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The nurse is caring for a client in labor. When should the nurse instruct the laboring client to begin pushing with her contractions?

At the end of the active stage

During the latent phase

During the 1st stage

At the beginning of the 2nd stage

Answer and Explanation

The Correct Answer is D

A. At the end of the active stage
The active stage is part of stage 1, before full dilation.

B. During the latent phase
Too early; cervix not fully dilated.

C. During the 1st stage
Pushing should not occur before complete dilation (end of stage 1).

D. At the beginning of the 2nd stage
The second stage begins at 10 cm dilation- appropriate for pushing.

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Correct Answer is C

Explanation

A. engagement, flexion, internal rotation, restitution, descent, extension, external rotation, expulsion: Incorrect order; descent should come before flexion.

B. engagement, flexion, descent, internal rotation, extension, restitution, external rotation, expulsion: Again, descent occurs earlier, right after engagement.

C. engagement, descent, flexion, internal rotation, extension, restitution, external rotation, expulsion: This is the proper sequence of the cardinal movements during labor.

D. flexion, engagement, internal rotation, external rotation, restitution, descent, extension: Flexion happens after engagement, not before.

A. Apply palms of both hands to sides of the uterus B. Grasp lower uterine segment between thumb and fingers C. Palpate the fundus of the uterus D. Place doppler to lower uterine segment

Correct Answer is C

Explanation

A. Apply palms of both hands to sides of the uterus:
Used in the second maneuver to determine the fetal position (e.g., back vs. limbs), not lie.

B. Grasp lower uterine segment between thumb and fingers:
Used in the third maneuver to identify the presenting part, not lie.

C. Palpate the fundus of the uterus:
This first maneuver helps identify the part of the fetus in the fundus (head or buttocks) to determine fetal lie.

D. Place doppler to lower uterine segment:
Helps to assess fetal heart tones, not lie.

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The nurse is caring for a client in labor. When should the nurse instruct the laboring client to begin pushing with her contractions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching a group of student nurses about labor and asks the students to choose the correct order of the cardinal movements. Select the correct order below that indicates understanding of the sequence.

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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