The slight overlapping of cranial bones or shaping of the fetal head during labor is called:

Valsalva maneuver.

Ferguson’s reflex.

Lightening.

Molding.

Answer and Explanation

The Correct Answer is D

Choice A rationale
Valsalva maneuver involves forced expiration against a closed airway, increasing intrathoracic pressure and commonly used to expel the fetus during the second stage of labor.
Choice B rationale
Ferguson’s reflex involves the release of oxytocin due to vaginal and cervical stretching, leading to stronger contractions during the second stage of labor.
Choice C rationale
Lightening refers to the descent of the fetus into the pelvis before labor begins, reducing pressure on the diaphragm and making breathing easier.
Choice D rationale
Molding is the slight overlapping of cranial bones, allowing the fetal head to change shape and fit through the birth canal during labor.

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Correct Answer is C

Explanation

Choice A rationale
Uterine contractions (powers) are essential for cervical dilation and fetal descent. They are involuntary smooth muscle contractions regulated by oxytocin and prostaglandins.
Choice B rationale
The fetus (passenger) significantly influences labor progression. Fetal size, position, and presentation affect the ease of passage through the birth canal.
Choice C rationale
Pressure is not considered one of the five Ps affecting labor and birth. The five Ps are powers, passenger, passageway, position, and psychological response.
Choice D rationale
The birth canal (passageway) includes the bony pelvis and soft tissues, which must adapt to allow the fetus to pass through during labor.

A. The contractions are 5 to 20 minutes apart. B. The contractions are regular, about a minute long and I am unable to talk through them. C. I saw a pink discharge on the toilet tissue when I went to the bathroom. D. I have had cramping for the past 4 hours.

Correct Answer is B

Explanation

Choice A rationale
Contractions spaced 5 to 20 minutes apart can indicate early labor, but regular and intense contractions closer together suggest active labor. This does not indicate imminent hospital visit.
Choice B rationale
Regular contractions lasting about a minute and causing inability to talk through them are strong indicators of active labor, suggesting the need for hospital evaluation.
Choice C rationale
Seeing a pink discharge (bloody show) indicates the cervix is starting to dilate but does not necessarily mean active labor is present. It's not the most immediate sign to proceed to hospital.
Choice D rationale
Cramping for 4 hours can be a sign of early labor, but it lacks the regularity and intensity of active labor contractions. This does not suggest an immediate need for hospital visit.

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The slight overlapping of cranial bones or shaping of the fetal head during labor is called:

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Naxlex Comprehensive Predictor Exams

The factors that affect the process of labor and birth, known commonly as the five Ps, include all except:

Correct Answer is C

Explanation

A woman at 40 weeks gestation calls the labor unit to see whether or not she should go to the hospital to be evaluated. Which of the following statements by the woman indicates that she is probably in labor and should proceed to the hospital?

Correct Answer is B

Explanation

When discussing work and travel during pregnancy with a pregnant patient, nurses should instruct them that.

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When administering Pitocin, you should start at a low dose and work your way up slowly to a dose that provides the best contraction rate.

The slight overlapping of cranial bones or shaping of the fetal head during labor is called:

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