A nurse is providing care to a pregnant woman in labor.
The woman is in the first stage of labor.
When describing this stage to the client, which event would the nurse identify as the major change occurring during this stage?
Cervical dilation (dilatation).
Fetal movement through the birth canal.
Placental separation.
Regular contractions.
The Correct Answer is A
Choice A rationale:
Cervical dilation is the major change occurring during the first stage of labor. This stage begins with the onset of labor and ends when the cervix is fully dilated.
Choice B rationale:
Fetal movement through the birth canal primarily occurs during the second stage of labor, not the first.
Choice C rationale:
Placental separation occurs during the third stage of labor, after the baby is born.
Choice D rationale:
Regular contractions do occur during the first stage of labor, but they are not the major change. The major change is cervical dilation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Physiologic anemia due to hemoglobin decrease does not cause dizziness when lying flat.
Choice B rationale:
A 50% increase in blood volume does not directly cause dizziness when lying flat.
Choice C rationale:
The gravid uterus can compress the vena cava when the woman lies flat, reducing blood flow to the heart and causing dizziness.
Choice D rationale:
Pressure of the presenting fetal part on the diaphragm can cause shortness of breath, but not dizziness.
Correct Answer is D
Explanation
Choice A rationale:
The face as the presenting part is not indicated by LSA. LSA stands for Left Sacrum Anterior, which indicates the baby’s position in the womb.
Choice B rationale:
The shoulder as the presenting part is not indicated by LSA. LSA refers to the baby’s position, not the presenting part.
Choice C rationale:
The occiput as the presenting part is not indicated by LSA. LSA refers to the baby’s position, not the presenting part.
Choice D rationale:
The buttocks as the presenting part is indicated by LSA. LSA (Left Sacrum Anterior) means the baby’s sacrum (buttocks) is presenting, and it is oriented to the mother’s left side and is facing forward (anterior).
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