In which stage and phase of labor is the client who is at 7 cm of cervical dilation and 100% effacement, with the fetus at 1 station and intact amniotic membranes, and reporting the urge to push?

Second stage, active phase

First stage, active phase

First stage, latent phase

Second stage, latent phase

Answer and Explanation

The Correct Answer is B

A. Second stage, active phase – Incorrect; the second stage begins at 10 cm dilation, not 7 cm.
B. First stage, active phase – Correct; the active phase of the first stage occurs from 6-10 cm dilation and includes increased discomfort and pressure.
C. First stage, latent phase – Incorrect; the latent phase occurs 0-5 cm dilation, before active labor.
D. Second stage, latent phase – Incorrect; the second stage starts at 10 cm when pushing begins.

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Correct Answer is A

Explanation

A. "We are looking for increases in fetal heart rate of 15/min for at least 15 seconds. This means the baby is doing well." – Correct; a reactive NST shows at least two accelerations of 15 bpm lasting at least 15 seconds within 20 minutes, indicating fetal well-being.
B. "We will draw blood to evaluate the baby's risk of genetic problems." – Incorrect; an NST does not involve blood work; genetic testing is done through amniocentesis or blood screening.
C. "I am looking at the ultrasound to see if the baby has any congenital anomalies." – Incorrect; an NST does not evaluate congenital anomalies; an ultrasound or amniocentesis would be used for that.
D. "If the baby moves 5 times in 15 minutes, then the baby is healthy." – Incorrect; fetal movement is assessed with kick counts, not an NST.

A. G3 TO PO A2 LO B. G3 TO PO A3 LO C. G3 T1 P2 A0 L4 D. G3 TI P2 AO LO

Correct Answer is A

Explanation

A. G3 T0 P0 A2 L0 – Correct, as she has had three pregnancies (including the current one), no term or preterm births, two miscarriages, and no living children.
B. G3 T0 P0 A3 L0 – Incorrect, as she has had two miscarriages, not three.
C. G3 T1 P2 A0 L4 – Incorrect, as she has had no term or preterm births and no living children.
D. G3 T1 P2 A0 L0 – Incorrect, as she has had no term or preterm births.

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In which stage and phase of labor is the client who is at 7 cm of cervical dilation and 100% effacement, with the fetus at 1 station and intact amniotic membranes, and reporting the urge to push?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with a nonstress test (NST) on a client who is at 36 weeks of gestation and asks "What are you looking for during this test?" Which of the following responses should the nurse make?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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