The 5 factors that affect and define the labor and birth process are:
Presentation, latent phase, powers, position and attitude
Passenger, passageway, powers, position and psychological response
Passenger, presentation, lie, attitude and station
Passageway, presentation. powers, contractions and position
The Correct Answer is B
A. Presentation, latent phase, powers, position and attitude. While "presentation," "powers," and "position" are relevant, the "latent phase" is a stage of labor, not a factor that affects the labor process. "Attitude" refers to the fetal posture but does not cover the entire process.
B. Passenger, passageway, powers, position and psychological response: These five factors are key components that affect labor and birth: Passenger: The fetus and placenta. Passageway: The birth canal. Powers: The contractions. Position: The mother’s position during labor. Psychological response: The mother’s emotional state during labor.
C. Passenger, presentation, lie, attitude and station: These terms describe aspects of the fetus's position and movement, but they do not encompass all the factors affecting labor.
D. Passageway, presentation, powers, contractions and position: This is close, but "psychological response" is missing, which is one of the essential components affecting labor.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Nothing—this is a normal finding. Fetal heart rate accelerations are reassuring and indicate good fetal oxygenation and well-being. No intervention is needed.
B. Place patient on her left side. Changing position is an intervention for decelerations or abnormal fetal heart rate patterns, not for accelerations.
C. Give oxygen: Oxygen is administered in cases of fetal distress, such as prolonged decelerations or bradycardia, but not for normal accelerations.
D. Call provider. Accelerations are a positive sign, and there is no need to call the provider for this normal finding.
Correct Answer is B
Explanation
A. Take the client's temperature. Monitoring the client's temperature for signs of infection is important, but it is not the priority immediately following an amniotomy. Infection typically develops over time.
B. Check the fetal heart rate pattern. The priority after an amniotomy is to assess the fetal heart rate to detect any signs of umbilical cord prolapse or fetal distress, which can occur immediately after rupture of membranes.
C. Observe the color and consistency of amniotic fluid. Although it is important to observe amniotic fluid for abnormalities (e.g., meconium staining), the immediate priority is fetal heart rate monitoring.
D. Evaluate the client for signs of infection. Signs of infection should be monitored, but they are not the priority right after amniotomy.
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