During the active phase of labor, which of the following is a common sign that indicates progress?

Decreased maternal heart rate

Increased intensity and frequency of contractions

Decreased cervical dilation

Decreased intensity and frequency of contractions

Answer and Explanation

The Correct Answer is B

A. Decreased maternal heart rate: Maternal heart rate usually stays the same or may increase slightly due to the physical exertion of labor, but it does not decrease as a sign of labor progression.

B. Increased intensity and frequency of contractions: The active phase of labor is characterized by more frequent and intense contractions that lead to continued cervical dilation and effacement.

C. Decreased cervical dilation: Cervical dilation increases during labor, particularly in the active phase. Decreased dilation is a sign of dysfunctional labor, not normal progress.

D. Decreased intensity and frequency of contractions: Decreasing contraction intensity and frequency would indicate a stall in labor or ineffective labor, not normal progress.

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Correct Answer is C

Explanation

A. Duration: Duration refers to how long a single contraction lasts from start to finish, not the time between contractions.

B. Acme: Acme refers to the peak of the contraction, not the time between contractions.

C. Frequency: Frequency refers to the time from the beginning of one contraction to the beginning of the next contraction.

D. Onset: Onset refers to the start of an individual contraction, not the interval between contractions.

A. Heart rate of 55/min B. Urine output of 50 mL in 4 hr C. Diminished deep-tendon reflexes D. Respiratory rate of 16/min

Correct Answer is D

Explanation

A. Heart rate of 55/min. A heart rate of 55/min is bradycardia, which may indicate magnesium toxicity. This is a concerning sign and does not indicate safety to continue.

B. Urine output of 50 mL in 4 hr. A urine output of only 50 mL in 4 hours is too low (less than 30 mL/hr is concerning) and may indicate toxicity, since magnesium sulfate is excreted via the kidneys.

C. Diminished deep-tendon reflexes. Diminished deep-tendon reflexes (DTRs) may indicate magnesium toxicity. DTRs are monitored to assess for toxicity.

D. Respiratory rate of 16/min. A normal respiratory rate (12-20 breaths per minute) indicates that the magnesium sulfate has not caused respiratory depression, a sign of magnesium toxicity.

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During the active phase of labor, which of the following is a common sign that indicates progress?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is measured from the beginning of one contraction to the beginning of the next contraction?

Correct Answer is C

Explanation

. nurse is assisting with the care of a client with PROM and is receiving magnesium sulfate IV at 2 g/hr. Which of the following findings indicates that it is safe for the nurse to continue the infusion?

Correct Answer is D

Explanation

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