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 A

Explanation

The correct answer is choice A.

Choice A rationale:

Fetal heart tones detected by ultrasound are a positive sign of pregnancy because they provide direct evidence of a fetus.

Choice B rationale:

Breast tenderness is a presumptive sign of pregnancy, not a positive one, as it can be caused by other conditions such as premenstrual syndrome.

Choice C rationale:

A positive urine pregnancy test is a probable sign of pregnancy, not a positive one, as it measures the presence of hCG, a hormone produced during pregnancy. However, certain medications and medical conditions can also produce hCG.

Choice D rationale:

Fatigue is a presumptive sign of pregnancy, not a positive one, as it can be caused by various other conditions such as stress or illness.

A. Nausea with vomiting during the first trimester. B. Sudden leakage of fluid during the second trimester. C. Urinary frequency in the third trimester. D. Backache during the second trimester. E. Lower abdominal pain with shoulder pain in the first trimester. F. Headache with visual changes in the third trimester.

Correct Answer is ["A","E","F"]

Explanation

The correct answers are choices B, E, and F.

Choice A rationale:

Nausea with vomiting during the first trimester is a common symptom of pregnancy and does not need to be reported immediately to the health care provider.

Choice B rationale:

Sudden leakage of fluid during the second trimester could indicate premature rupture of membranes, which can lead to infection and preterm labor. This should be reported immediately.

Choice C rationale:

Urinary frequency in the third trimester is a common symptom of pregnancy due to the growing uterus putting pressure on the bladder.

Choice D rationale:

Backache during the second trimester is a common symptom of pregnancy as the body adjusts to the growing uterus.

Choice E rationale:

Lower abdominal pain with shoulder pain in the first trimester could indicate an ectopic pregnancy, which is a medical emergency and should be reported immediately.

Choice F rationale:

Headache with visual changes in the third trimester could indicate preeclampsia, a serious condition that can lead to seizures, stroke, and other complications. This should be reported immediately.

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

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Naxlex Comprehensive Predictor Exams

A nurse is teaching a client about positive signs of pregnancy.Which of the following findings should the nurse include?

Correct Answer is A

Explanation

The nurse is preparing a teaching plan for a pregnant woman about the signs and symptoms to be reported immediately to her health care provider.Which signs and symptoms would the nurse include? Select all that apply.

Correct Answer is ["A","E","F"]

Explanation

A woman gives birth to a small infant with a malformed skull. The infant grows abnormally slowly and shows signs of substantial cognitive and intellectual deficits. The child also has facial abnormalities including a short nose and thin lip that become more striking as it develops.

Which information would the nurse emphasize in the teaching plan for a postpartum woman who is reluctant to begin taking warm sitz baths?

The Apgar score is based on which 5 parameters?.

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At what time is the laboring client encouraged to push?

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The client is being rushed into the labor and delivery unit. At which station would the nurse document the fetus immediately prior to birth? (Enter a numerical value)