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What marks the end of the third stage of labor?

Birth of the infant

Full cervical dilation

Expulsion of the placenta and membranes

Engagement of the head

Answer and Explanation

The Correct Answer is C

A. Birth of the infant: Marks the end of the second stage of labor.

B. Full cervical dilation: Marks the beginning of the second stage of labor.

C. Expulsion of the placenta and membranes: This defines the completion of the third stage.

D. Engagement of the head: Occurs earlier in labor, typically during the first stage.

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Correct Answer is D

Explanation

A. The fetus is in distress: Fetal distress often presents as decelerations or an abnormal baseline heart rate, not accelerations.

B. The mother is in severe pain: Maternal pain does not cause fetal heart accelerations.

C. Uteroplacental insufficiency: This condition is associated with late decelerations, not accelerations.

D. A well-oxygenated fetus: FHR accelerations indicate adequate oxygenation and a reactive, healthy fetal status.

A. "Given too soon, epidural anesthesia can cause maternal hypertension." B. “Given too soon, epidural anesthesia can prolong labor." C. "Given too soon, epidural anesthesia will delay rupture of fetal membranes.” D. “Given too soon, epidural anesthesia can cause fetal depression.”

Correct Answer is B

Explanation

A. Maternal hypertension: Epidurals are more likely to cause hypotension, not hypertension.

B. Prolong labor: Administering an epidural too early can reduce the effectiveness of contractions and delay cervical dilation.

C. Delay rupture of membranes: Epidural anesthesia has no direct effect on the timing of membrane rupture.

D. Fetal depression: Modern epidurals rarely cause fetal depression when used appropriately.

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What marks the end of the third stage of labor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse observes on the fetal monitor a pattern of a 15-beat increase in the fetal heart rate that lasts 15 to 20 seconds. What does this pattern indicate?

Correct Answer is D

Explanation

A nurse is reinforcing teaching with a client who is in labor about why epidural anesthesia is not initiated until a good labor pattern has been established. Which of the following explanations should the nurse include?

Correct Answer is B

Explanation

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