Based on the picture, in what position is the fetal presenting part?
Left Occiput Posterior
Right Occiput Anterior
Right Occiput Posterior
Left Occiput Anterior
The Correct Answer is D
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)
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Naxlex Comprehensive Predictor Exams
Related Questions
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
Correct Answer is C
Explanation
A. Eating disorders can cause amenorrhea due to low body fat and hormonal imbalance, but they are less common causes compared to pregnancy. The hypothalamic-pituitary-ovarian axis is suppressed in severe nutritional deficiency.
B. Stress can lead to temporary amenorrhea through hypothalamic suppression and disruption of gonadotropin-releasing hormone, but it is not the most frequent cause in reproductive-age women.
C. Pregnancy is the most common and primary cause of secondary amenorrhea because elevated human chorionic gonadotropin (hCG) levels suppress ovulation and menstruation. A pregnancy test is always the first diagnostic step.
D. Excessive exercise can result in amenorrhea due to decreased energy availability and altered gonadotropin levels, but it accounts for fewer cases compared to pregnancy in the general population.
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