A nurse is caring for several women in labor.
The nurse determines that which woman is in the latent phase of labor?.
Contractions every 1 minute, cervical dilation 9 cm.
Contractions every 2 1/2 minutes, cervical dilation 8 cm.
Contractions every 5 minutes, cervical dilation 3 cm.
Contractions every 3 minutes, cervical dilation 6 cm. .
The Correct Answer is C
Choice A rationale:
Contractions every 1 minute and cervical dilation of 9 cm are indicative of the transition phase of labor.
Choice B rationale:
Contractions every 2 1/2 minutes and cervical dilation of 8 cm are indicative of the active phase of labor.
Choice C rationale:
Contractions every 5 minutes and cervical dilation of 3 cm are indicative of the latent phase of labor.
Choice D rationale:
Contractions every 3 minutes and cervical dilation of 6 cm are indicative of the active phase of labor.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Olive green is not the color nitrazine paper turns when it comes into contact with amniotic fluid.
Choice B rationale:
Pink is not the color nitrazine paper turns when it comes into contact with amniotic fluid.
Choice C rationale:
Blue is the color nitrazine paper turns when it comes into contact with amniotic fluid, indicating likely membrane rupture.
Choice D rationale:
Yellow is not the color nitrazine paper turns when it comes into contact with amniotic fluid.
Correct Answer is D
Explanation
Choice A rationale:
Checking for a compressed umbilical cord is important as it can cause fetal distress. However, it’s not the first step in response to abnormal EFM tracing.
Choice B rationale:
Preparing for an emergency cesarean birth might be necessary if the abnormality persists and indicates fetal distress. But it’s not the immediate first step.
Choice C rationale:
Documenting the finding is part of the nursing process, but immediate interventions to address the abnormality take precedence.
Choice D rationale:
Helping the woman change positions can relieve pressure on the umbilical cord, potentially resolving the abnormality. This is often the first intervention.
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