Using Leopold's Maneuvers, the fetus is found to be with its occiput facing toward the left maternal spine.
The mother is complaining of increased back labor pain.
The nurse knows that the fetus is in which position?
Left occiput anterior.
Right occiput posterior.
Left occiput posterior.
Right occiput anterior.
The Correct Answer is C
Choice A rationale
Left occiput anterior (LOA) describes the occiput facing toward the front left of the maternal pelvis, not the back. LOA typically does not cause back labor.
Choice B rationale
Right occiput posterior (ROP) describes the occiput facing toward the back right of the maternal pelvis, not the left. ROP can cause back labor but is not aligned with the described position.
Choice C rationale
Left occiput posterior (LOP) means the occiput is facing the back left of the maternal pelvis, aligning with the description and commonly causing back labor pain.
Choice D rationale
Right occiput anterior (ROA) describes the occiput facing the front right of the maternal pelvis, not the left. ROA is not associated with increased back labor pain. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Reducing carbohydrate intake is part of dietary management in gestational diabetes.
Choice B rationale
Women with gestational diabetes have an increased risk of developing type 2 diabetes later in life.
Choice C rationale
Increasing exercise is beneficial for managing blood sugar levels in gestational diabetes.
Choice D rationale
Glyburide is not typically the first-line treatment for gestational diabetes; insulin is often recommended for better control.
Correct Answer is D
Explanation
Choice A rationale
Observing the perineum for signs of crowning is important, but it doesn’t address the immediate need to manage the client’s urge to push. By the time crowning is visible, delivery is imminent, and the urge to push should have been managed earlier.
Choice B rationale
Helping the client to the bathroom to void might relieve some pressure but is not the immediate priority when the client feels the urge to push. Voiding can wait until contractions are managed.
Choice C rationale
Assisting the client into a supine position is not ideal for managing the urge to push. A supine position can increase discomfort and does not facilitate optimal delivery dynamics.
Choice D rationale
Assisting the client with quick shallow breathing helps manage the urge to push and prevents premature pushing, reducing the risk of cervical injury and aiding controlled delivery.
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