The Nurse Knows That the Second Stage of Labor,the Descent

question 26

Multiple Choice

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.

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Definitions:

Sternomastoid

A major muscle in the neck that runs from the sternum and collarbone to the mastoid process of the temporal bone of the skull.

Trapezius

A large triangular muscle extending over the back of the neck and shoulders, involved in moving, rotating, and stabilizing the scapula and extending the head at the neck.

Spinal Accessory

Pertains to the eleventh cranial nerve (accessory nerve) that supplies the sternocleidomastoid and trapezius muscles, facilitating shoulder and neck movements.

Axillae

The underarm area of the body, where the arm connects to the shoulder, containing sweat glands and lymph nodes.