A nurse is providing care to a client in labor.
A pelvic exam reveals a vertex presentation with the presenting part tilted toward the left side of the mother's pelvis and directed toward the anterior portion of the pelvis.
When developing this client's plan of care, which intervention would the nurse include?
Implementing measures for a vaginal birth.
Instituting continuous internal fetal monitoring.
Assisting with artificial rupture of the membranes.
Preparing the client for a cesarean birth.
The Correct Answer is A
Choice A rationale:
Implementing measures for a vaginal birth is a reasonable intervention as the baby is in a favorable position for a normal delivery.
Choice B rationale:
Continuous internal fetal monitoring is not necessary unless there are complications or high-risk factors present.
Choice C rationale:
Artificial rupture of the membranes can be done to induce or augment labor, but it’s not necessary in this case.
Choice D rationale:
Preparing for a cesarean birth is not necessary as the baby is in a favorable position for a vaginal birth.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
While placental abruption is a serious condition, it is not directly linked to high HbA1c levels in early pregnancy.
Choice B rationale:
Congenital anomalies are a significant concern for pregnancies with high HbA1c levels, as high blood sugar around the time of conception increases the risk of birth defects.
Choice C rationale:
Placenta previa is not directly associated with high HbA1c levels in early pregnancy.
Choice D rationale:
An incompetent cervix is not directly linked to high HbA1c levels in early pregnancy.
Correct Answer is ["A","B","D"]
No explanation
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