During the active phase of labor, which of the following is a common sign that indicates progress?
Decreased maternal heart rate
Increased intensity and frequency of contractions
Decreased cervical dilation
Decreased intensity and frequency of contractions
The Correct Answer is B
A. Decreased maternal heart rate: Maternal heart rate usually stays the same or may increase slightly due to the physical exertion of labor, but it does not decrease as a sign of labor progression.
B. Increased intensity and frequency of contractions: The active phase of labor is characterized by more frequent and intense contractions that lead to continued cervical dilation and effacement.
C. Decreased cervical dilation: Cervical dilation increases during labor, particularly in the active phase. Decreased dilation is a sign of dysfunctional labor, not normal progress.
D. Decreased intensity and frequency of contractions: Decreasing contraction intensity and frequency would indicate a stall in labor or ineffective labor, not normal progress.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Weakened uterine contractions: Terbutaline is a tocolytic medication used to relax the uterus and reduce or stop preterm uterine contractions.
B. Maternal glucose 63 mg/dL: Terbutaline can cause hyperglycemia, not hypoglycemia. Therefore, a glucose level of 63 mg/dL would not be an expected finding.
C. Enhanced fetal lung surfactant: Betamethasone, not terbutaline, is used to enhance fetal lung maturity by increasing surfactant production.
D. Fetal heart rate 100/min:Terbutaline can cause tachycardia, so a fetal heart rate of 100/min (bradycardia) would be unexpected.
Correct Answer is B
Explanation
A. Decreased maternal heart rate: Maternal heart rate usually stays the same or may increase slightly due to the physical exertion of labor, but it does not decrease as a sign of labor progression.
B. Increased intensity and frequency of contractions: The active phase of labor is characterized by more frequent and intense contractions that lead to continued cervical dilation and effacement.
C. Decreased cervical dilation: Cervical dilation increases during labor, particularly in the active phase. Decreased dilation is a sign of dysfunctional labor, not normal progress.
D. Decreased intensity and frequency of contractions: Decreasing contraction intensity and frequency would indicate a stall in labor or ineffective labor, not normal progress.
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