What stage of labor ends with the physiologic stabilization of the mother?

Stage 1

Stage 2

Stage 3

Stage 4

Answer and Explanation

The Correct Answer is D

A. Stage 1: Stage 1 of labor involves the onset of contractions to full cervical dilation. It does not end with maternal stabilization.

B. Stage 2: Stage 2 begins with full cervical dilation and ends with the birth of the baby. Maternal stabilization happens later.

C. Stage 3: Stage 3 involves the delivery of the placenta. Stabilization of the mother occurs after this stage.

D. Stage 4: Stage 4 of labor, also known as the recovery phase, is the period after the delivery of the placenta when the mother’s body begins to stabilize physiologically. This stage typically lasts around 1 to 2 hours postpartum.

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Correct Answer is B

Explanation

A. Wipe from the back to front when performing perineal hygiene: The correct method for perineal hygiene is to wipe front to back to reduce the risk of introducing bacteria into the vaginal area, especially in a client with PROM who is at risk for infection.

B. Keep a daily record of fetal kick counts: Monitoring fetal kick counts helps assess fetal well-being, particularly in a high-risk pregnancy like PROM at 26 weeks. It helps detect potential fetal distress early.

C. Avoid bubble bath solution when taking a tub bath: While avoiding bubble bath may help prevent irritation or infection, tub baths should be avoided entirely in cases of PROM to reduce the risk of ascending infection.

D. Use a condom with sexual intercourse. Sexual intercourse is contraindicated in clients with PROM due to the risk of infection.

A. "You will have a weight gain of 0.5 to 1.5 kilograms." B. "You will have a decrease in vaginal discharge." C. "You will experience urinary retention." D. "You will experience a surge of energy."

Correct Answer is D

Explanation

A. "You will have a weight gain of 0.5 to 1.5 kilograms." Weight loss of around 0.5 to 1.5 kg (1-3 lbs) due to hormonal changes and fluid shifts is common before labor, not weight gain.

B. "You will have a decrease in vaginal discharge." There is typically an increase in vaginal discharge, known as the "bloody show," as the cervix prepares for labor.

C. "You will experience urinary retention." Increased pressure on the bladder due to the baby's descent into the pelvis usually causes increased urinary frequency, not retention.

D. "You will experience a surge of energy." Many women experience a "nesting" instinct or surge of energy in the days before labor, which is a common sign that labor is approaching.

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What stage of labor ends with the physiologic stabilization of the mother?

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Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who has premature rupture of membranes at 26 weeks of gestation. Which of the following instructions should the nurse include?

Correct Answer is B

Explanation

A nurse is reinforcing teaching about signs preceding the onset of labor with a client who is at 39 weeks of gestation. Which of the following statements should the nurse include?

Correct Answer is D

Explanation

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