Practice Quiz

CNM Certified Nurse Midwife

Category - Intrapartum

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Which of the following factors contribute(s) to a successful labor?

I. The client’s pelvis is of adequate size and contour.
II. The fetus is in an advantageous position and presentation and is of appropriate size.
III. The uterine contractions are adequate.
IV. The client has a strong sense of self-esteem.
  1. I and II
  2. I and III
  3. I, II and III
  4. Successful labor depends of all of the above factors.
Explanation
Answer: D - A successful labor depends on the 4 Ps: the passage, the passenger, the power of labor and the client’s psyche. The passage is the route the fetus has to travel from the uterus, through the cervix and vagina and into the external perineum. The passenger is the fetus. Power refers to adequate uterine contractions without which full dilatation may not be possible. Clients who have a strong sense of self-esteem manage labor the best.
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