The nurse knows that the third stage of labor has a high risk for which of the following complications?
Infection.
Fetal hypoxia.
Deep vein thrombosis.
Incomplete delivery of the placenta.
The Correct Answer is D
Choice A rationale
Infection risk is generally higher postpartum rather than during the third stage of labor.
Choice B rationale
Fetal hypoxia is a concern during labor, but the third stage is more focused on delivery of the placenta.
Choice C rationale
Deep vein thrombosis is a longer-term postpartum concern, not specifically high risk in the third stage of labor.
Choice D rationale
Incomplete delivery of the placenta can lead to hemorrhage and is a primary concern in the third stage of labor.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Observing the perineum for signs of crowning is important, but it doesn’t address the immediate need to manage the client’s urge to push. By the time crowning is visible, delivery is imminent, and the urge to push should have been managed earlier.
Choice B rationale
Helping the client to the bathroom to void might relieve some pressure but is not the immediate priority when the client feels the urge to push. Voiding can wait until contractions are managed.
Choice C rationale
Assisting the client into a supine position is not ideal for managing the urge to push. A supine position can increase discomfort and does not facilitate optimal delivery dynamics.
Choice D rationale
Assisting the client with quick shallow breathing helps manage the urge to push and prevents premature pushing, reducing the risk of cervical injury and aiding controlled delivery.
Correct Answer is D
Explanation
Choice A rationale
Premature rupture of the membranes refers to the breaking of the amniotic sac before labor starts. It is not a definitive indicator of true labor, as contractions and cervical changes need to accompany it to confirm labor onset.
Choice B rationale
Light irregular pattern of contractions is often associated with false labor or Braxton Hicks contractions. True labor contractions are typically regular, progressively stronger, and closer together.
Choice C rationale
3 station of the presenting part refers to the baby's descent into the pelvis. While it indicates labor progression, it is not the most definitive sign of true labor compared to cervical changes.
Choice D rationale
Progressive cervical dilation is the most reliable indicator of true labor. It signifies that the cervix is opening up in response to regular and effective contractions, indicating the body is preparing for childbirth.
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