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With regard to weight gain during pregnancy, the nurse should be aware of which important information?

Women with inadequate weight gain have an increased risk of delivering an infant with intrauterine growth restriction (IUGR).

Greater than expected weight gain during pregnancy is almost always attributable to old-fashioned overeating.

In pregnancy, the woman’s height is not a factor in determining her target weight.

Obese women may have health concerns, but the risk of delivering a child with major congenital defects is the same as with women of normal weight.

Answer and Explanation

The Correct Answer is A

Choice A rationale
Inadequate weight gain during pregnancy can lead to intrauterine growth restriction (IUGR), where the fetus does not grow as expected.
Choice B rationale
Excess weight gain is not solely due to overeating; it can result from edema, gestational diabetes, or other metabolic factors.
Choice C rationale
Height is a factor in determining a pregnant woman’s target weight range, influencing the overall recommended weight gain.
Choice D rationale
Obese women have higher risks of complications, including gestational diabetes and hypertensive disorders, differing from normal weight women.

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Correct Answer is B

Explanation

Choice A rationale
Occasional accelerations in fetal heart rate are generally reassuring, indicating fetal well-being and a positive response to movement or contractions.
Choice B rationale
Minimal or absent baseline variability is concerning because it can signal fetal hypoxia or central nervous system depression, indicating potential compromise in fetal oxygenation and well-being.
Choice C rationale
Early decelerations typically coincide with contractions and are often benign, resulting from fetal head compression that momentarily decreases heart rate but does not indicate distress.
Choice D rationale
A fetal heart baseline of 160 beats per minute is within the normal range (110-160 bpm), signifying an adequate fetal heart rate and not indicating immediate concern for the nurse.

A. Occiput anterior. B. Occiput posterior. C. Mentum posterior. D. Occiput transverse.

Correct Answer is A

Explanation

Choice A rationale
The occiput anterior position is optimal for labor and birth due to the fetal head's alignment with the maternal pelvis, reducing resistance and facilitating descent through the birth canal.
Choice B rationale
The occiput posterior position can lead to prolonged labor and increased discomfort because the fetal head does not align with the maternal pelvis as effectively as in the anterior position.
Choice C rationale
The mentum posterior position is uncommon and often requires medical intervention, as the chin-first presentation can obstruct labor progression and prevent the fetus from passing through the birth canal.
Choice D rationale
The occiput transverse position may result in a difficult labor due to the fetal head being oriented sideways, hindering descent and potentially necessitating medical assistance or operative delivery.

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With regard to weight gain during pregnancy, the nurse should be aware of which important information?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following findings on fetal monitor tracing would be of most concern to the nurse?

Correct Answer is B

Explanation

The nurse is aware that labor and birth will most likely proceed normally when the fetal position is:

Correct Answer is A

Explanation

The nurse caring for a client in labor observes the external fetal monitor tracing showing that there are accelerations with moderate variability. Which of the following actions is most appropriate?

The nurse is caring for a laboring woman, G3 P2, who was examined 15 minutes ago. Her cervix was 8 cm dilated and 90% effaced. She now states she is feeling strong pressure in her rectum and wants to move her bowels. Which of the following action should the nurse perform first?

The fetal monitor tracing shown is associated with:

The nurse has received a report regarding her patient in labor. The woman’s last vaginal examination was recorded as 3 cm, 30%, and -2. The nurse’s interpretation of this assessment is that:

The nurse should realize that the most common and potentially harmful maternal complication of epidural anesthesia is:

The nurse caring for the laboring woman should know that meconium is produced by: