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 A
Explanation
Choice A rationale
Dyspnea, or difficulty breathing, is a serious adverse effect of terbutaline that should be reported to the provider. Terbutaline can cause bronchospasm and pulmonary edema, leading to respiratory distress.
Choice B rationale
Headaches are a common side effect of terbutaline but are not considered a serious adverse effect that requires immediate reporting to the provider.
Choice C rationale
Nervousness is a common side effect of terbutaline and is usually mild. It does not require immediate reporting to the provider unless it becomes severe.
Choice D rationale
Tremors are a common side effect of terbutaline and are usually mild. They do not require immediate reporting to the provider unless they become severe.
Correct Answer is C
Explanation
Choice A rationale
Maternal fever due to chorioamnionitis would show maternal signs of infection and not directly indicate fetal heart rate changes typical of umbilical cord prolapse.
Choice B rationale
Compression due to lack of amniotic fluid (oligohydramnios) typically shows variable decelerations on the fetal monitoring strip but is not urgent without other symptoms.
Choice C rationale
Umbilical cord prolapse is an urgent condition where the umbilical cord slips ahead of the fetus and can be indicated by sudden severe variable decelerations on the fetal monitor strip, requiring immediate intervention.
Choice D rationale
Progression of the fetal head through the vaginal canal shows a gradual change in the fetal heart rate and not the sudden pattern seen with cord prolapse.
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