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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
hoice A rationale:
This is incorrect. A shallow deceleration at the beginning of contractions is not indicative of uteroplacental insufficiency.
Choice B rationale:
This is correct. Late decelerations of the fetal heart rate during contractions can indicate uteroplacental insufficiency.
Choice C rationale:
This is incorrect. An increase in baseline heart rate with contractions is not a typical sign of uteroplacental insufficiency.
Choice D rationale:
This is incorrect. Variable decelerations are typically associated with cord compression, not uteroplacental insufficiency.
Correct Answer is A
Explanation
Choice A rationale:
Mercury, which could harm the developing fetus if eaten in large amounts, is indeed found in high levels in swordfish and tilefish. Pregnant women are advised to avoid these types of fish due to the risk of mercury poisoning.
Choice B rationale:
Excess folic acid, which could increase the risk for neural tube defects, is not typically associated with swordfish and tilefish. Folic acid is a nutrient that is actually beneficial for pregnant women.
Choice C rationale:
Low-quality protein that does not meet the woman’s requirements is not a concern with swordfish and tilefish. These fish are actually high in quality protein.
Choice D rationale:
Lactose, which leads to abdominal discomfort, gas, and diarrhea, is not found in swordfish and tilefish. Lactose is a sugar found in milk and dairy products.
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