With Regard to Primary and Secondary Powers, the Maternity Nurse

question 8

Multiple Choice

With regard to primary and secondary powers, the maternity nurse should know 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 closer together in time 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.

---

Definitions:

Negative Self-concept

The perception or image a person has of themselves that is generally characterized by lack of confidence and feelings of inadequacy or undesirability.

External Locus

The belief that one's successes or failures result from external factors beyond their control, rather than one's own efforts.

Conditional Positive Regard

Conditional positive regard is when acceptance and love are contingent upon behaving in a certain way or meeting particular standards, often discussed in psychology.

Role Model

A person to whom an individual can look to for guidance by example, but who isn’t necessarily actively interacting with the individual.