The nurse caring for a patient in labor knows factors that affect the progression of labor and birth are: Select all that apply.

voluntary bearing down efforts.

the shape of the woman's bony pelvis.

antibiotic administration for a GBS + patient.

size of the fetal head.

presentation of the fetus.

Answer and Explanation

Correct Answer : A,B,D,E

A. Voluntary bearing down efforts: The strength, timing, and coordination of the mother's pushing efforts significantly affect fetal descent and the progress of the second stage of labor. Ineffective bearing down can delay birth, while effective efforts promote smoother fetal expulsion.

B. The shape of the woman's bony pelvis: Pelvic shape and dimensions determine how easily the fetal head can pass through the birth canal. A gynecoid pelvis is most favorable, whereas android or platypelloid types can impede progress and increase labor complications.

C. Antibiotic administration for a GBS + patient: While antibiotics are essential for preventing neonatal infection, they do not influence the physical mechanics or progression of labor. Their purpose is prophylactic rather than to affect the labor process itself.

D. Size of the fetal head: A large fetal head relative to the maternal pelvis can lead to cephalopelvic disproportion, slowing or arresting labor progress. Optimal fit between fetal head size and pelvic dimensions promotes efficient descent and delivery.

E. Presentation of the fetus: The way the fetus enters the pelvis—whether cephalic, breech, or face presentation—directly affects labor progression. Cephalic presentation, especially occiput anterior, allows for smoother navigation through the pelvis.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is ["C","D","E","F"]

Explanation

A. Progestin-only pills (mini-pill): Although safer than combined oral contraceptives for smokers, this option requires strict daily adherence at the same time each day. Because the client frequently forgets to take daily medications, this method is not ideal for her lifestyle.

B. Combined oral contraceptive pills (COCs): COCs are contraindicated in women under 35 who smoke due to an increased risk of thromboembolic events. Additionally, her difficulty with medication adherence makes this method unreliable and potentially unsafe.

C. Copper intrauterine device (Paragard): The copper IUD is hormone-free, highly effective, and long-acting for up to 10 years. It requires minimal maintenance once inserted, making it an excellent choice for a young woman seeking long-term contraception without daily responsibility.

D. Nexplanon (subdermal implant): This implant provides up to 3 years of highly effective contraception and requires no daily action. It is safe for smokers and ideal for clients preferring a low-maintenance option.

E. Male condoms: Condoms are accessible, protect against sexually transmitted infections, and can be used in combination with another method for dual protection. They are an appropriate recommendation for any sexually active individual.

F. Depo-Provera (DMPA) injection every 3 months: The Depo-Provera injection offers long-acting contraception with infrequent dosing. It is a suitable choice for someone who forgets daily pills and is safe for smokers, though it requires quarterly clinic visits.

G. Fertility awareness methods: These methods require consistent tracking of ovulation signs and daily attention. Given the client’s history of irregular menses and difficulty with daily adherence, this method would be unreliable and inappropriate.

A. The surfactant layer increases alveolar surface tension to stabilize the alveoli during both inhalation and exhalation, preventing overexpansion of the lungs and ensuring steady oxygen diffusion. B. Surfactant is secreted continuously from the fetal trachea throughout gestation to lubricate airways and enhance mucus clearance, facilitating respiratory function immediately after birth. C. Surfactant production peaks at 20 weeks gestation and remains stable throughout pregnancy: therefore, preterm infants born after this point typically do not experience respiratory complications related to lung immaturity. D. Pulmonary surfactant production begins between 24 to 28 weeks gestation, primarily from type II alveolar cells: its primary role is to lower alveolar surface tension, preventing atelectasis and promoting lung compliance, which is critical for effective gas exchange after birth.

Correct Answer is D

Explanation

A. surfactant actually reduces alveolar surface tension, allowing alveoli to expand more easily during inhalation and preventing collapse during exhalation, rather than increasing tension.

B. Surfactant is not primarily for airway lubrication or mucus clearance. Its main role is to lower alveolar surface tension to prevent collapse and facilitate lung compliance.

C. Surfactant production does not peak at 20 weeks. It begins around 24 weeks, with significant amounts produced after 32–34 weeks, which is why preterm infants are at high risk for respiratory distress syndrome.

D. This statement accurately describes the timing of surfactant production, the source (type II alveolar cells), its physiological function, and its clinical significance in preventing respiratory distress in neonates.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse caring for a patient in labor knows factors that affect the progression of labor and birth are: Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Read Chart Tab with patient history and select all that apply. Based on the client's history and preferences, which contraceptive methods would be most appropriate for the nurse to recommend? (Select All that Apply).

Correct Answer is ["C","D","E","F"]

Explanation

Correct Answer is D

Explanation

A nurse is assessing a laboring client at term. The provider reports that the fetus is in a longitudinal lie based on abdominal palpation and ultrasound findings. Which fetal presentations are most consistent with a longitudinal lie? Select all that apply.

A nurse is caring for a laboring client who has weak and infrequent uterine contractions. To improve the effectiveness of labor, the nurse expects the provider to order administration of ___________, a medication that stimulates stronger uterine contractions.

A couple presents to the clinic with concerns about infertility after trying to conceive for 14 months without success. The nurse knows which of the following is the most appropriate initial response?

The nurse caring for a patient in labor knows factors that affect the progression of labor and birth are: Select all that apply.

You are admitting a pregnant female. She tells you she has 3 children. She has 3-year-old twins that were born at 35 weeks but her 8-year-old was born at 40 weeks. She also tells you she has not had any abortions or miscarriages. What is her GTPAL?

A client presents to the clinic reporting a missed period and a positive home pregnancy test. The nurse explains the mechanism of pregnancy tests detect the presence of _________ in urine or blood.

Arrange the following cardinal movements of labor in the correct order that the fetus typically goes through during a vaginal birth: 1. Extension 2. Engagement 3. External rotation 4. Descent 5. Flexion 6, Internal rotation

During the initial assessment of a newborn, the nurse observes that the umbilical cord contains two arteries and one vein. Which nursing action is most appropriate?