A nurse is providing care to a pregnant woman in labor.

The woman is in the first stage of labor.

When describing this stage to the client, which event would the nurse identify as the major change occurring during this stage?

Cervical dilation (dilatation).

Fetal movement through the birth canal.

Placental separation.

Regular contractions.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Cervical dilation is the major change occurring during the first stage of labor. This stage begins with the onset of labor and ends when the cervix is fully dilated.

Choice B rationale:

Fetal movement through the birth canal primarily occurs during the second stage of labor, not the first.

Choice C rationale:

Placental separation occurs during the third stage of labor, after the baby is born.

Choice D rationale:

Regular contractions do occur during the first stage of labor, but they are not the major change. The major change is cervical dilation.

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Correct Answer is C

Explanation

Choice A rationale:

The back of the hand is sensitive to temperature, not pressure, making it less suitable for assessing contraction intensity.

Choice B rationale:

Finger tips are sensitive and can detect small changes, but they may not cover a large enough area to accurately assess contraction intensity.

Choice C rationale:

The palm of the hand covers a larger area and can better gauge the overall firmness of the uterus.

Choice D rationale:

Finger pads are sensitive to texture, not pressure, making them less suitable for this task.

A. A shallow deceleration occurring with the beginning of contractions. B. Fetal heart rate declining late with contractions and remaining depressed. C. Fetal baseline rate increasing at least 5 mm Hg with contractions. D. Variable decelerations, too unpredictable to count.

Correct Answer is B

Explanation

hoice A rationale:

This is incorrect. A shallow deceleration at the beginning of contractions is not indicative of uteroplacental insufficiency.

Choice B rationale:

This is correct. Late decelerations of the fetal heart rate during contractions can indicate uteroplacental insufficiency.

Choice C rationale:

This is incorrect. An increase in baseline heart rate with contractions is not a typical sign of uteroplacental insufficiency.

Choice D rationale:

This is incorrect. Variable decelerations are typically associated with cord compression, not uteroplacental insufficiency.

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A nurse is providing care to a pregnant woman in labor. The woman is in the first stage of labor. When describing this stage to the client, which event would the nurse identify as the major change occurring during this stage?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse palpates a woman's fundus to determine contraction intensity. What would be most appropriate for the nurse to use for palpation?.

Correct Answer is C

Explanation

If a fetus were not receiving enough oxygen during labor because of uteroplacental insufficiency, which pattern would the nurse anticipate seeing on the monitor?.

Correct Answer is B

Explanation

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A nurse is providing care to a pregnant woman in labor.

The woman is in the first stage of labor.

When describing this stage to the client, which event would the nurse identify as the major change occurring during this stage?