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 ["A","E"]

Explanation

Choice A rationale:

Internal rotation is a movement the fetus makes as it travels through the birth canal.

Choice B rationale:

Flexion is another movement that occurs as the fetus adjusts its position during labor.

Choice C rationale:

Pronation is not typically included in the description of fetal movements during labor and birth.

Choice D rationale:

Abduction is not a movement associated with the fetus’s journey through the birth canal.

Choice E rationale:

Descent is a key movement that occurs as the fetus moves down through the birth canal.

A. Estrogen deficiency. B. Changes in vaginal pH. C. Active lifestyle. D. Poor dietary intake.

Correct Answer is A

Explanation

Choice A rationale:

Estrogen deficiency is the primary cause of hot flashes and night sweats in postmenopausal women. As estrogen levels decrease, it affects the hypothalamus, which is responsible for regulating body temperature, leading to these symptoms.

Choice B rationale:

Changes in vaginal pH occur during menopause due to estrogen deficiency, but this is not the primary cause of hot flashes and night sweats.

Choice C rationale:

An active lifestyle can help manage symptoms of menopause, but it is not the primary cause of hot flashes and night sweats.

Choice D rationale:

Poor dietary intake can exacerbate symptoms of menopause, but it is not the primary cause of hot flashes and night sweats.

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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 is preparing a class for pregnant women about labor and birth. When describing the typical movements that the fetus goes through as it travels through the passageway, which movements would the nurse include? Select all that apply.

Correct Answer is ["A","E"]

Explanation

When teaching a group of postmenopausal women about hot flashes and night sweats, the nurse would address which primary cause?.

Correct Answer is A

Explanation

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

A client states "I think my water broke! I felt this gush of fluid between my legs.”. The nurse tests the fluid with nitrazine paper and confirms membrane rupture if the swab turns:.

The skull is the most important factor in relation to the labor and birth processes. The fetal skull must be small enough to travel through the bony pelvis. What feature of the fetal skull helps to make this passage possible?

Touch and massage can be helpful during labor. Which touch and massage methods are used in labor? Select all that apply.

When teaching a class of pregnant women about the effects of substance use during pregnancy, the nurse would include which effect?.

Your patient is receiving Heparin via a continuous IV infusion at a rate of 1600 units per hour. The bag is labeled N/S 500 mLs and contains Heparin 40,000 units. What rate should the IV pump be set at to deliver this ordered amount of Heparin? mLs/hr.

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?