A laboring client is 10 cm dilated but does not feel the urge to ...

[ereecah]

A laboring client is 10 cm dilated but does not feel the urge to push. The nurse understands that according to laboring down, the advantages of waiting until an urge to push are which of the following? (Select all that apply.)
 
  a. Less maternal fatigue
  b. Less birth canal injuries
  c. Decreased pushing time
  d. Faster descent of the fetus
  e. An increase in frequency of contractions

Question 2

The labor nurse is reviewing the cardinal maneuvers with a group of nursing students. Which maneuver will immediately follow the birth of the baby's head?
 
  a. Expulsion
  b. Restitution
  c. Internal rotation
  d. External rotation

[14vl19]

Answer to Question 1

ANS: A, B, C
Delayed pushing has been shown to result in less maternal fatigue and decreased pushing time. Pushing vigorously sooner than the onset of the reflexive urge may contribute to birth canal injury because her vaginal tissues are stretched more forcefully and rapidly than if she pushed spontaneously and in response to her body's signals. A brief slowing of contractions often occurs at the beginning of the second stage.

Answer to Question 2

ANS: B
After the head emerges, it realigns with the shoulders (restitution). External rotation occurs as the fetal shoulders rotate internally, aligning their transverse diameter with the anteroposterior diameter of the pelvic outlet. Expulsion occurs when the baby is completely delivered. Internal rotation occurs prior to birth of the head.

[ereecah]

Thank you

[14vl19]

Happy to help you