A 30-year-old pregnant woman is in labor, and the obstetrician suspects that there might be a complication with the progression of labor due to the fetus. Which fetal issue is most likely causing this complication?
Small for gestational age.
Fetal macrosomia.
Intrauterine growth restriction.
Fetal anemia.
The Correct Answer is B
Choice B rationale
Fetal macrosomia, defined as birth weight above 4,000 grams, can complicate labor due to increased risk of shoulder dystocia, prolonged labor, and cesarean delivery. Proper management of macrosomia is critical for maternal and neonatal outcomeChoice s.
Choice A rationale
Small for gestational age (SGA) fetuses, although growth-restricted, typically do not pose mechanical issues in labor. The primary concerns involve potential preterm birth, low birth weight, and associated neonatal complications, not labor obstruction.
Choice C rationale
Intrauterine growth restriction (IUGR) fetuses are smaller than expected for gestational age but do not generally cause labor obstruction. IUGR primarily raises concerns about fetal well-being and potential complications, not mechanical labor issues.
Choice D rationale
Fetal anemia, although serious, does not typically affect the mechanical aspects of labor progression. It can lead to fetal hypoxia and distress, requiring close monitoring and potentially earlier delivery, but not labor complications related to size.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
A positive contraction stress test shows that fetal heart rate decelerations occur with contractions, indicating potential issues with uteroplacental blood flow and not a smooth delivery.
Choice B rationale
A positive result is concerning and necessitates further monitoring and possible interventions to ensure fetal health, rather than being a normal finding.
Choice C rationale
A positive contraction stress test raises concerns about fetal well-being due to heart rate decelerations with contractions, which could indicate uteroplacental insufficiency.
Choice D rationale
Positive contraction stress test means the fetus experiences heart rate decelerations with contractions, suggesting uteroplacental insufficiency and potential risk for fetal compromise during labor.
Correct Answer is B
Explanation
Choice A rationale
Cord compression typically causes variable decelerations on the monitor, which are abrupt decreases in fetal heart rate, often with a U, V, or W shape.
Choice B rationale
Head compression leads to early decelerations, which are gradual decreases in fetal heart rate occurring with contractions. This pattern indicates head compression during labor.
Choice C rationale
Placental insufficiency results in late decelerations, where the fetal heart rate decreases after the peak of a contraction. This pattern suggests compromised placental blood flow.
Choice D rationale
Reactive NST (Non-Stress Test) indicates fetal well-being and is characterized by fetal heart rate accelerations, not decelerations.
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