Which documentation in the health record is most correct for the third stage of labor?

Begins with the time of full cervical dilation (dilatation) and ends with the delivery of the fetus.

Begins with the time of placental delivery and ends 48 hours later.

Begins with the time of placental delivery and ends when the health care provider is satisfied that there are no placental fragments.

Begins with the time of delivery of the fetus and ends with the time of the delivery of the placenta.

Answer and Explanation

The Correct Answer is D

The correct answer is choice D.

Choice A rationale:

This statement describes the second stage of labor, not the third. The second stage begins with full cervical dilation and ends with the delivery of the fetus.

Choice B rationale:

The third stage of labor does not end 48 hours after the delivery of the placenta. This choice is incorrect.

Choice C rationale:

While it’s important to ensure no placental fragments remain, the third stage of labor technically ends with the delivery of the placenta, not at this later point.

Choice D rationale:

This is the correct definition of the third stage of labor. It begins with the delivery of the fetus and ends with the delivery of the placenta.

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Correct Answer is D

Explanation

The correct answer is choice D.

Choice A rationale:

Superficial structures above the muscle refer to first-degree lacerations, which only involve the skin of the perineum and vaginal mucosa.

Choice B rationale:

A fourth-degree laceration does not stop at the anterior rectal wall. It extends through the anal sphincter and into the rectal mucosa.

Choice C rationale:

While a fourth-degree laceration does involve the anal sphincter muscle, it also includes the underlying rectal mucosa.

Choice D rationale:

A fourth-degree laceration involves the perineal muscles, the anal sphincter, and the underlying rectal mucosa.

A. Assess the newborn's glucose level. B. Swaddle the infant and place in the bassinet. C. Dry the newborn and place it skin-to-skin on mother. D. Complete a full head-to-toe assessment.

Correct Answer is C

Explanation

The correct answer is choice C.

Choice A rationale:

While it’s important to monitor a newborn’s glucose level, it’s not the immediate priority following birth.

Choice B rationale:

Placing the infant in the bassinet is not the immediate priority. The newborn needs to be dried and warmed first to prevent hypothermia.

Choice C rationale:

Drying the newborn and placing it skin-to-skin on the mother helps prevent hypothermia and promotes bonding. This is the immediate priority.

Choice D rationale:

A full head-to-toe assessment is important, but it’s not the immediate priority following birth.

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Which documentation in the health record is most correct for the third stage of labor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When reviewing the medical record of a postpartum client, the nurse notes that the client has experienced a fourth-degree laceration.The nurse understands that the laceration extends to which area?.

Correct Answer is D

Explanation

Which action would be a priority for the nurse to complete immediately after the delivery of a 40-week gestation newborn?.

Correct Answer is C

Explanation

Encouraging routine prenatal visits is an important function for nurses to ensure the clients avoid complications or difficulties throughout the pregnancy and birth.The nurse would prepare to screen clients for gestational diabetes at which time during the pregnancy?

A client presents to the health care clinic for her first prenatal checkup.What nutritional supplement should the nurse discuss with the client to prevent neural tube defects in the developing fetus?

A nurse has been assigned to assess a pregnant client for abruptio placenta.For which classic manifestation of this condition should the nurse assess?.

A nurse is teaching a newborn's parent to care for the umbilical cord stump.Which of the following instructions should the nurse include?.

A nurse is caring for a client who is at 37 weeks of gestation and has placenta previa.The client asks the nurse why the provider does not do an internal examination.Which of the following explanations of the primary reason should the nurse provide?