A nurse begins her shift on the obstetrical unit and observes several new admissions.
The nurse understands the client with which of the following conditions would be a candidate for induction of labor?
Preeclampsia.
Transverse fetal lie.
Vasa previa.
Active genital herpes.
The Correct Answer is A
Choice A rationale
Preeclampsia is a condition that can pose significant risks to both the mother and baby if labor is not induced. Induction of labor may be necessary to prevent complications such as eclampsia, HELLP syndrome, or other severe hypertensive disorders.
Choice B rationale
Transverse fetal lie is a condition where the baby is positioned horizontally in the uterus, which makes vaginal delivery impossible. This condition requires a cesarean section, not induction of labor.
Choice C rationale
Vasa previa is a condition where fetal blood vessels cross or run near the internal opening of the uterus. This can result in severe hemorrhage if the membranes rupture, so a cesarean section is usually planned rather than induction of labor.
Choice D rationale
Active genital herpes poses a risk of transmitting the virus to the baby during a vaginal delivery. Cesarean section is recommended to prevent neonatal herpes infection, not induction of labor.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["54"]
Explanation
Step 1 is: (70 + 60 + 50) × 3 ÷ 10
Step 2 is: (180) × 3 ÷ 10
Step 3 is: 540 ÷ 10
The total Montevideo units for this client is 54.
Correct Answer is C
Explanation
Choice A rationale
Fetal polydactyly is the presence of extra fingers or toes. This condition does not affect the progress of labor or lead to dystocia, as it doesn't impact the size, position, or descent of the fetus through the birth canal.
Choice B rationale
The occiput anterior cephalic position is the ideal fetal position for labor. It allows the widest part of the fetal head to fit through the pelvis most easily, reducing the likelihood of labor dystocia.
Choice C rationale
An estimated fetal weight of 4600 grams (macrosomia) can lead to labor dystocia. A larger fetus may have difficulty passing through the maternal pelvis, causing obstructed labor.
Choice D rationale
Fetal hydronephrosis refers to the swelling of the kidney due to urine buildup. While this can be a significant health concern, it does not typically impact the labor process directly.
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