A prenatal patient asks the nurse how the baby can possibly come out through her vagina, because a vagina is not nearly as big as a baby. How does the nurse best answer this patient's question? "The vagina:
1. "Usually tears as it stretches during childbirth.".
2. "Is designed to allow a baby come through.".
3. "Changes due to pregnancy hormones, and stretches more.".
4. "Dilates and effaces in labor so the baby can get out.".
3
Rationale 1: Vaginal tears are not routine in childbirth. The vagina stretches during childbirth because of hormonal changes, creating deeper rugae.
Rationale 2: Although this is a true statement, it is not the best, most thorough response.
Rationale 3: The hormones of pregnancy create deeper rugae of the vagina to facilitate stretching during birth.
Rationale 4: The cervix, not the vagina, dilates and effaces.
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