The nurse is caring for a client in the second stage of labor. What finding indicates that birth is imminent?

Correct Answer: D

Rationale: Crowning, or the appearance of the fetal head at the vaginal opening, indicates that birth is imminent.

Correct Answer: A

Rationale: The quality of spinnbarkeit refers to the elasticity of cervical mucus. Spinnbarkeit is a term used to describe the stretchability or stretchy quality of cervical mucus during ovulation. This elasticity is an important characteristic as it indicates the fertile window for a woman trying to conceive. High levels of spinnbarkeit allow for easier passage and survival of sperm, increasing the chances of conception. The other choices (B. amount, C. clarity, D. color) do not specifically refer to the stretchability or elasticity of cervical mucus, which is what is assessed when evaluating spinnbarkeit.

Correct Answer: A

Rationale: The second stage of pathophysiology in an amniotic fluid embolism characterized by deep vein thrombosis on anticoagulant therapy after giving birth involves the risk of hemorrhage. Anticoagulant therapies such as heparin increase the risk of bleeding since they inhibit the blood's ability to clot effectively. This means that in the event of an injury or surgery, there is a higher likelihood of excessive bleeding. Therefore, it is crucial to monitor for signs of hemorrhage such as bruising, bleeding gums, blood in urine or stool, and low blood pressure. Intervention to manage bleeding may include reducing the dosage of the anticoagulant, administering blood products, and implementing pressure or surgical interventions as necessary.

Correct Answer: A

Rationale: A. What should the nurse be monitoring the fetus closely for? SATA

Correct Answer: C

Rationale: Mittelschmerz, or mid-cycle pain, combined with a basal temperature rise and cervical mucus changes, is a sign that ovulation has occurred. These indicators are part of the body's natural fertility signals.