Author Question: While caring for a labor patient, the nurse determines during a vaginal exam that the baby's head ... (Read 63 times)

nautica902 · **on:** Jun 28, 2018

While caring for a labor patient, the nurse determines during a vaginal exam that the baby's head has internally rotated. This information is given to the family.

The labor support person asks the nurse, What other position changes will the baby undertake during labor and birth? How should the nurse describe the rest of the cardinal movements for a baby in a vertex presentation?
1. Flexion, extension, restitution, external rotation, and expulsion
2. Expulsion, external rotation, and restitution
3. Restitution, flexion, external rotation, and expulsion
4. Extension, restitution, external rotation, and expulsion

Question 2

The labor and delivery nurse is preparing a prenatal class about facilitating the progress of labor. Which of the following frequent responses to pain should the nurse indicate is most likely to impede progress in labor?

1. Increased pulse
2. Elevated blood pressure
3. Muscle tension
4. Increased respirations

kjohnson · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

Correct Answer: 4
Rationale: The fetus changes position in the following order: descent, engagement, flexion, internal rotation, extension, restitution, external rotation, and expulsion.

Answer to Question 2

Correct Answer: 3
Rationale 1: Increased pulse is a manifestation of pain, but it does not impede labor.
Rationale 2: Elevated blood pressure is a manifestation of pain, but it does not impede labor.
Rationale 3: Muscle tension can impede labor progress by increased oxygen and calorie consumption and by creating a mechanical obstruction that the uterine contractions must overcome to achieve labor progress.
Rationale 4: Increased respiration is a manifestation of pain, but it does not impede labor.