A nurse is caring for a pregnant client in labor in a health care facility.
The nurse knows that which sign indicates that the patient is no longer in the first stage of labor?

The correct answer is choice A.

Choice A rationale:

An internal examination could disturb the placenta and cause profound bleeding, which is a life-threatening condition for both the mother and the fetus.

Choice B rationale:

While there is always a risk of introducing infection during an internal examination, this is not the primary reason to avoid it in a client with placenta previa.

Choice C rationale:

An internal examination could potentially initiate preterm labor, but this is not the primary concern with placenta previa.

Choice D rationale:

While there is a risk of rupture of the amniotic membranes during an internal examination, this is not the primary reason to avoid it in a client with placenta previa.

The correct answer is choice A.

Choice A rationale:

A newborn who is getting enough breast milk should wet 6 to 12 diapers per day. This is because adequate hydration, a sign of sufficient milk intake, leads to frequent urination.

Choice B rationale:

A wake cycle of 30 to 60 minutes after each feeding does not necessarily indicate the baby is getting enough milk. It could be due to other factors like sleep patterns or general health.

Choice C rationale:

A baby should not sleep at least 6 hours between feedings. Newborns need to be fed every 2-3 hours.

Choice D rationale:

While burping can be a sign of a good feeding, it does not necessarily mean the baby is getting enough milk. It’s more related to the baby’s digestion of the milk.