What stage of labor begins with full 10cm dilation of the cervix to the birth of the baby?
First stage
Third stage
Fourth stage
Second Stage
The Correct Answer is D
A. First stage: The first stage of labor begins with the onset of regular contractions and ends with full dilation (10 cm) of the cervix.
B. Third stage: The third stage of labor begins after the birth of the baby and ends with the delivery of the placenta.
C. Fourth stage: The fourth stage of labor involves the immediate postpartum period after the placenta is delivered, focusing on stabilization of the mother.
D. Second Stage: The second stage of labor begins with complete cervical dilation (10 cm) and ends with the birth of the baby.
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Related Questions
Correct Answer is B
Explanation
A. Monitor the patient's urinary output. While monitoring urinary output is important, it is not the primary concern when administering oxytocin for labor induction.
B. Monitor for tachysystole. Tachysystole (defined as more than 5 contractions in 10 minutes) is a potential complication of oxytocin administration. It can lead to fetal distress, so it is crucial to monitor for this condition.
C. Monitor the patient's coping mechanisms for labor. Monitoring coping mechanisms is important, but it is not the primary responsibility when administering oxytocin.
D. Monitor the IV site. While the IV site should be monitored for complications such as infiltration, it is not the primary concern with oxytocin administration.
Correct Answer is C
Explanation
A. Explain to the client what is happening. While it's important to keep the client informed, the immediate priority is relieving pressure on the cord, which can lead to fetal hypoxia.
B. Prepare the client for an emergency cesarean birth. While preparing for a cesarean is important, it is not the first priority. Relieving pressure on the umbilical cord is the most immediate action.
C. Place the client in a knee-chest or Trendelenburg position. This position helps to reduce pressure on the umbilical cord and improve blood flow to the fetus.
D. Cover the cord with a sterile, moist saline dressing. Although this is important to protect the exposed cord, it is not the first action. The priority is to reduce the pressure on the cord by repositioning the client.
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