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

A.

Number of previous pregnancies

B.

Maternal age

C.

Gestational weight gain

D.

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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Related Questions

Correct Answer is A

Explanation

A. Feeling irregular contractions that become more frequent, longer, and stronger over time. This describes true labor contractions, which increase in intensity and frequency, leading to cervical changes.

B. Feeling less energetic and experiencing a decrease in Braxton Hicks contractions. Many clients experience a burst of energy (nesting) before labor, not decreased energy. A reduction in Braxton Hicks contractions is not a sign of impending labor.

C. Experiencing frequent urination and increased back pain. While these symptoms can occur due to fetal descent, they are not definitive signs that labor is starting.

D. Experiencing a decrease in vaginal discharge and a loss of the mucus plug. A loss of the mucus plug can occur days before labor, but it does not indicate labor is beginning immediately. Vaginal discharge often increases, not decreases, before labor.

Correct Answer is B

Explanation

A. Repaglinide: Repaglinide is an oral hypoglycemic agent, but it is not recommended in pregnancy due to limited safety data.

B. Insulin: Insulin is the preferred treatment for gestational diabetes mellitus (GDM) when diet and exercise are insufficient. It does not cross the placenta and is safe for both the mother and fetus.

C. Glipizide: Glipizide is an oral sulfonylurea that crosses the placenta and may cause neonatal hypoglycemia. It is not recommended for GDM.

D. Acarbose: Acarbose is not commonly used in pregnancy due to limited safety data and concerns about gastrointestinal side effects.

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