A 32-year-old woman is dilated 4 cm. The health care provider states that she has a roomy pelvis and the baby is in a right occiput anterior (ROA) position at +1 station. Her contractions are occurring every 10 minutes, lasting 30 to 40 seconds, and palpate mild in intensity. She is calm and relaxed. Given these data, which essential component of labor is unexpected and likely to slow the progress of labor at this time?
Passageway
Powers
Psyche
Passenger
The Correct Answer is B
A. Passageway – Incorrect; the provider states she has a roomy pelvis, meaning the passageway is adequate.
B. Powers – Correct; contractions are infrequent (every 10 minutes), short (30-40 sec), and mild, which may not be strong enough to promote cervical dilation and descent of the fetus.
C. Psyche – Incorrect; the patient is calm and relaxed, which supports labor progression.
D. Passenger – Incorrect; the baby is in an optimal (ROA) position and at +1 station, indicating normal progression.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The client's height – Incorrect; medication dosages in pediatrics are based primarily on weight (mg/kg), not height.
B. The safe dosage range – Correct; the nurse must verify that the prescribed dose falls within the recommended safe range to prevent underdosing or overdosing.
C. The client's age – Incorrect; while age may influence dosing, weight-based calculations are more accurate.
D. The client's gender – Incorrect; gender does not typically affect pediatric dosing calculations.
Correct Answer is B
Explanation
A. 16 cm – Incorrect; this is too low for 24 weeks (expected range: ±2 cm of gestational age).
B. 26 cm – Correct; fundal height at 24 weeks is expected to be around 22-26 cm.
C. 30 cm – Incorrect; this is above the expected range and may indicate polyhydramnios or macrosomia.
D. 12 cm – Incorrect; this is too low and could indicate intrauterine growth restriction (IUGR).
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