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.
Extension.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Cervical dilation is the major change occurring during the first stage of labor. This stage begins with the onset of labor and ends when the cervix is fully dilated.
Choice B rationale:
Fetal movement through the birth canal primarily occurs during the second stage of labor, not the first.
Choice C rationale:
Placental separation occurs during the third stage of labor, after the baby is born.
Choice D rationale:
Regular contractions do occur during the first stage of labor, but they are not the major change. The major change is cervical dilation.
Correct Answer is B
Explanation
Choice A rationale:
Informing the family of the need for information is important, but it is not the most important aspect when working with a family who suspects they could bear a child with a genetic abnormality.
Choice B rationale:
Presenting the information in a factual, nondirective manner is the most important aspect. This allows the family to make informed decisions based on accurate information without being influenced by the nurse’s personal beliefs or opinions.
Choice C rationale:
Maintaining the confidentiality of the information is a standard nursing practice and while it is important, it is not the most important aspect in this scenario.
Choice D rationale:
Gathering information for three generations can provide valuable insight into the family’s genetic history, but it is not the most important aspect in this scenario.
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