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Which action is a priority when caring for a woman during the fourth stage of labor?.

Offering fluids as indicated.

Encouraging the woman to void.

Assessing the uterine fundus.

Assisting with perineal care.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Offering fluids is important to prevent dehydration, but it’s not the priority during the fourth stage of labor.

Choice B rationale:

Encouraging the woman to void can help prevent urinary retention, but it’s not the priority.

Choice C rationale:

Assessing the uterine fundus is the priority during the fourth stage of labor. This is to ensure that the uterus is contracting and to prevent postpartum hemorrhage.

Choice D rationale:

Assisting with perineal care is important for comfort and hygiene, but it’s not the priority.

So, the correct answer is C, assessing the uterine fundus.

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Correct Answer is B

Explanation

Choice A rationale:

Dysuria is not typically associated with lightening.

Choice B rationale:

Urinary frequency can increase when lightening occurs because the baby drops into the pelvis, putting more pressure on the bladder.

Choice C rationale:

Constipation is not typically associated with lightening.

Choice D rationale:

Dyspnea can actually improve when lightening occurs because there is less pressure on the diaphragm.

A. Cervical effacement of 30%. B. Strong desire to push. C. Contractions every 90 seconds. D. Cervical dilation of 6 cm. E. Contractions every 2 to 3 minutes

Correct Answer is ["D","E"]

Explanation

Choice A rationale:

Cervical effacement of 30% is more indicative of the early phase of labor, not the active phase. In the active phase, effacement is usually 80-100%.

Choice B rationale:

A strong desire to push is usually associated with the transition phase of labor, not the active phase.

Choice C rationale:

Contractions every 90 seconds could be indicative of the active phase, but this can vary between individuals.

Choice D rationale:

Cervical dilation of 6 cm is indeed indicative of the active phase of labor, which is typically characterized by cervical dilation of 4-7 cm.

Choice E rationale:

Contractions every 2 to 3 minutes are common in the active phase of labor.

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Which action is a priority when caring for a woman during the fourth stage of labor?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse teaches a primigravida client that lightening occurs about 2 weeks before the onset of labor. What will the mother likely experience at that time?.

Correct Answer is B

Explanation

A nurse is providing care to a woman in labor. The nurse determines that the client is in the active phase based on which assessment findings? Select all that apply.

Correct Answer is ["D","E"]

Explanation

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