A pregnant patient asks the nurse why her provider prescribed progesterone supplements. The nurse explains that progesterone is important because it

Prevents uterine contractions to reduce the risk of miscarriage.

Stimulates fetal lung development.

Promotes dilation of the cervix during labor.

Increases milk production after delivery.

Answer and Explanation

The Correct Answer is A

A. Prevents uterine contractions to reduce the risk of miscarriage: Progesterone maintains uterine quiescence by relaxing smooth muscle and preventing premature contractions. It also supports implantation and sustains the endometrial lining, reducing the risk of early pregnancy loss and promoting fetal development.

B. Stimulates fetal lung development: Fetal lung maturity is primarily stimulated by corticosteroids, not progesterone. Betamethasone or dexamethasone is often administered to enhance surfactant production when preterm birth is anticipated.

C. Promotes dilation of the cervix during labor: Cervical dilation occurs due to increased prostaglandin activity and estrogen levels near term, not progesterone. In fact, progesterone helps maintain cervical firmness and closure during early and mid-pregnancy.

D. Increases milk production after delivery: Milk production is stimulated by prolactin following delivery when progesterone and estrogen levels drop. High progesterone during pregnancy actually inhibits lactation by blocking prolactin’s action on mammary glands.

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Correct Answer is D

Explanation

Fetal position is typically determined by the relationship of the fetal presenting part (usually the back of the head, or occiput) to the maternal pelvis. The baby's head is presenting, and the occiput (the small, diamond-shaped posterior fontanelle) is pointed toward the front. The occiput is pointed toward the mother's left side, toward the anterior (front) quadrant of the mother's pelvis. Therefore, the position is Left Occiput Anterior (LOA)

A. Prepare for immediate delivery of the placenta B. Limit vaginal examinations to reduce risk of infection during contractions C. Provide emotional support and coaching to the client during pushing efforts D. Assist the client into a position that maximizes comfort and fetal descent, such as semi-Fowler's or side-lying E. Encourage the client to push with contractions using controlled breathing and effort F. Monitor fetal heart rate every 15 minutes or more frequently if indicated

Correct Answer is ["B","C","D","E","F"]

Explanation

A. Prepare for immediate delivery of the placenta: The placenta is typically delivered during the third stage of labor, not the second. Preparing for its delivery at this point is premature; the focus should remain on supporting the mother and monitoring the fetus as the baby is delivered first.

B. Limit vaginal examinations to reduce risk of infection during contractions: Frequent vaginal exams increase the risk of introducing pathogens, especially after rupture of membranes. Limiting these assessments to essential times helps minimize infection risk.

C. Provide emotional support and coaching to the client during pushing efforts: Emotional reassurance and coaching help reduce maternal anxiety and improve pushing effectiveness. Encouraging, calm communication supports maternal confidence and promotes smoother delivery.

D. Assist the client into a position that maximizes comfort and fetal descent, such as semi-Fowler’s or side-lying: Maternal positioning enhances pelvic dimensions and facilitates fetal descent. Positions like semi-Fowler’s, squatting, or side-lying also improve comfort and maternal control during pushing.

E. Encourage the client to push with contractions using controlled breathing and effort: Coordinating pushing with contractions maximizes uterine efficiency and conserves energy. Controlled breathing prevents hyperventilation and helps maintain steady oxygenation.

F. Monitor fetal heart rate every 15 minutes or more frequently if indicated: Continuous or frequent fetal heart monitoring detects early signs of fetal distress. Regular assessment ensures timely intervention if complications such as bradycardia or decelerations occur during pushing

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A pregnant patient asks the nurse why her provider prescribed progesterone supplements. The nurse explains that progesterone is important because it

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Based on the picture, in what position is the fetal presenting part?

Correct Answer is D

Explanation

A nurse is caring for a laboring client who has reached the second stage of labor. Which nursing interventions are most appropriate during this stage? (Select All that Apply.)

Correct Answer is ["B","C","D","E","F"]

Explanation

The nurse caring for a patient in labor knows factors that affect the progression of labor and birth are: Select all that apply.

The nurse is caring for a client who visits the prenatal clinic stating she thinks she may be pregnant because she is able to feel the baby move. Which of the following statements by the nurse is an appropriate response?

A pregnant client asks the nurse about the safety of consuming alcohol during pregnancy. Which of the following is the nurse's best response?

A postpartum client sustained a fourth-degree perineal laceration during vaginal delivery. The nurse is developing a care plan focused on promoting healing and preventing complications. Which combination of interventions best addresses the unique challenges of this type of injury?

A woman complains of severe abdominal and pelvic pain around the time of menstruation that has gotten worse over the last 5 years. She also complains of pain during intercourse and has tried unsuccessfully to get pregnant for the past 18 months. These symptoms are most likely related to

Arrange the following cardinal movements of labor in the correct order that the fetus typically goes through during a vaginal birth: 1. Extension 2. Engagement 3. External rotation 4. Descent 5. Flexion 6, Internal rotation