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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. "I should monitor my weight gain during the following months." – Correct; gradual and appropriate weight gain is essential for maternal and fetal health.

B. "I will consult with my doctor before using home remedies for nausea." – Correct; some herbal remedies and over-the-counter treatments can be harmful during pregnancy.

C. "I will use only nonprescription medications while pregnant." – Incorrect; even nonprescription medications can be harmful, and pregnant clients should consult their provider before using any medication.

D. "I am going to reduce my stress level." – Correct; stress management is beneficial during pregnancy.

A. Misoprostol B. Oxytocin C. A barbiturate D. Fentanyl

Correct Answer is C

Explanation

A. Misoprostol – Incorrect; this is a cervical ripening agent used for labor induction, not for therapeutic rest.

B. Oxytocin – Incorrect; oxytocin is used to stimulate labor contractions, not to promote rest.

C. A barbiturate – Correct; barbiturates (e.g., secobarbital) or other sedatives are used for therapeutic rest in clients experiencing prodromal labor with no cervical progression.

D. Fentanyl – Incorrect; fentanyl is a short-term opioid analgesic but does not promote restful sleep.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about expected gestational changes with a client who is at 12 weeks of gestation. Which of the following statements by the client indicates a need for further teaching?

Correct Answer is C

Explanation

Correct Answer is C

Explanation

A nurse is teaching students about the function of the amniotic fluid. Which of the following statements by the students shows effective teaching? (Select All that Apply.)

A nurse is reinforcing teaching with a client about how to reduce the risk of giving birth to a newborn who has a neural tube defect. Which of the following instructions should the nurse include in the teaching?

A nurse is collecting data from a client who is 12 hr postpartum. Which of the following findings should the nurse expect?

A nurse is talking with a client who is at 21 weeks of gestation and is scheduled for an international flight. Which of the following instructions should the nurse include? (Select all that apply.)

A nurse is providing instructions for a client at 4 weeks postpartum visit, the client should contact her provider for which of the following findings?

A nurse in a prenatal clinic is caring for a client who is at 12 weeks of gestation. The client asks about the cause of her heartburn. Which of the following responses should the nurse make?

A 37-year-old female is currently 18 weeks pregnant. She has two sets of twins born at 37 and 38 weeks and a 9-year-old son born at 34 weeks gestation. She has no history of miscarriage or abortion. What is her GTPAL?