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?

Cephalhematoma.

Vertex presentation.

Caput Succedaneum.

Molding.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

A cephalhematoma is a collection of blood that can occur under the scalp of a newborn. It does not aid in the passage of the fetal skull through the birth canal.

Choice B rationale:

Vertex presentation refers to the position of the fetus in the womb, not a feature of the skull that aids in birth.

Choice C rationale:

Caput succedaneum is a swelling of the scalp in a newborn. It is caused by pressure from the uterus or vaginal wall during a head-first (vertex) delivery, not a feature that aids in birth.

Choice D rationale:

Molding refers to the shaping of the fetal skull to fit through the birth canal. This is possible due to the presence of sutures and fontanelles in the skull, which allow the bony plates of the skull to move and overlap.

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Correct Answer is B

Explanation

Choice A rationale:

Bradypnea and hypertension are not typically signs of impending shock.

Choice B rationale:

Tachycardia and a falling blood pressure are classic signs of shock as the body tries to compensate for the decreased blood flow.

Choice C rationale:

Tachypnea and a widening pulse pressure can be signs of shock, but they are not as indicative as tachycardia and a falling blood pressure.

Choice D rationale:

Bradycardia and auscultation of fluid in the base of the lungs are not typically signs of impending shock.

A. Offering fluids as indicated. B. Encouraging the woman to void. C. Assessing the uterine fundus. D. Assisting with perineal care. E. Assisting with perineal care.

Correct Answer is C

Explanation

Choice A rationale:

Offering fluids is important to prevent dehydration, but it’s not the priority during the fourth stage of labor.

Choice B rationale:

Encouraging the woman to void can help prevent urinary retention, but it’s not the priority.

Choice C rationale:

Assessing the uterine fundus is the priority during the fourth stage of labor. This is to ensure that the uterus is contracting and to prevent postpartum hemorrhage.

Choice D rationale:

Assisting with perineal care is important for comfort and hygiene, but it’s not the priority.

So, the correct answer is C, assessing the uterine fundus.

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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?

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Naxlex Comprehensive Predictor Exams

While waiting for the placenta to deliver during the third stage of labor, the nurse must assess the new mother's vital signs every 15 minutes. What sign would indicate impending shock?.

Correct Answer is B

Explanation

Which action is a priority when caring for a woman during the fourth stage of labor?.

Correct Answer is C

Explanation

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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?