The labor nurse would not encourage a mother to bear down until the cervix is completely dilated, to prevent: Note: Credit will be given only for all correct choices and no incorrect choices. Select all that apply

1. Maternal exhaustion.
2. Cervical edema.
3. Tearing and bruising of the cervix.
4. Enhanced perineal thinning.
5. Having to perform an episiotomy.


1,2,3
Rationale 1: If the cervix is not completely dilated, maternal exhaustion can occur.
Rationale 2: If the cervix is not completely dilated, cervical edema can occur.
Rationale 3: If the cervix is not completely dilated, tearing and bruising of the cervix can occur.
Rationale 4: Cervical dilatation has nothing to do with perineal thinning.
Rationale 5: Not bearing down until the cervix is completely dilated has nothing to do with needing an episiotomy.

Nursing

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