The nurse is determining care for a patient entering the active ...

[folubunmi]

The nurse is determining care for a patient entering the active phase of labor. Which outcome would be the most appropriate for the patient at this time?
 
  A) Patient will develop an irresistible urge to push.
  B) Patient will combat feelings of nausea to prevent vomiting.
  C) Patient will remain in the supine position during contractions.
  D) Patient will adjust body to attain the most comfortable position.

Question 2

The nurse is teaching a pregnant patient the cardinal movements of labor. What should the nurse explain that occurs once the fetal head presses on the sacral nerves at the pelvic floor?
 
  A) The fetal head bends forward onto the chest.
  B) The fetal head rotates into a transverse position.
  C) The head extends so that the face and chin are born.
  D) The shoulders move into an anteroposterior position.

[Kimmy]

Answer to Question 1

D
Feedback:
During the active phase of labor, contractions grow so much stronger and last so much longer than they did in the latent phase. An appropriate outcome at this time would be that the patient keeps active and assumes whatever position is most comfortable during this time, except flat on the back or supine. An irresistible urge to push and nausea and vomiting may occur during the transition phase of labor.

Answer to Question 2

A
Feedback:
The cardinal movements of labor are descent, flexion, internal rotation, extension, external rotation, and expulsion. In descent, the fetal head bends forward onto the chest once the head presses on the sacral nerves at the pelvic floor. The fetal head rotates into a transverse position prior to expulsion. The head extends so that the face and chin are born during extension. The shoulders move into an anteroposterior position during external rotation.