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 ["A","C"]

Explanation

A. "I am going to listen to your tic tock." – Correct; using child-friendly language helps reduce fear and anxiety.

B. "Can I listen to how you are breathing?" – Incorrect; although polite, it does not make the procedure less intimidating for a toddler.

C. "I am going to take your blood pressure now with a big hug." – Correct; describing the blood pressure cuff as a hug makes the procedure less scary.

D. "Can you stand very still while I feel how warm you are?" – Incorrect; this is not developmentally appropriate, as toddlers may not understand instructions well.

A. Quickening B. Amenorrhea C. Ballottement D. Increased urination E. Positive pregnancy test via blood work

Correct Answer is ["C","E"]

Explanation

A. Quickening – Incorrect; quickening (fetal movement) is a presumptive sign of pregnancy.
B. Amenorrhea – Incorrect; absence of menstruation is a presumptive sign of pregnancy.
C. Ballottement – Correct; ballottement is a probable sign, not a presumptive sign, as it is detected by a healthcare provider.
D. Increased urination – Incorrect; frequent urination is a presumptive sign of pregnancy.
E. Positive pregnancy test via blood work – Correct; a positive pregnancy test is a probable sign, not a presumptive one.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a toddler. Which of the following statements should the nurse use when preparing to obtain the child's vital signs?

Correct Answer is ["A","C"]

Explanation

Which of the following are NOT considered presumptive signs of pregnancy? (Select all that apply.)

Correct Answer is ["C","E"]

Explanation

In which stage and phase of labor is the client who is at 7 cm of cervical dilation and 100% effacement, with the fetus at 1 station and intact amniotic membranes, and reporting the urge to push?

A nurse is collecting data from a postpartum client and finds a large amount of lochia rubra with several clots on the client's perineal pad. Which of the following actions should the nurse take first?

A client who is at 39 weeks of gestation tells the nurse, "It has been hard to take a deep breath throughout the pregnancy, but in the past week, I feel like I can breathe again." The nurse should recognize that the client is experiencing the effects of which of the following?

A nurse is bathing a toddler and notices the child has several bruises. Which of the following actions should the nurse take first?

A nurse is collecting data from a client at their first prenatal appointment. The client reports that the first day of their last menstrual period was September 17. Which of the following accurately represents the client's estimated date of delivery using Naegele's Rule?

A practical nurse is gathering data from the client on incorporating cultural practices into their pain management during labor. Which of the following statements by the nurse is most appropriate?

A nurse is caring for a client in labor. The nurse determines that the client is beginning in the second stage of labor when which of the following assessments is noted?

The provider notes a client may be close to labor when she reports more frequent Braxton Hicks contractions and preparing the nursery with the baby's furniture and clothes, an instinct that often begins at the end of the pregnancy known as