A G1 PO 39 week gestation patient presents in active labor. She is GBS positive at 36 weeks. What medication does the nurse anticipate giving?

A. The active stage of labor typically begins when cervical dilation is around 4 cm. LC’s dilation of 6 cm suggests that she is already in the active phase, but this is not confirmed based on this vaginal exam alone.

B. LC is not 80% dilated; the figure 6/80/-1 indicates 6 cm dilation, 80% effaced, and -1 station (fetal head is still above the ischial spines).

C. The fetal station of -1 indicates that the presenting part (head) is 1 cm above the pelvic outlet, which is consistent with this description.

D. The presenting part being 1 cm below the ischial spines would indicate a station of +1, which is not described here.

E. The cervix is 80% effaced, meaning it is more than halfway thinned, which is correct.

F. With a dilation of 6 cm, LC is in the active phase of labor, not the latent phase, but the question refers to the latent phase for comparison.

A. Both placenta abruptio and placenta previa can involve bright red bleeding, though their underlying causes and presentations differ. Therefore, this statement is not entirely accurate.

B. Placenta previa is usually visible on ultrasound, while placenta abruptio is diagnosed based on clinical signs (bleeding, pain) and ultrasound when available.

C. Abruptio placenta can cause severe abdominal pain due to the separation of the placenta from the uterine wall. This is a key distinguishing feature from placenta previa, which typically does not cause pain.

D. Placenta previa is not treated by induction of labor unless it is term and the placenta is low-lying. It is typically managed by planned cesarean delivery.