Nokea
Which stage of labor is characterized by the period between the end of the third stage and the mother's recovery from delivery?
- A. First stage
- B. Second stage
- C. Third stage
- D. Fourth stage
Correct Answer: D
Rationale: The correct answer is D: Fourth stage. The fourth stage of labor is the period immediately following the delivery of the baby and placenta, lasting up to 2 hours. This stage is crucial for monitoring the mother's vital signs and ensuring she recovers from the delivery process. It is characterized by postpartum uterine contractions, monitoring for excessive bleeding, and observing for signs of maternal complications. The first stage refers to the onset of labor until full dilation, the second stage is active labor and delivery of the baby, and the third stage is the delivery of the placenta. Therefore, the fourth stage is specifically focused on the mother's recovery from delivery, making it the correct choice.
You may also like to solve these questions
A nurse on an antepartum unit is caring for four clients. Which of the following clients should the nurse identify as the priority?
- A. A client who has gestational diabetes and a fasting blood glucose level of 120 mg/dL (less than 95 mg/dL).
- B. A client who is at 34 weeks of gestation and reports epigastric pain.
- C. A client who is at 28 weeks of gestation and has an Hgb of 10.4 g/dL (11 to 16 g/dL).
- D. A client who is at 39 weeks of gestation and reports urinary frequency and dysuria.
Correct Answer: B
Rationale: Epigastric pain in a pregnant client can be a sign of preeclampsia or HELLP syndrome, both of which are serious conditions that require immediate medical attention.
A nurse is observing a new guardian caring for their crying newborn who is bottle feeding. Which of the following actions by the guardian should the nurse recognize as a positive parenting behavior?
- A. Lays the newborn across their lap and gently sways.
- B. Places the newborn in the crib in a prone position.
- C. Offers the newborn a pacifier dipped in formula.
- D. Prepares a bottle of formula mixed with rice cereal.
Correct Answer: A
Rationale: Laying the newborn across the lap and gently swaying is a positive parenting behavior that can help soothe the newborn and promote bonding.
Which of the following is a potential complication of postpartum depression?
- A. Poor bonding with the newborn
- B. Insufficient milk production
- C. Increased risk of postpartum hemorrhage
- D. All of the above
Correct Answer: A
Rationale: The correct answer is A: Poor bonding with the newborn. Postpartum depression can hinder the mother's ability to emotionally connect with her baby, leading to poor bonding. This can impact the baby's development and the mother's ability to provide adequate care. Choice B is incorrect as milk production is more related to physical factors rather than mental health. Choice C is incorrect as postpartum hemorrhage is a separate medical issue. Choice D is incorrect as it includes all options, which is not accurate in this case.
A nurse is assessing a client who is 3 days postpartum. Which of the following findings should the nurse report to the provider?
- A. Cool, clammy skin
- B. Moderate lochia serosa
- C. Heart rate 89/min
- D. BP 120/70 mm Hg
Correct Answer: A
Rationale: The correct answer is A: Cool, clammy skin. This finding could indicate hypovolemic shock, a serious complication postpartum. The nurse should report this to the provider immediately for further assessment and intervention. Choice B, moderate lochia serosa, is a normal finding 3 days postpartum. Choice C, heart rate 89/min, and choice D, BP 120/70 mm Hg, are within normal limits for a postpartum client and do not require immediate reporting.
Which of the following is a potential benefit of evidence-based practice in maternal and newborn healthcare?
- A. Improved patient outcomes
- B. Increased patient satisfaction
- C. Decreased healthcare costs
- D. All of the above
Correct Answer: D
Rationale: Evidence-based practice can improve outcomes, satisfaction, and reduce costs.