A laboring patient reports, anxiety, vomiting, and the need to have a bowel movement. What is the expected cervical examination finding?

6 cm dilated and 80% effaced

8 cm dilated and 100% effaced

5 cm dilated and 70% effaced

Unmeasurable

Answer and Explanation

The Correct Answer is B

A. 6 cm dilated and 80% effaced – Incorrect; this is more consistent with active labor, but the symptoms suggest transition phase.
B. 8 cm dilated and 100% effaced – Correct; the transition phase (8-10 cm dilation) is characterized by intense contractions, nausea, and the sensation of rectal pressure.
C. 5 cm dilated and 70% effaced – Incorrect; this is too early for the transition phase symptoms.
D. Unmeasurable – Incorrect; cervical dilation and effacement can always be measured during labor unless obstructed by fetal descent.

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Correct Answer is C

Explanation

A. Picture book about hospitals – Incorrect; a picture book may help older children but is not as effective for a 2-year-old experiencing separation anxiety.

B. Toy hammer and pounding board – These toys can be good for physical activity, but they might not be calming during a stressful tantrum.

C. Stuffed animal – Correct; comfort objects help reduce anxiety and provide security in an unfamiliar environment.

D. Set of building blocks – Incorrect; blocks help with fine motor development but do not directly address stress relief as well as other options.

A. Quickening B. Ballottement C. Lightening D. Nesting

Correct Answer is A

Explanation

A. Quickening – Correct; the first sensation of fetal movement, typically felt between 16-20 weeks of gestation.
B. Ballottement – Incorrect; this refers to a physical examination finding where the fetus rebounds when the cervix is tapped.
C. Lightening – Incorrect; this occurs later in pregnancy when the fetus drops into the pelvis before labor.
D. Nesting – Incorrect; this describes a surge of energy before labor, not fetal movement.

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A laboring patient reports, anxiety, vomiting, and the need to have a bowel movement. What is the expected cervical examination finding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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