Which position would the nurse suggest for second stage labor if the pelvic outlet needs to be increased?

Which position would the nurse suggest for second stage labor if the pelvic outlet needs to be increased?

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Which position would the nurse suggest for second stage labor if the pelvic outlet needs to be increased?

Which position would the nurse suggest for second stage labor if the pelvic outlet needs to be increased?

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Abstract

The second-stage of labor is the most stressful part of childbirth process and the proper maternal position during this period is paramount for women's safe vaginal birth. Midwives play a pivotal role in managing maternal positions during the second-stage of labor. However, there is limited evidence to support an ideal maternal position during the second-stage of labor. Further, the difference between different maternal positions might not be apparent. This paper aims to review and compare the benefits and risks of common maternal positions during the second-stage of labor, thereby to provide midwives evidence-based practical guidelines.

Keywords

Second labor stage

Parturition

Posture

Review

Cited by (0)

© 2019 Chinese Nursing Association. Production and hosting by Elsevier B.V.

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Which position would the nurse suggest for second stage labor if the pelvic outlet needs to be increased?

Which position would the nurse suggest for second stage labor if the pelvic outlet needs to be increased?

Which position would the nurse suggest for second stage labor if the pelvic outlet needs to be increased?

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9 Cards in this Set

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With regard to primary and secondary powers, the maternity nurse should understand that:
a) Primary powers are responsible for effacement and dilation of the cervix
b) Effacement generally is well ahead of dilation in women giving birth for the first time; they are more 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

Primary powers are responsible for effacement and dilation of the cervix

Nurses can advise their clients that all are signs that precede labor except:
a) A return of urinary frequency as a result of increased bladder pressure
b) Persistent low backache from relaxed pelvic joints
c) Stronger and more frequent uterine (Braxton Hicks) contractions
d) A decline in energy, as the body stores up for labor

A decline in energy, as the body stores up for labor

In order to accurately assess the health of the mother accurately during labor, the nurse should be aware that:
a) The woman's blood pressure increases during contractions and falls back to prelabor normal between contractions
b) Use of the Valsalva maneuver is encouraged during the second stage of labor to relieve fetal hypoxia
c) Having the woman point her toes reduces leg cramps
d) The endogenous endorphins released during labor raise the woman's pain threshold and produce sedation

The endogenous endorphins released during labor raise the womans pain threshold and produce sedation

The nurse knows that the second stage of labor, the descent phase, has begun when:
a) The amniotic membranes rupture
b) The cervix cannot be felt during a vaginal examination
c) The woman experiences a strong urge to bear down
d) The presenting part is below the ischial spines

The woman experiences a strong urge to bear down

All statements about normal labor are true except:
a) A single fetus presents by vertex
b) It is completed within 8 hours
c) A regular progression of contractions, effacement, dilation, and descent occurs
d) No complications are involved

It is completed within 8 hours

Nurses can help their clients by keeping them informed about the distinctive stages of labor. What description of the phases of the first stage of labor is accurate?
a) Latent: milk, regular contractions; no dilation; blood show; duration of 2 to 4 hours
b) Active: moderate, regular contractions; 4 to 7cm 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 10cm dilation; duration of 1 to 2 hours

Active: moderate, regular contractions; 4 to 7 cm dilation; duration of 3 to 6 hours

Which position would the nurse suggest for second-stage labor if the pelvic outlet needs to be increased?
a) Semirecumbent
b) Sitting
c) Squatting
d) Side-lying

Squatting

Fetal circulation can be affected by many factors during labor. Accurate assessment of the laboring woman and fetus requires knowledge of these expected adaptations. Which factor will not affect fetal circulation during labor?
a) Fetal position
b) Uterine contractions
c) Blood pressure
d) Umbilical cord blood flow

Fetal position

Concerning the third stage of labor, nurses should be aware that:
a) The placenta eventually detaches itself from a flaccid uterus
b) The duration of the third stage may be as short as 3 to 5 minutes
c) It is important that the dark, roughened maternal surface of the placenta appear before the shiny fetal surface
d) The major risk for women during the third stage is a rapid heart rate

The duration of the third stage may be as short as 3 to 5 minutes

Which position with the nurse suggest for second stage labour if the pelvic outlet needs to be increased?

It is suggested that women in upright positions give birth more easily because the pelvis is able to expand as the baby moves down; gravity may also be helpful and the baby may benefit because the weight of the uterus will not be pressing down on the mother's major blood vessels which supply oxygen and nutrition to the ...

Which position would the nurse suggest for second stage labor if the pelvic outlet needs to be increased quizlet?

Which position would the nurse suggest for second-stage labor if the pelvic outlet needs to be increased? Kneeling or squatting moves the uterus forward and aligns the fetus with the pelvic inlet; this can facilitate the second stage of labor by increasing the pelvic outlet.

What does the nurse know that occurs in the second stage of labor?

The second stage of labor begins with complete or full dilation of the cervix (10 centimeters). The second stage of labor may take from 15 to 30 minutes to several hours. Your primary nurse will help you with breathing and pushing techniques.

What does the nurse know that occurs in the second stage of labor the descent phase quizlet?

The nurse knows that the second stage of labor, the descent phase, has begun when: the woman experiences a strong urge to bear down. Nurses can help their clients by keeping them informed about the distinctive stages of labor.