The most important factor in planning for physiologic (expectant) management of the third stage is: 

As the fetus attempts to descend through the birth canal, the head will assume varying degrees of flexion or extension. What is the most difficult fetal head diameter for passage through the pelvis? 

When assessing contractions in labor, the other 2 parameters that the clinician assesses in addition to frequency, are: (2 points)

Name the eight normal mechanisms of labor for an ROA/LOA fetus as described in Varney’s midwifery. (4 points) 1. 2. 3. 4, 5. 6. 7. 8.

The third step of Leopold’s maneuvers as described in Varney is determining what fetal part is presenting at the pelvis. This information is helpful to the midwife conducting a complete assessment of a women presenting to the labor unit because it: 

In the normal mechanisms of labor, when the head appears at the outlet, the shoulders enter the inlet. The shoulders engage in the ________ diameter of the pelvis. 

Question 50 A pregnant diabetic client is in the hospital and her blood glucose reading is 42 mg/dL. What action by the nurse is best?

Question 48 A young client comes in for her first prenatal examination. This is her first child. She asks “How does my baby get air inside my uterus?” What is the most appropriate response by the nurse?

Question 53 A pregnant client asks the nurse for information regarding toxoplasmosis exposure during pregnancy. What information should the nurse teach this client?

Question 54 While the nurse assesses the vital signs of a pregnant client in her third trimester, the patient complains of feeling faint, dizzy, and agitated. Which nursing intervention is appropriate?