What is the nurse's understanding of the appropriate role of primary and secondary powers?

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Question 1 of 5

What is the nurse's understanding of the appropriate role of primary and secondary powers?

A. Primary powers are responsible for the effacement and dilation of the cervix. B. Effacement is generally well ahead of dilation in women giving birth for the first time; they are closer together in subsequent pregnancies. C. Scarring of the cervix caused by a previous infection or surgery may make the delivery a bit more painful, but it should not slow or inhibit dilation. D. Pushing in the second stage of labor is more effective if the woman can breathe deeply and control some of her involuntary needs to push, as the nurse directs.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

Nurses can help their clients by keeping them informed about the distinctive stages of labor. Which description of the phases of the first stage of labor is accurate?

A. Latent: Mild, regular contractions; no dilation; bloody show; duration of 2 to 4 hours B. Active: Moderate, regular contractions; 4- to 7-cm dilation; duration of 3 to 6 hours C. Lull: No contractions; dilation stable; duration of 20 to 60 minutes D. Transition: Very strong but irregular contractions; 8- to 10-cm dilation; duration of 1 to 2 hours

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

At least five factors affect the process of labor and birth. These are easily remembered as the five Ps. Which factors are included in this process?

A. Passenger B. Passageway C. Powers D. Pressure

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

A woman is admitted in active labor. Her leukocyte count is 14,500/mm3. Based on this information, the nurse should:

A. Assess the woman for other evidence of infection. B. Promptly inform the nurse-midwife of the results. C. Use isolation techniques to limit the spread of infection. D. Record the expected results in the woman's chart.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

Choose the most reliable evidence that true labor has begun.

A. Regular contractions that occur every 15 minutes B. Change in the amount of cervical thinning C. Increased ease of breathing with frequent urination D. A sudden urge to do household tasks

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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