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.

Answer and Explanation

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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Correct Answer is ["A","C","D"]

Explanation

Choice A rationale
Pitocin is used for augmentation of labor to increase uterine contractions' frequency and strength, enhancing labor progression in cases where labor is slow or stalled.
Choice B rationale
Pitocin does not increase prolactin receptor sites; instead, it focuses on enhancing uterine contractions during labor and addressing postpartum hemorrhage.
Choice C rationale
Pitocin is used for induction of labor to stimulate uterine contractions and initiate labor in women who need medical intervention for various reasons.
Choice D rationale
Pitocin helps decrease bleeding after delivery by promoting uterine contractions, which aid in reducing postpartum hemorrhage and expelling the placenta.

A. The bacteria cause perineal sepsis. B. The client is at risk for chorioamnionitis. C. The bacteria are sexually transmitted. D. The baby is at high risk for neonatal sepsis.

Correct Answer is D

Explanation

Choice A rationale
Group B Streptococcus (GBS) is not typically associated with perineal sepsis; rather, it is a bacterium that colonizes the gastrointestinal and genitourinary tracts.
Choice B rationale
While GBS colonization can pose risks, chorioamnionitis is a different infection involving the membranes and amniotic fluid, often caused by a variety of microorganisms, not solely GBS.
Choice C rationale
GBS is not primarily sexually transmitted; it is a bacterium naturally present in the genital and digestive tracts, and colonization can occur without sexual contact.
Choice D rationale
Neonatal sepsis is a serious risk for babies born to mothers colonized with GBS, necessitating antibiotic prophylaxis to prevent transmission and subsequent infection in the newborn.

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The nurse is aware that labor and birth will most likely proceed normally when the fetal position is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Pitocin is used for which of the following reasons in the L&D unit: (Select all that apply)

Correct Answer is ["A","C","D"]

Explanation

A physician writes the following order: administer ampicillin 1 g IV every 4 hours until delivery for a newly admitted client with ruptured membranes. The client had positive vaginal and rectal cultures for GBS+ at 36 weeks gestation. Which of the following is a rationale for this order?

Correct Answer is D

Explanation

Jana purchased an over-the-counter pregnancy test. The results were positive. The hormone responsible for a positive pregnancy test is:

When administering Pitocin, you should start at a low dose and work your way up slowly to a dose that provides the best contraction rate.

A woman is 15 weeks pregnant with her first baby. She asks how long it will be before she feels the baby move. The best answer is:

A pregnant client at 22 weeks’ gestation has a hematocrit of 35%. Pre-pregnancy hematocrit was 40%. Which of the following statements by the nurse best explains this change?

A woman at 40 weeks gestation calls the labor unit to see whether or not she should go to the hospital to be evaluated. Which of the following statements by the woman indicates that she is probably in labor and should proceed to the hospital?

The slight overlapping of cranial bones or shaping of the fetal head during labor is called:

A woman is in the second stage of labor with a strong urge to push. Which of the following actions by the nurse is appropriate at this time?