Concerning the third stage of labor, nurses should be aware that:
a. The placenta eventually detaches itself from a flaccid uterus.
b. An expectant or active approach to managing this stage of labor reduces the risk of complications.
c. It is important that the dark, roughened maternal surface of the placenta appear before the shiny fetal surface.
d. The major risk for women during the third stage is a rapid heart rate.
ANS: B
Active management facilitates placental separation and expulsion, thus reducing the risk of complications. The placenta cannot detach itself from a flaccid (relaxed) uterus. Which surface of the placenta comes out first is not clinically important. The major risk for women during the third stage of labor is postpartum hemorrhage.
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