LC's VE (6/80/-1) indicates which of the following (there are 3 correct choices)?
Active stage of labor.
80% dilated
The fetus is minus 1 cm above the pelvic outlet.
The presenting part is 1cm below the ischial spines.
Correct Answer : C,E,F
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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Pitocin is used to induce or augment labor but is not indicated specifically for a GBS-positive patient.
B. Azithromycin is used for treating chlamydia, not for group B streptococcus (GBS).
C. Penicillin G is the recommended treatment for GBS-positive mothers during labor to prevent neonatal infection. It is administered intravenously.
D. Magnesium Sulfate is used for pre-eclampsia or preterm labor, not for GBS prevention.
Correct Answer is B
Explanation
A. Anxiety could cause a headache, but the combination of symptoms is more concerning for preeclampsia or impending eclampsia.
B. Pregnancy-induced hypertension (PIH) or preeclampsia with symptoms such as pounding headaches and epigastric pain are classic signs of impending seizures (eclampsia). This requires immediate intervention.
C. Magnesium sulfate is used to prevent seizures in preeclampsia, but the symptoms of a pounding headache and epigastric pain suggest worsening conditions, not a side effect of magnesium sulfate.
D. A panic attack is unlikely to cause epigastric pain or the combination of these symptoms in a pregnant woman.
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