The nurse assessing a laboring client documents that the client is in stage II of labor. What typically occurs during this stage?
A) Dilation of the cervix
B) Movement of fetus to the birth canal
C) Delivery of the baby through the vaginal opening
D) Delivery of the placenta following delivery of the newborn
C
Feedback:
There are four stages of labor: In stage II, expulsion: Uterine contractions continue and increase in intensity until the baby is delivered through the vaginal opening.
In stage I, dilation: Uterine contractions cause the cervical os (mouth) of the cervix to open (dilate) and move the fetus downward into the birth canal. In stage III, placental: Uterine contractions expel the placenta after the delivery of the newborn. In stage IV, recovery: Uterine contractions continue and close off open blood vessels to prevent excessive blood loss.
You might also like to view...
A six-month-old infant has been hospitalized several times with diarrhea. The nurse evaluates home care to determine the cause of the repeated illnesses. Which is the most likely cause of the repeated gastroenteritis?
1. The infant is allowed to drink from her parents' drinks at meal time. 2. If the infant doesn't finish her bottle, the mother returns it to the refrigerator to be used later in the day. 3. There are three school-age children in the family. 4. The infant often wears only a diaper around the house.
Your findings upon palpation and inspection of a patient's labia include an area of tenderness, swelling, redness, and purulent discharge, which most likely indicate
a. Bartholin's gland infection. b. infected chancre of primary syphilis. c. infection of the urethra and Skene's glands. d. rupture of genital herpes vesicles.
An adolescent patient recently attended a health fair and had a serum glucose test. The patient telephones the nurse and says, "My level was 125 . Does that mean I have diabetes?" Choose the nurse's most accurate response
a. "Unless you were fasting for longer than 8 hours, this does not necessarily mean you have diabetes." b. "At this level, you probably have diabetes. You will need an oral glucose toler-ance test this week." c. "This level is conclusive evidence that you have diabetes." d. "This level is conclusive evidence that you do not have diabetes."
A nurse is caring for a group of patients on the medical-surgical unit with the help of one float registered nurse (RN), one unlicensed assistive personnel (UAP), and one licensed practical/vocational nurse (LPN/LVN)
Which assignment, if delegated by the nurse, would be inappropriate? a. Measurement of a patient's urine output by UAP b. Administration of oral medications by LPN/LVN c. Check for the presence of bowel sounds and flatulence by UAP d. Care of a patient with diabetes by RN who usually works on the pediatric unit