During the delivery, which fetal position would be considered optimal for a vaginal birth?

Occiput anterior.

Occiput posterior.

Breech.

Transverse.

Answer and Explanation

The Correct Answer is A

Choice A rationale
The occiput anterior (OA) position is considered the optimal fetal position for vaginal birth. In this position, the baby’s head is down, and the back of the head (occiput) is facing the mother’s front. This position allows for the most efficient passage through the birth canal.
Choice B rationale
The occiput posterior (OP) position, where the baby’s head is down but facing the mother’s back, can lead to a longer and more painful labor. It is not considered optimal for vaginal birth.
Choice C rationale
Breech positions, where the baby’s buttocks or feet are positioned to come out first, are not optimal for vaginal birth and often require a cesarean section due to the increased risk of complications.
Choice D rationale
The transverse position, where the baby is lying sideways across the uterus, is not suitable for vaginal birth. This position typically requires a cesarean section to safely deliver the baby.

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Correct Answer is B

Explanation

Choice A rationale
Providing ice chips or mouth swabs can help keep the client comfortable and hydrated, but it is not the priority action when administering pain medication.
Choice B rationale
Assessing and documenting maternal vital signs and fetal heart rate after administering Fentanyl is crucial. This ensures that the medication is not causing any adverse effects on the mother or fetus and that both are stable.
Choice C rationale
Dimming the lights and providing a quiet atmosphere can help create a calming environment, but it is not the priority action when administering pain medication.
Choice D rationale
Assisting the patient with coping skills, including breathing techniques, is important for managing pain, but it is not the priority action when administering pain medication.

A. Presence of late decelerations. B. Variability in fetal heart rate of 12 bpm. C. Accelerations in fetal heart rate. D. Baseline fetal heart rate of 140 bpm.

Correct Answer is A

Explanation

Choice A rationale
Late decelerations are a sign of uteroplacental insufficiency and fetal hypoxia. They occur after the peak of a contraction and indicate that the fetus is not receiving enough oxygen. This requires immediate intervention to improve fetal oxygenation and prevent fetal distress.
Choice B rationale
Variability in fetal heart rate of 12 bpm is considered moderate variability, which is a reassuring sign of fetal well-being. It indicates that the fetus has a healthy autonomic nervous system and is not in distress.
Choice C rationale
Accelerations in fetal heart rate are also a reassuring sign. They indicate that the fetus is well-oxygenated and responding appropriately to stimuli. No intervention is needed for accelerations.
Choice D rationale
A baseline fetal heart rate of 140 bpm is within the normal range (110-160 bpm) and does not indicate any immediate concern. It is a sign of a healthy, well-oxygenated fetus.

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During the delivery, which fetal position would be considered optimal for a vaginal birth?

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

When interpreting a fetal monitoring tracing, which of the following findings would require the nurse to intervene?

Correct Answer is A

Explanation

The labor and delivery nurse is caring for a client in active labor. The nurse notes the fetal heart rate baseline is 175 bpm, moderate variability. Accelerations are absent and no decelerations noted. How should the nurse describe this tracing to the medical provider?

A nurse is caring for a client who is pregnant. The client’s vital signs are as follows: Temperature 37.2°C (98.9°F), Pulse rate 80/min, Respiratory rate 16/min, Blood Pressure 120/69 mm Hg. What should the nurse monitor next?

A nurse is caring for a client who is in the first stage of labor. Which of the following best describes the pathophysiology of early decelerations?

A nurse is preparing to administer Terbutaline 0.25 mg SQ to a client for tachysystole. Available is terbutaline injection 5 mg/mL. How many mL should the nurse administer? (Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is caring for a client who is having a nonstress test. The fetal heart rate (FHR) baseline is 130 bpm, there is moderate variability, but there have been no accelerations or fetal movement. Which of the following actions should the nurse complete next?

A client has received MSAFP test result. The client is requesting additional testing to determine whether the fetus has a chromosomal abnormality. Which of the following antenatal tests would the nurse anticipate the provider will order?