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 C

Explanation

A. A client who is experiencing fetal death at 32 weeks of gestation: Tocolytic therapy delays preterm labor to improve fetal outcomes. If fetal death has already occurred, there is no benefit in delaying labor.

B. A client who is experiencing Braxton-Hicks contractions at 36 weeks of gestation: Braxton-Hicks contractions are false labor contractions that do not cause cervical changes. Tocolytics are not needed for false labor.

C. A client who is experiencing preterm labor at 26 weeks of gestation: Tocolytic therapy is appropriate for preterm labor before 34 weeks of gestation, especially in very preterm pregnancies (before 28 weeks) to allow for fetal lung maturation and steroid administration.

D. A client who has a post-term pregnancy at 42 weeks of gestation: Tocolytics are used to delay preterm labor, not to stop contractions in post-term pregnancies. A 42-week pregnancy requires induction of labor, not suppression.

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 caring for several clients. The nurse should recognize that it is safe to administer tocolytic therapy to which of the following clients?

Correct Answer is C

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 caring for a client who is in preterm labor at 32 weeks of gestation. The client asks the nurse, "Will my baby be okay?" Which of the following responses should the nurse offer?

A nurse is admitting a client who has severe preeclampsia at 35 weeks of gestation and is reviewing the provider's orders. Which of the following orders requires clarification?

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?

During a prenatal visit, the nurse is explaining dietary management to a woman diagnosed with pre-gestational diabetes. Which statement by the client reassures the nurse that teaching has been effective?

In labor, GPTAL is used to assess the client's obstetric history. What does the 'P' in GPTAL stand for?

A nurse is caring for a client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise. The nurse should anticipate a prescription from the provider for which of the following medications for the client?

A nurse is caring for a group of clients on an intrapartum unit. Which of the following findings should be reported to the provider immediately?

A nurse is caring for a client having contractions every 8 min that are 30 to 40 seconds in duration. The client's cervix is 2 cm dilated, 50% effaced, and the fetus is at a -2 station with a FHR around 140/min. Which of the following stages and phases of labor is the client experiencing?