A nurse is providing care to a woman in labor.

After the assessment of the fetus, the nurse documents the fetal lie.

Which term would the nurse use?

Cephalic.

Flexion.

Longitudinal.

Extension.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Cephalic refers to the presentation of the fetus, not the lie. The lie refers to the orientation of the fetus in relation to the mother’s spine.

Choice B rationale:

Flexion refers to the attitude or posture of the fetus, not the lie.

Choice C rationale:

Longitudinal is the term used to describe the fetal lie when the fetus is aligned with the mother’s spine, either head down (cephalic) or buttocks down (breech).

Choice D rationale:

Extension refers to the attitude or posture of the fetus, not the lie.

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

Explanation

Choice A rationale:

Cervical effacement of 30% is more indicative of the early phase of labor, not the active phase. In the active phase, effacement is usually 80-100%.

Choice B rationale:

A strong desire to push is usually associated with the transition phase of labor, not the active phase.

Choice C rationale:

Contractions every 90 seconds could be indicative of the active phase, but this can vary between individuals.

Choice D rationale:

Cervical dilation of 6 cm is indeed indicative of the active phase of labor, which is typically characterized by cervical dilation of 4-7 cm.

Choice E rationale:

Contractions every 2 to 3 minutes are common in the active phase of labor.

A. Back of the hand. B. Finger tips. C. Palm of the hand. D. Finger pads. E. Finger pads.

Correct Answer is C

Explanation

Choice A rationale:

The back of the hand is sensitive to temperature, not pressure, making it less suitable for assessing contraction intensity.

Choice B rationale:

Finger tips are sensitive and can detect small changes, but they may not cover a large enough area to accurately assess contraction intensity.

Choice C rationale:

The palm of the hand covers a larger area and can better gauge the overall firmness of the uterus.

Choice D rationale:

Finger pads are sensitive to texture, not pressure, making them less suitable for this task.

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A nurse is providing care to a woman in labor. After the assessment of the fetus, the nurse documents the fetal lie. Which term would the nurse use?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing care to a woman in labor. The nurse determines that the client is in the active phase based on which assessment findings? Select all that apply.

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

Explanation

A nurse palpates a woman's fundus to determine contraction intensity. What would be most appropriate for the nurse to use for palpation?.

Correct Answer is C

Explanation

A nurse is assessing a woman in labor. Which finding would the nurse identify as a cause for concern during a contraction?.

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

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A nurse is providing care to a woman in labor.

After the assessment of the fetus, the nurse documents the fetal lie.

Which term would the nurse use?