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

Presentation, latent phase, powers, position and attitude

Passenger, passageway, powers, position and psychological response

Passenger, presentation, lie, attitude and station

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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Correct Answer is D

Explanation

A. Pain just above the navel: Labor pain typically begins in the lower abdomen or back. Pain above the navel is not a definitive sign of labor.

B. Contractions every 5 to 10 min. Regular contractions are a sign of labor, but they must be accompanied by cervical changes (dilation and effacement) to confirm true labor.

C. Amniotic fluid in the vaginal vault. The presence of amniotic fluid indicates rupture of membranes, but it does not confirm labor unless cervical changes are present.

D. Cervical dilation and effacement. Cervical dilation (opening) and effacement (thinning) are definitive signs of true labor.

A. "In false labor, my contractions can decrease by walking or changing positions" B. "In true labor, my contractions will be painless" C. "When I'm in true labor, my cervix won't dilate." D. "In false labor, I will be able to feel the fetuses presenting part in my pelvis"

Correct Answer is A

Explanation

A. "In false labor, my contractions can decrease by walking or changing positions." In false labor, also called Braxton Hicks contractions, the contractions often decrease with activity such as walking or changing positions. This is a key distinction between false and true labor.

B. "In true labor, my contractions will be painless." Contractions in true labor are usually painful and become more intense and regular as labor progresses.

C. "When I'm in true labor, my cervix won't dilate." In true labor, the cervix will dilate progressively. In false labor, there is no cervical dilation.

D. "In false labor, I will be able to feel the fetus's presenting part in my pelvis." In true labor, the fetus descends, and the presenting part may be felt. This is not a characteristic of false labor.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting a nurse midwife in examining a client who is a primigravida at 42 weeks of gestation and states that she thinks she is in labor. Which of the following findings confirm that the client is in labor?

Correct Answer is D

Explanation

A nurse is reviewing true labor vs false labor with a pregnant client. What statement by the client indicates teaching has been effective?

Correct Answer is A

Explanation

A nurse is caring for a client who is at 28 weeks of gestation and has received terbutaline. Which of the following findings should the nurse expect?

A nurse is assisting with performing Leopold maneuvers on a client who is in labor. Which of the following techniques should the nurse use to identify the fetal lie?

A nurse is preparing to administer amoxicillin 300 mg PO. The amount available is amoxicillin oral solution 250 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth/whole number. Use a leading zero if it applies. Do not use a trailing zero.)

What stage of labor ends with the physiologic stabilization of the mother?

A nurse is reinforcing teaching with a client who is in labor about an episiotomy. Which of the following information should the nurse include?

What is the primary purpose of assessing fetal heart rate patterns during labor and delivery?

A nurse is preparing to administer indomethacin 50 mg PO. Available is indomethacin oral suspension 5 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)