A 32-year-old woman presents to the labor and birth suite in active labor.

She is multigravida, relaxed, and talking with her husband.

When examined by the nurse, the fetus is found to be in a cephalic presentation.

His occiput is facing toward the front and slightly to the right of the mother's pelvis, and he is exhibiting a flexed attitude.

How does the nurse document the position of the fetus?.

LOP.

ROA.

LOA.

ROP.

Answer and Explanation

The Correct Answer is B

Answer and explanation

Choice A rationale:

LOP (Left Occiput Posterior) would mean the baby’s occiput is towards the mother’s left and facing posteriorly, which is not the case here.

Choice B rationale:

ROA (Right Occiput Anterior) would mean the baby’s occiput is towards the mother’s right and facing anteriorly, which matches the description.

Choice C rationale:

LOA (Left Occiput Anterior) would mean the baby’s occiput is towards the mother’s left and facing anteriorly, which is not the case here.

Choice D rationale:

ROP (Right Occiput Posterior) would mean the baby’s occiput is towards the mother’s right and facing posteriorly, which is not the case here.

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Correct Answer is B

Explanation

Choice A rationale:

Bacterial vaginosis typically presents with a thin, grayish-white discharge with a fishy odor. It does not usually cause intense itching or dyspareunia.

Choice B rationale:

Candidiasis is characterized by a thick, white, cottage cheese-like vaginal discharge, intense itching, and dyspareunia. These symptoms align with the client’s presentation.

Choice C rationale:

Genital herpes simplex usually presents with painful blisters or ulcers in the genital area, not a thick, white discharge.

Choice D rationale:

Trichomoniasis often causes a frothy, yellow-green discharge with a fishy smell. Itching can occur, but the discharge is not typically thick and white.

A. Internal rotation. B. Flexion. C. Pronation. D. Abduction. E. Descent.

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

Explanation

Choice A rationale:

Internal rotation is a movement the fetus makes as it travels through the birth canal.

Choice B rationale:

Flexion is another movement that occurs as the fetus adjusts its position during labor.

Choice C rationale:

Pronation is not typically included in the description of fetal movements during labor and birth.

Choice D rationale:

Abduction is not a movement associated with the fetus’s journey through the birth canal.

Choice E rationale:

Descent is a key movement that occurs as the fetus moves down through the birth canal.

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Naxlex Comprehensive Predictor Exams

Assessment of a female client reveals a thick, white vaginal discharge. The client also reports intense itching and dyspareunia. Based on these findings, the nurse would suspect that the client has:.

Correct Answer is B

Explanation

A nurse is preparing a class for pregnant women about labor and birth. When describing the typical movements that the fetus goes through as it travels through the passageway, which movements would the nurse include? Select all that apply.

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

Explanation

While waiting for the placenta to deliver during the third stage of labor, the nurse must assess the new mother's vital signs every 15 minutes. What sign would indicate impending shock?.

During a follow-up prenatal visit, a pregnant woman asks the nurse, "How long do you think I will be in labor?" Which response by the nurse would be most appropriate?.

The nurse encourages a female client with human papillomavirus (HPV) to receive continued follow-up care because she is at risk for:.

A nurse is caring for several women in labor. The nurse determines that which woman is in the latent phase of labor?.

A nurse is explaining the fetus's position to a female client whose baby is in the frank breech position. Which statement by the client would indicate that the teaching was understood?.

A woman in labor received an opioid close to the time of birth. The nurse would assess the newborn for which effect?

A nurse strongly encourages a pregnant client to avoid eating swordfish and tilefish because these fish contain which component?.

When assessing a woman at follow-up prenatal visits, the nurse would anticipate which procedure to be performed?.