A nurse midwife is examining a patient who is at 42 weeks of gestation and believes she is in labor.
Which of the following findings would confirm to the nurse that the patient is in labor?
Amniotic fluid present in the vaginal vault.
Cervical dilation observed.
Brownish vaginal discharge noted.
Patient reports pain above the umbilicus.
The Correct Answer is B
Cervical dilation is a key sign that a patient is in labor. As labor progresses, the cervix dilates to allow the baby to pass through the birth canal. Other signs of labor can include regular contractions, rupture of membranes (amniotic fluid present in the vaginal vault), and changes in vaginal discharge.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Step 1 is to calculate the total amount of Magnesium sulfate in the solution. This is done by multiplying the amount of Magnesium sulfate per mL (which is 50g/L or 0.05g/mL) by the total volume of the solution (which is 1000mL). So, 0.05g/mL × 1000mL = 50g.
Step 2 is to calculate the rate of the IV pump. The maintenance dose is 2g/hr. So, if there are 50g in 1000mL, then 2g would be in (2g ÷ 50g) × 1000mL = 40mL. Therefore, the IV pump should be set at 40 mL/hr.
Correct Answer is C
Explanation
Choice A rationale
The term “effaced” refers to the thinning of the cervix, which is a process that occurs as labor approaches. However, the documentation “-1” does not indicate the degree of cervical effacement.
Choice B rationale
The term “presenting part is 1 cm below the ischial spines” would be documented as “+1” in a vaginal examination. This indicates that the presenting part of the fetus (usually the head) is 1 cm below the ischial spines, which are bony landmarks in the maternal pelvis.
Choice C rationale
The documentation “-1” in a vaginal examination refers to the position of the presenting part of the fetus in relation to the ischial spines of the maternal pelvis. A “-1” indicates that the presenting part is 1 cm above the ischial spines. This is a common finding during labor and does not indicate any abnormality.
Choice D rationale
The term “dilated” refers to the opening of the cervix. In the context of labor and delivery, the cervix dilates from 0 to 10 cm to allow for the passage of the baby. However, the documentation “-1” does not provide information about the degree of cervical dilation.
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