First Stage of Labor Sherpath Questions and Answers Already Passed

First Stage of Labor Sherpath Questions and Answers Already Passed What approach would a nurse take to best assess the progress of a woman in labor? Observe for classic signs of labor progress while keeping in mind that labor is variable from birth to birth. It is appropriate to monitor for classic signs while recognizing that not every labor demonstrates these signs. Which signs and symptoms exhibited by the woman in labor suggest that she may be getting closer to delivery? - Contractions are strong upon palpation. - Contractions are every 1 to 2.5 minutes. - There is a large amount of bloody mucus on the pad. A woman is considered to be in active labor when the cervix is at least _____ cm dilated. 6 Active labor generally begins at 6 cm dilation. Which assessment would the nurse complete when a woman is in active labor? Fetal heart rate and pattern every 15 to 30 minutes This is appropriate in active labor. Match the laboring positions to their advantages. Prevents supine hypotension, promotes placental blood flow - Side-lying Allows for rocking, bouncing, opening hips with contractions - Birthing ball Gravity promotes fetal descent, woman can walk - Standing Support person can reach back for massage, relieves back labor pain - Hands and knees Which signs are considered warning signs in labor that should be reported to the health care provider? - The presence of thin green fluid leaking from the vagina - Maternal temperature of 100.8°F - Bright red vaginal bleeding with blood clots - Minimal variability on the fetal heart tracing for the past 60 minutes A patient is experiencing painful contractions and is 7 cm dilated. The nurse recognizes these relevant cues and selects a hypothesis that the patient is in which phase of the first stage of labor? Active labor Active labor typically begins at 6 cm, and most patients experience very frequent, painful contractions during this time. When caring for a patient in the active stage of labor, which solutions would the nurse generate to promote, protect, and support natural labor and birth? - Encourage upright positions without restricting movement. - Provide support and allow visitors for labor support beginning in early labor. - Allow intermittent fetal monitoring, when appropriate, according to policy. Which nonpharmacologic actions can the nurse take that would be most beneficial to a patient in labor who expresses fear about movement in labor? - Encourage support people to assist the patient with positioning. - Utilize positive and supportive language. - Provide options for new positioning. - Offer music, therapeutic breathing, or