Based on a review of the available literature, including several systematic reviews with varying results, the authors of the Varney chapter on the second stage of labor conclude that a safe and reasonable approach to initiating active pushing is:

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. 

As the fetus attempts to descend through the birth canal, the head will assume varying degrees of flexion or extension. The diameter of the fetal head that presents when the head is well flexed is the: 

Question 42 Which of the following defects would the nurse associate with low levels of alpha-fetoprotein assay (AFP)? (Select all that apply)

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 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?

Question 52 When teaching the pregnant client with class II heart disease, what information should the nurse provide?

Question 25 Which of the following appointment schedules should the nurse teach the client to adhere to in a normal pregnancy?

Question 20 The nurse would assess which of the following clients first when making rounds on the antepartum unit?

Question 46 Which of the following would the nurse have readily available for a client who is receiving magnesium sulfate to treat severe preeclampsia