A client is entering the end of the second stage of labor. What ...

[RYAN BANYAN]

A client is entering the end of the second stage of labor. What should the nurse expect to assess in this client? Select all that apply.
 
  1. Bulging perineum
  2. Parting of the labia
  3. Crowning of the fetus
  4. Increasing bloody show
  5. Increasing rectal pressure

Question 2

A client entering the third trimester of labor is concerned about having enough muscle strength and stamina to give birth. Which exercises should the nurse review with the client to facilitate the birthing process? Select all that apply.
 
  1. Yoga
  2. Pelvic tilt
  3. Pelvic rock
  4. Kegel exercises
  5. McRoberts exercises

[amy.lauersdorf90]

Answer to Question 1

1, 2, 3, 4
Explanation:
1. During the end of the second stage of labor the perineum bulges as the fetal head enters the birth canal.
2. During the end of the second stage of labor the labia part as the fetal head enters the birth canal.
3. During the end of the second stage of labor crowning of the fetal head occurs, which indicates that birth is imminent.
4. During the end of the second stage of labor bloody show will increase.
5. Increasing rectal pressure occurs during the transition stage of labor.

Answer to Question 2

2, 3, 4, 5
Explanation:
1. Yoga is not identified as an exercise to facilitate the birthing process.
2. Body-conditioning exercises, such as the pelvic tilt, are taught in childbirth preparation classes.
3. Body-conditioning exercises, such as the pelvic rock, are taught in childbirth preparation classes.
4. Body-conditioning exercises, such as the Kegel exercises, are taught in childbirth preparation classes.
5. Exercises aimed at adducting the legs into an extended McRoberts position help enable the woman to stretch her hamstring muscles, a task usually required during the second stage of labor.