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.
engagement, flexion, internal rotation, restitution, descent, extension, external rotation, expulsion
engagement, flexion, descent, internal rotation, extension, restitution, external rotation, expulsion
engagement, descent, flexion, internal rotation, extension, restitution, external rotation, expulsion
flexion, engagement, internal rotation, external rotation, restitution, descent, extension
The Correct Answer is C
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Apply oxygen at 10 L/min by face mask:
Not first. While oxygen can help, the underlying cause must be assessed before intervention.
B. Prepare for cesarean delivery:
Not appropriate yet; initial assessment must be completed first to determine cause of tachycardia.
C. Take the mother’s temperature:
Maternal fever is a common cause of fetal tachycardia and must be ruled out first.
D. Apply a FSE:
Invasive and not the first step. It is done when external monitoring is inadequate, not as an initial assessment.
Correct Answer is D
Explanation
A. Soft blowing sound that corresponds to the maternal pulse during auscultation of the uterus: This describes uterine souffle, not Goodell's sign.
B. Softening of the lower segment of the uterus: This is Hegar’s sign.
C. Bluish discoloration of the cervix: This is Chadwick’s sign.
D. Softening of the vaginal segment of the cervix: Goodell’s sign is softening of the cervix due to increased vascularity.
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