A 34-week pregnant patient and her partner come to the prenatal clinic feeling nervous about the upcoming delivery and baby care.
Which classes would the nurse recommend to build confidence, manage anxiety, and prepare for labor?

Newborn care.

Early prenatal care.

Preconception care.

Prenatal exercise.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Newborn care classes are specifically designed to provide evidence-based education on caring for an infant after delivery. These classes cover topics such as diapering, bathing, cord care, and recognizing signs of illness. For parents feeling nervous about baby care, these sessions provide hands-on practice and information that builds self-efficacy and reduces anxiety. This is the most appropriate recommendation for a couple specifically expressing concern about their ability to care for the upcoming baby.

Choice B rationale

Early prenatal care refers to the initial medical visits during the first trimester to monitor the health of the mother and fetus. At 34 weeks gestation, the patient is already in the third trimester, making early prenatal care classes irrelevant. While these classes cover nutrition and fetal development, they do not focus on the immediate practical skills of labor management or infant care that this couple requires in the final weeks of the pregnancy.

Choice C rationale

Preconception care is the medical care a woman receives before she becomes pregnant. Its goal is to identify and modify biomedical, behavioral, and social risks to a woman's health or pregnancy outcome through prevention and management. Since the patient is currently 34 weeks pregnant, this stage of care has long passed. Recommending preconception care does not address her current anxiety regarding the imminent delivery or the practicalities of newborn care.

Choice D rationale

Prenatal exercise classes focus on maintaining maternal physical fitness, improving circulation, and potentially easing some of the discomforts of pregnancy. While physical activity is generally beneficial, these classes do not provide the comprehensive education needed to manage anxiety regarding the labor process or the specifics of neonatal care. Exercise is a supplemental health activity rather than a primary educational tool for building confidence in delivery and infant care skills.

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Correct Answer is C

Explanation

Choice A rationale

The platypelloid pelvis is characterized by a flat shape that is widened transversely but narrow in the anteroposterior diameter. This configuration is relatively rare, occurring in less than 3 percent of women. It often leads to a persistent transverse position of the fetal head, which can significantly hinder the initiation of labor and the descent of the fetus through the pelvic inlet, making it unfavorable for a standard vaginal delivery compared to other types.

Choice B rationale

An anthropoid pelvis features an oval shape that is wider in the anteroposterior diameter than the transverse diameter. While vaginal delivery is certainly possible with this pelvic type, it often results in the fetus assuming an occiput posterior position. This can lead to a longer labor process and may require more intensive nursing interventions. It represents about 20 to 25 percent of pelvic shapes in women but is not the most ideal for birth.

Choice C rationale

The gynecoid pelvis is the classic female pelvic shape, found in approximately 50 percent of women. It features a round pelvic inlet, a spacious midpelvis, and a wide pubic arch. These anatomical characteristics provide the most optimal diameters for the fetal head to navigate the birth canal during the mechanisms of labor. Because it offers the least resistance to the descending passenger, it is clinically classified as the most favorable for a vaginal birth.

Choice D rationale

An android pelvis resembles the typical male pelvis, with a heart-shaped inlet and narrow dimensions in the midpelvis and outlet. It is found in about 20 percent of women and is associated with a higher incidence of cephalopelvic disproportion. Labor in these patients often progresses slowly and frequently requires instrumental assistance or a cesarean section because the narrow pubic arch and converged sidewalls do not easily accommodate the passage of a full-term fetus.

A. Hegar sign. B. Chadwick sign. C. Goodell sign. D. McDonald sign.

Correct Answer is A

Explanation

Choice A rationale

Hegar sign is the softening and compressibility of the lower uterine segment, which is the isthmus. This typically occurs around 6 to 12 weeks of gestation and is identified during a bimanual examination. It is a probable sign of pregnancy resulting from increased pelvic congestion and hormonal influences on connective tissue. The nurse documents this specific finding when the lower part of the uterus feels thin and soft compared to the firmer cervix and fundus.

Choice B rationale

Chadwick sign refers to the bluish-purple discoloration of the vaginal mucosa and cervix. This occurs as early as 6 to 8 weeks of pregnancy due to increased vascularity and pelvic congestion stimulated by estrogen. While it is a probable sign of pregnancy, it describes a visual color change rather than the tactile softening of the lower uterine segment. It is often one of the first physical signs noted by a practitioner during a speculum examination in early prenatal care.

Choice C rationale

Goodell sign is the softening of the cervical tip, which is often compared to the feeling of an earlobe or lips rather than the firm tip of the nose. This change usually becomes evident around the beginning of the second month of pregnancy. This softening is caused by increased vascularity, hypertrophy, and hyperplasia of the cervical glands. While it is an objective probable sign, it specifically describes the cervix rather than the lower uterine segment or isthmus.

Choice D rationale

McDonald sign is characterized by the ease with which the body of the uterus can be flexed against the cervix. This occurs because of the softening of the uterine isthmus, similar to Hegar sign, but it specifically refers to the flexibility or hinging effect noted during bimanual manipulation. While related to the softening of the uterine tissues, it is a distinct clinical finding used to assess the progress of pregnancy-related anatomical changes during a comprehensive pelvic examination.

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A 34-week pregnant patient and her partner come to the prenatal clinic feeling nervous about the upcoming delivery and baby care. Which classes would the nurse recommend to build confidence, manage anxiety, and prepare for labor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the prenatal record of a laboring woman. The clinical pelvimetry notes indicate the woman has a round pelvic inlet with a spacious midpelvis and outlet. This pelvic type is most favorable for vaginal birth and is classified as:

Correct Answer is C

Explanation

During a prenatal examination at 8 weeks gestation, the nurse practitioner notes that the lower uterine segment feels remarkably soft on bimanual examination. When documenting this probable sign of pregnancy, the nurse should record this finding as:

Correct Answer is A

Explanation

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A 34-week pregnant patient and her partner come to the prenatal clinic feeling nervous about the upcoming delivery and baby care.
Which classes would the nurse recommend to build confidence, manage anxiety, and prepare for labor?