The slight overlapping of cranial bones or shaping of the fetal head during labor is called:

Valsalva maneuver.

Ferguson’s reflex.

Lightening.

Molding.

Answer and Explanation

The Correct Answer is D

Choice A rationale
Valsalva maneuver involves forced expiration against a closed airway, increasing intrathoracic pressure and commonly used to expel the fetus during the second stage of labor.
Choice B rationale
Ferguson’s reflex involves the release of oxytocin due to vaginal and cervical stretching, leading to stronger contractions during the second stage of labor.
Choice C rationale
Lightening refers to the descent of the fetus into the pelvis before labor begins, reducing pressure on the diaphragm and making breathing easier.
Choice D rationale
Molding is the slight overlapping of cranial bones, allowing the fetal head to change shape and fit through the birth canal during labor.

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

Explanation

Choice A rationale
Calling for help and notifying the care provider ensures that expert medical assistance is available promptly for any emergency interventions required.
Choice B rationale
Getting help and preparing the operating room ensures readiness for an immediate cesarean section if fetal distress persists and the situation does not improve rapidly.
Choice C rationale
Starting Pitocin is inappropriate during fetal distress as it may further stress the fetus by increasing contraction frequency and intensity, potentially worsening the situation.
Choice D rationale
Inserting a Foley catheter does not address the immediate concern of fetal distress and would not provide immediate benefit in improving fetal heart rate.
Choice E rationale
Repeating uterine resuscitation measures (e.g., repositioning, oxygen, IV fluids) is essential, but if they are ineffective, additional interventions, such as preparing for possible surgical delivery, are needed.

A. Terbutaline. B. Betamethasone. C. Pitocin. D. Magnesium Sulfate.

Correct Answer is C

Explanation

Choice A rationale
Terbutaline is a beta-agonist used to relax uterine muscles and delay preterm labor, not to augment labor in term pregnancies. It is not indicated for labor augmentation.
Choice B rationale
Betamethasone is a corticosteroid given to enhance fetal lung maturity in preterm pregnancies. It is not used to augment labor in term pregnancies, as it does not stimulate uterine contractions.
Choice C rationale
Pitocin (oxytocin) is a synthetic form of the natural hormone oxytocin. It stimulates uterine contractions and is commonly used to induce or augment labor in term pregnancies.
Choice D rationale
Magnesium sulfate is used primarily to prevent seizures in women with preeclampsia and to provide neuroprotection to preterm infants. It does not help augment labor contractions.

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The slight overlapping of cranial bones or shaping of the fetal head during labor is called:

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

Explanation

A patient is admitted to the Labor & Delivery unit at 39 weeks. She is 5/60/-2. After several hours she is at 5/70/-2. What can be given to help augment her labor?

Correct Answer is C

Explanation

Along with gas exchange and nutrient transfer, the placenta produces many hormones necessary for normal pregnancy. These include (select all that apply):

The nurse is aware that labor and birth will most likely proceed normally when the fetal position is:

A multipara in latent phase of labor experiences spontaneous rupture of membranes while walking. Which is the first priority nursing action?

With regard to weight gain during pregnancy, the nurse should be aware of which important information?

As relates to the structure and function of the placenta, the nurse should be aware that.

Pitocin is used for which of the following reasons in the L&D unit: (Select all that apply)

The nurse caring for a client in labor observes the external fetal monitor tracing showing that there are accelerations with moderate variability. Which of the following actions is most appropriate?

When administering Pitocin, you should start at a low dose and work your way up slowly to a dose that provides the best contraction rate.