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 B
Explanation
Choice A rationale:
Bacterial vaginosis typically presents with a thin, grayish-white discharge with a fishy odor. It does not usually cause intense itching or dyspareunia.
Choice B rationale:
Candidiasis is characterized by a thick, white, cottage cheese-like vaginal discharge, intense itching, and dyspareunia. These symptoms align with the client’s presentation.
Choice C rationale:
Genital herpes simplex usually presents with painful blisters or ulcers in the genital area, not a thick, white discharge.
Choice D rationale:
Trichomoniasis often causes a frothy, yellow-green discharge with a fishy smell. Itching can occur, but the discharge is not typically thick and white.
Correct Answer is D
Explanation
Choice A rationale:
Asking “Why are you crying?” may seem insensitive as it’s clear the client is upset due to the loss.
Choice B rationale:
Saying “A baby still wasn’t formed in your uterus.”. might be factually correct, but it can be hurtful as it dismisses the emotional attachment the client may have had.
Choice C rationale:
Offering a pill for pain might be practical, but it doesn’t address the emotional pain the client is likely experiencing.
Choice D rationale:
Saying “I’m sorry you lost your baby.”. acknowledges the client’s loss and offers sympathy, showing empathy and understanding.
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