Concerning the turns and other adjustments of the fetus during ...

[OSWALD]

Concerning the turns and other adjustments of the fetus during the human birth process, known as the mechanism of labor, nurses should be aware that:
 
  1. the seven critical movements must progress in a more or less orderly sequence.
  2. asynclitism is sometimes achieved by means of the Leopold maneuver.
  3. the effects of the forces determining descent are modified by the shape of the woman's pelvis and the size of the fetal head.
  4. at birth the baby is said to achieve restitution, that is, a return to the C shape of the womb.

Question 2

In appraising the growth and development potential of a preterm infant, nurses should:
 
  1. tell parents their child won't catch up until about age 10 (girls) to 12 (boys).
  2. correct for milestones such as motor competencies and vocalizations until the child is approximately 2 years of age.
  3. know that the greatest catch-up period is between 9 to 15 months postconceptual age.
  4. know that the length and breadth of the trunk is the first part of the infant to ex-perience catch-up growth.

[jordangronback]

Answer to Question 1

3
1. Incorrect. The seven identifiable movements of the mechanism of labor occur in combi-nations simultaneously, not in precise sequence.
2. Incorrect. Asynclitism is the deflection of the baby's head; the Leopold maneuver is a way to judge descent by palpation of the mother's abdomen.
3. Correct. The size of the maternal pelvis and the fetal head's capacity to mold also affect the process.
4. Incorrect. Restitution is the rotation of the baby's head after it is born.

Answer to Question 2

2
1. Incorrect. The infant, girl or boy, experiences catch-up body growth during the first 2 to 3 years of life.
2. Correct. Corrections are made with a formula that adds gestational age and postnatal age.
3. Incorrect. Maximum catch-up growth occurs between 36 and 40 weeks postconceptual age.
4. Incorrect. The head is the first to experience catch-up growth.