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 ["mLs\/hr."]
Explanation
Answer and explanation
Step 1 is to calculate the total units of Heparin in 1 mL of the solution. This is done by dividing the total units of Heparin in the bag (40,000 units) by the total volume of the bag (500 mL). So, 40,000 units ÷ 500 mL = 80 units/mL. Step 2 is to calculate the rate at which the IV pump should be set. This is done by dividing the ordered amount of Heparin per hour (1600 units) by the units of Heparin per mL (80 units/mL). So, 1600 units/hr ÷ 80 units/mL = 20 mL/hr.
So, the correct answer is 20 mL/hr.
Correct Answer is C
Explanation
Choice A rationale:
Offering fluids is important to prevent dehydration, but it’s not the priority during the fourth stage of labor.
Choice B rationale:
Encouraging the woman to void can help prevent urinary retention, but it’s not the priority.
Choice C rationale:
Assessing the uterine fundus is the priority during the fourth stage of labor. This is to ensure that the uterus is contracting and to prevent postpartum hemorrhage.
Choice D rationale:
Assisting with perineal care is important for comfort and hygiene, but it’s not the priority.
So, the correct answer is C, assessing the uterine fundus.
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