A pregnant woman asks the nurse, "Will I be able to have a vaginal delivery?" The nurse knows that which type of female pelvis is optimal for passage of the fetal head?

Gynecoid

Platypelloid

Android

Anthropoid

Answer and Explanation

The Correct Answer is A

A. The gynecoid pelvis is considered the most favorable for vaginal delivery due to its rounded shape, wide pelvic inlet, and spacious dimensions, which facilitate the passage of the fetal head.

B. The platypelloid pelvis is flat and wide, often posing challenges for vaginal delivery due to its narrow anteroposterior diameter.

C. The android pelvis has a heart-shaped inlet, making it less favorable for vaginal delivery as it can cause difficulty in fetal descent.

D. The anthropoid pelvis has an oval shape and is more favorable for vaginal delivery than android or platypelloid pelves, but it is still less optimal compared to the gynecoid pelvis.

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Correct Answer is A

Explanation

A. 110 to 160/min is the normal range for a fetal heart rate at 12 weeks of gestation. The fetal heart rate tends to be higher early in pregnancy and stabilizes within this range by the second trimester.

B. 100 to 110/min is too low for a normal fetal heart rate.

C. 160 to 190/min is above the normal range and may suggest tachycardia, which requires further investigation.

D. 80 to 100/min is too low for a typical fetal heart rate and would be considered bradycardia, which could indicate a concern.

A. Decreased procoagulant factors during pregnancy increases the risk for blood clots. B. Increased natural anticoagulants during pregnancy increases the risk for blood clots. C. Increased blood plasma volume during pregnancy increases the risk for blood clots. D. Increased platelets during pregnancy increases the risk for blood clots.

Correct Answer is C

Explanation

A. Procoagulant factors, not decreased procoagulant factors, increase during pregnancy, which contributes to a hypercoagulable state.

B. Natural anticoagulants, such as antithrombin, tend to decrease during pregnancy, which actually heightens the risk of clot formation rather than mitigating it.

C. Increased blood plasma volume and elevated levels of clotting factors during pregnancy contribute to a hypercoagulable state. This adaptation helps prevent excessive bleeding during childbirth but also increases the risk of thrombosis.

D. Platelet counts do not typically increase during pregnancy; in fact, they may slightly decrease due to hemodilution, though their function remains intact.

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A pregnant woman asks the nurse, "Will I be able to have a vaginal delivery?" The nurse knows that which type of female pelvis is optimal for passage of the fetal head?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is at 12 weeks of gestation during an initial prenatal visit. The client asks, "What is a normal fetal heart rate?" Which of the following ranges should the nurse provide?

Correct Answer is A

Explanation

A nurse in a provider's office is caring for a client who is at 8 weeks of gestation and asks about increased risk for blood clots. Which of the following statements should the nurse make?

Correct Answer is C

Explanation

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