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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A decrease in saliva production may aggravate the disorder is incorrect. While excessive salivation (ptyalism) is a symptom of hyperemesis gravidarum, a decrease in saliva production is not the primary factor contributing to the disorder.
B. Decreasing gastric secretions lead to increased nausea is incorrect. While nausea and vomiting are key features of hyperemesis gravidarum, the decrease in gastric secretions does not directly cause it. The disorder is typically associated with an increase in hCG, dehydration, and electrolyte imbalances.
C. An increase in human chorionic gonadotropin (hCG) levels may contribute to this disorder is correct. Hyperemesis gravidarum is often linked to elevated levels of hCG, a hormone produced during pregnancy, which may lead to increased nausea and vomiting.
D. Symptoms begin and are most severe during the second trimester of pregnancy is incorrect. Hyperemesis gravidarum typically presents in the first trimester and may improve after that, although severe cases can last longer.
Correct Answer is B
Explanation
A. Possible signs of pregnancy are not a recognized classification in obstetrics; signs are categorized as presumptive, probable, or positive.
B. Feeling fetal movement, or quickening, is a presumptive sign of pregnancy because it is subjective and can be influenced by other factors, such as gastrointestinal activity or perception errors.
C. Probable signs are objective findings observed by a healthcare provider, such as a positive pregnancy test or uterine enlargement, not based on the woman's report.
D. Positive signs of pregnancy are definitive and include visualizing the fetus on ultrasound or hearing the fetal heartbeat through Doppler, neither of which relies on subjective feelings.
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