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University of Eldoret *

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6500

Subject

Nursing

Date

Nov 24, 2024

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jpg

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1

Uploaded by JudgeOxide12014

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The mechanisms of labor include engagement, descent, flexion, internal rotation,extension, external rotation, and expulsion. These mechanisms are also referredto as: Select one: a. Stages of labor b. The cardinal movements of labor c. First stage of labor Fetal lie B Maternal-Newbom Nursing: The Critical Components Of Nursing Care, 3rd Edition, Roberta Durham, Linda Chapman The cardinal movements of labor allow passage of the fetus through the birth canal. These include engagement, descent, flexion, internal rotation, extension, external rotation, and expulsion. The labor patient you are caring for is ambulating in the hall. Her vaginal exam1 hour ago indicated she was 4 cm dilated/70% effaced/~1 station. She tells you she has fluid running down her leg. Your priority nursing intervention is to: Select one: a. Assess the color, odor, and amount of fluid. b. Assist your patient to the bathroom. C. Assess the fetal heart rate (FHR). Call the care provider. c When rupture of membranes (ROM) is suspected, the first nursing action is to assess the fetal heart rate (FHR) as there is an increase risk of umbilical cord prolapse with ROM especially if the fetal head is not well engaged. When caring for a primiparous woman being evaluated for admission for labor, akey distinction between true versus false labor is: Select one: a. True labor contractions result in rupture of membranes, and with false labor,the membranes remain intact. b. True labor contractions result in increasing anxiety and discomfort, and falselabor does not. c. True labor contractions are accompanied by loss of the mucus plug and bloodyshow, and with false labor there is no vaginal discharge. Maternal-Newbom Nursing: The Critical Components Of Nursing Care, 3rd Edition, Roberta Durham, Linda Chapman d. True labor contractions bring about changes in cervical effacement and dilation, and with false labor there are irregular contractions with little or nocervical changes. @ O 2
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