Author Question: The client asks the nurse, When does the first stage of labor end? The MOST appropriate response by ... (Read 31 times)

crobinson2013 · **on:** Jul 22, 2018

The client asks the nurse, When does the first stage of labor end? The MOST appropriate response by the nurse would be when the:

a. cervical dilation is 4 centimeters
b. cervical dilation is 10 centimeters
c. crowning occurs
d. uterine contractions occur every 5 to 7 minutes

Question 2

Immediately after the rupture of membranes (either spontaneously or artificially), it is most important for the nurse to:

a. assess the fetal heart rate (FHR) for a full minute, and report significant changes
b. change the linen savers under the client's hip
c. note the color, quantity, and odor, and document on the chart
d. perform a vaginal examination to check for a prolapsed umbilical cord

nekcihc358 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
The first stage of labor is dilation and effacement. This stage begins with the onset of labor and ends when cervical dilation is complete at 10 cm. This stage is further divided into three phases: latent, active, and transition. The latent phase ends when the cervix is dilated 4 cm. This is a good time to teach the client because she is usually still fairly comfortable. The active phase begins when the cervix is dilated 4 cm and ends when the cervix is dilated 8 cm. The client will focus on breathing techniques and is less receptive to teaching. The transition phase begins when the cervix is dilated 8 cm and ends when the cervix is 10 cm.

Answer to Question 2

A
After the rupture of membranes, there exists the danger that the umbilical cord will wash out with the amniotic fluid. The nurse should assess the fetal heart rate (FHR) for a full minute and report significant changes to ensure the cord is not occluded.