What is an important factor to consider when analyzing labor progression?

Number of previous pregnancies

Maternal age

Gestational weight gain

Fetal size

Answer and Explanation

The Correct Answer is D

A. Number of previous pregnancies: While previous pregnancies can influence labor speed (multiparous clients often progress faster), it is not the most critical factor in assessing labor progression.

B. Maternal age: Advanced maternal age may increase labor complications, but it does not directly determine labor progression.

C. Gestational weight gain: Excessive weight gain can impact fetal size, but it is not the primary factor affecting labor progression.

D. Fetal size: Fetal size plays a significant role in labor progression. A large fetus may cause cephalopelvic disproportion (CPD), leading to slow or arrested labor, whereas a smaller fetus may allow for quicker labor progression.

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Correct Answer is ["A","B","D","E"]

Explanation

A. Anomalies in fetal chromosomes: Amniocentesis can diagnose chromosomal disorders such as Down syndrome, trisomy 18, and trisomy 13.

B. Neural tube defects: Amniocentesis measures alpha-fetoprotein (AFP) levels, which can indicate neural tube defects like spina bifida or anencephaly.

C. Cephalopelvic disproportion: Cephalopelvic disproportion (CPD) refers to a mismatch between fetal head size and maternal pelvis, which is assessed via ultrasound or clinical examination, not amniocentesis.

D. Fetal gender: Amniocentesis can determine fetal gender by analyzing fetal DNA, which is helpful in diagnosing sex-linked genetic disorders (e.g., hemophilia, Duchenne muscular dystrophy).

E. Rh incompatibility: Amniocentesis can assess bilirubin levels in amniotic fluid to determine the severity of hemolytic disease in Rh-incompatible pregnancies.

A. This test assesses fetal lung maturity. B. This test identifies an Rh incompatibility between the mother and fetus. C. It assesses various markers of fetal well-being. D. It is a screening test for spinal defects in the fetus.

Correct Answer is D

Explanation

A. This test assesses fetal lung maturity. Fetal lung maturity is assessed using the lecithin-sphingomyelin (L/S) ratio or phosphatidylglycerol (PG) test, typically performed after 32 weeks of gestation.

B. This test identifies an Rh incompatibility between the mother and fetus. Rh incompatibility is detected through an indirect Coombs test, not an MSAFP test.

C. It assesses various markers of fetal well-being. The biophysical profile (BPP) and nonstress test (NST) assess fetal well-being, not MSAFP.

D. It is a screening test for spinal defects in the fetus. MSAFP is a screening test for neural tube defects (e.g., spina bifida, anencephaly) and chromosomal abnormalities. High levels may indicate neural tube defects, while low levels may suggest Down syndrome or other chromosomal abnormalities.

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What is an important factor to consider when analyzing labor progression?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who is at 15 weeks of gestation and is to undergo an amniocentesis. The nurse should explain that the purpose of this test is to identify which of the following conditions? (Select all that apply.)

Correct Answer is ["A","B","D","E"]

Explanation

A nurse is caring for a client who is scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation. The nurse provides which of the following explanations about this test to the client?

Correct Answer is D

Explanation

A nurse is assessing a client who is receiving magnesium sulfate as a treatment for preeclampsia. Which of the following clinical findings is the nurse's priority?

A nurse is providing teaching to a client who is at 30 weeks of gestation and is to have a nonstress test (NST). Which of the following statements by the client indicates a need for further teaching?

A nurse is caring for a client who is in active labor when the client's membranes rupture. The fetal monitor tracing shows late decelerations. Which of the following actions should the nurse take first?

What is the recommended antibiotic therapy for the treatment of pyelonephritis in pregnancy?

A nurse in a prenatal clinic is instructing a client about an amniocentesis, which is scheduled at 15 weeks of gestation. Which of the following should be included in the teaching?

What is a potential challenge for vegetarians on a gestational diabetic diet in pregnancy?

A nurse is caring for a client who is to undergo a biophysical profile. The client asks the nurse what is being evaluated during this test. Which of the following should the nurse include? (Select all that apply.)

A nurse in a clinic is reviewing the medical records of a group of clients who are pregnant. The nurse should anticipate the provider will order a maternal serum alpha-fetoprotein (MSAFP) screening for which of the following clients?