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The 5 factors that affect and define the labor and birth process are:

A.

Presentation, latent phase, powers, position and attitude

B.

Passenger, passageway, powers, position and psychological response

C.

Passenger, presentation, lie, attitude and station

D.

Passageway, presentation. powers, contractions and position

Answer and Explanation

The Correct Answer is B

A. Presentation, latent phase, powers, position and attitude. While "presentation," "powers," and "position" are relevant, the "latent phase" is a stage of labor, not a factor that affects the labor process. "Attitude" refers to the fetal posture but does not cover the entire process.

B. Passenger, passageway, powers, position and psychological response:  These five factors are key components that affect labor and birth: Passenger: The fetus and placenta. Passageway: The birth canal. Powers: The contractions. Position: The mother’s position during labor. Psychological response: The mother’s emotional state during labor.

C. Passenger, presentation, lie, attitude and station: These terms describe aspects of the fetus's position and movement, but they do not encompass all the factors affecting labor.

D. Passageway, presentation, powers, contractions and position:  This is close, but "psychological response" is missing, which is one of the essential components affecting labor.


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Related Questions

Correct Answer is B

Explanation

A. Wipe from the back to front when performing perineal hygiene: The correct method for perineal hygiene is to wipe front to back to reduce the risk of introducing bacteria into the vaginal area, especially in a client with PROM who is at risk for infection.

B. Keep a daily record of fetal kick counts: Monitoring fetal kick counts helps assess fetal well-being, particularly in a high-risk pregnancy like PROM at 26 weeks. It helps detect potential fetal distress early.

C. Avoid bubble bath solution when taking a tub bath: While avoiding bubble bath may help prevent irritation or infection, tub baths should be avoided entirely in cases of PROM to reduce the risk of ascending infection.

D. Use a condom with sexual intercourse. Sexual intercourse is contraindicated in clients with PROM due to the risk of infection.

Correct Answer is B

Explanation

A. Contraction lasting 85 seconds. While contractions longer than 90 seconds should be reported due to the risk of uterine hyperstimulation, an 85-second contraction is within normal limits.

B. Fetal heart rate 100/min for a 10-min period. A fetal heart rate of 100/min indicates bradycardia, which can signify fetal distress. Fetal bradycardia (below 110 beats per minute) lasting more than 10 minutes is an emergency.

C. Contraction resting period 35 seconds. A 35-second resting period between contractions is short but not abnormal enough to require immediate reporting unless accompanied by signs of fetal distress.

D. Four contractions in a 10-min period. Four contractions in 10 minutes is normal during active labor, where uterine activity is expected to increase.

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