The nurse is aware that labor and birth will most likely proceed normally when the fetal position is:
Occiput anterior.
Occiput posterior.
Mentum posterior.
Occiput transverse.
The Correct Answer is A
Choice A rationale
The occiput anterior position is optimal for labor and birth due to the fetal head's alignment with the maternal pelvis, reducing resistance and facilitating descent through the birth canal.
Choice B rationale
The occiput posterior position can lead to prolonged labor and increased discomfort because the fetal head does not align with the maternal pelvis as effectively as in the anterior position.
Choice C rationale
The mentum posterior position is uncommon and often requires medical intervention, as the chin-first presentation can obstruct labor progression and prevent the fetus from passing through the birth canal.
Choice D rationale
The occiput transverse position may result in a difficult labor due to the fetal head being oriented sideways, hindering descent and potentially necessitating medical assistance or operative delivery.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Bladder distention may cause discomfort and urinary issues but is not directly related to cervical dilation and effacement, which involve changes in the cervix to prepare for labor.
Choice B rationale
False labor involves irregular contractions that do not lead to cervical dilation and effacement. These are often called Braxton Hicks contractions and do not result in significant cervical changes.
Choice C rationale
The cervical mucus plug coming out, also known as the "bloody show," indicates that the cervix is beginning to dilate and efface, which are preparatory processes for labor to occur.
Choice D rationale
Lightening refers to the descent of the baby into the pelvis, which typically occurs in the later stages of pregnancy and does not directly involve cervical dilation and effacement processes.
Correct Answer is C
Explanation
Choice A rationale
Testosterone is primarily a male hormone and does not play a role in pregnancy detection. Its presence would not indicate pregnancy or contribute to a positive pregnancy test result.
Choice B rationale
Progesterone supports pregnancy by maintaining the uterine lining but is not the hormone detected by pregnancy tests. Its levels do rise in pregnancy, but it is not used as a marker for detection.
Choice C rationale
Human Chorionic Gonadotropin (HCG) is produced by the placenta shortly after fertilization. Its presence in urine or blood is the basis for positive pregnancy test results. Normal HCG levels rise rapidly in early pregnancy.
Choice D rationale
Estrogen levels increase during pregnancy, but like progesterone, it is not used for pregnancy detection. Estrogen supports various pregnancy-related functions but is not detected in pregnancy tests.
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