in for an appointment today and we'll check out everything
- D. This might indicate that the baby is no longer in a head down position
Correct Answer: A
Rationale: The best response by the nurse is to reassure the primiparous patient that her increased pelvic pressure and urinary frequency could mean that the baby's head has descended further into the pelvis. This can indicate that labor is approaching, as the baby is getting into position for birth. It is important for the nurse to provide this information to ease the patient's concerns and help her understand the potential significance of these symptoms at 40 weeks' gestation.