A client is in active labor.

Checking the EFM tracing, the nurse notes variables that are abnormal.

What would be the nurse's first nursing intervention?

Obtain assistance to check for a compressed umbilical cord.

Prepare the woman for an emergency cesarean birth.

Document the finding.

Help the woman change positions.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Checking for a compressed umbilical cord is important as it can cause fetal distress. However, it’s not the first step in response to abnormal EFM tracing.

Choice B rationale:

Preparing for an emergency cesarean birth might be necessary if the abnormality persists and indicates fetal distress. But it’s not the immediate first step.

Choice C rationale:

Documenting the finding is part of the nursing process, but immediate interventions to address the abnormality take precedence.

Choice D rationale:

Helping the woman change positions can relieve pressure on the umbilical cord, potentially resolving the abnormality. This is often the first intervention.

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Correct Answer is A

Explanation

Choice A rationale:

In the frank breech position, the baby’s hips are flexed, and the knees are extended.

Choice B rationale:

This describes a position where the baby’s hips are flexed and the knees are extended, which is not the frank breech position.

Choice C rationale:

This describes a position where both the baby’s hips and knees are extended, which is not the frank breech position.

Choice D rationale:

This describes a position where both the baby’s hips and knees are flexed, which is not the frank breech position.

A. Sign of breast development. B. Sexual experience. C. Menstrual period. D. Full hormonal cycle.

Correct Answer is C

Explanation

Choice A rationale:

The first sign of breast development is not menarche. It is a part of puberty, but it is not the definition of menarche.

Choice B rationale:

A woman’s first sexual experience is not menarche. Menarche refers to a specific biological event.

Choice C rationale:

Menarche is defined as a woman’s first menstrual period. This is the correct definition.

Choice D rationale:

A full hormonal cycle is not menarche. While the hormonal cycle is related to menstruation, it is not the definition of menarche.

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A client is in active labor. Checking the EFM tracing, the nurse notes variables that are abnormal. What would be the nurse's first nursing intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?.

Correct Answer is A

Explanation

After teaching a group of adolescent girls about female reproductive development, the nurse determines that teaching was successful when the girls state that menarche is defined as a woman's first:.

Correct Answer is C

Explanation

A client's membranes spontaneously ruptured, as evidenced by a gush of clear fluid with a contraction. What would the nurse do next?

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

The skull is the most important factor in relation to the labor and birth processes. The fetal skull must be small enough to travel through the bony pelvis. What feature of the fetal skull helps to make this passage possible?

If a fetus were not receiving enough oxygen during labor because of uteroplacental insufficiency, which pattern would the nurse anticipate seeing on the monitor?.

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

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

A client is in active labor.

Checking the EFM tracing, the nurse notes variables that are abnormal.

What would be the nurse's first nursing intervention?