The nurse has received a report regarding her patient in labor. The woman's last vaginal examination was recorded as 2 cm, 80%, and +2. The nurse's interpretation of this assessment is that:

Select one:

The cervix is dilated 2 cm, it is effaced 80%, and the presenting part is 2 inches below the ischial spines.

The cervix is 2 cm dilated, it is effaced 80%, and the presenting part is 2 cm above the ischial spines.

The cervix is dilated 2 cm, it is effaced 80%, and the presenting part is 2 cm below the ischial spines.

The cervix is effaced 2 cm, it is dilated 80%, and the presenting part is 2 cm above the ischial spines.

Answer and Explanation

The Correct Answer is C

a.   This is an incorrect interpretation of the assessment.
b.   This is an incorrect interpretation of the assessment.
c.   This is the correct interpretation of the assessment indicating that the labor is progressing well and the baby is descending into the pelvis.
d.   This is an incorrect interpretation of the assessment.

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Correct Answer is A

Explanation

a. Variable decelerations occur due to umbilical cord compression, typically when the cord is compressed during contractions or when the cord is wrapped around the fetal neck or body.
b. Early decelerations are typically related to fetal head compression and are not associated with variable decelerations.
c. Late decelerations are caused by uteroplacental insufficiency and are not associated with variable decelerations.
d. IV narcotic analgesics can cause late decelerations, not variable decelerations.

A. Idiopathic thrombocytopenia. B. Disseminated intravascular coagulation (DIC). C. HELLP syndrome. D. Eclampsia. E. Eclampsia.

Correct Answer is C

Explanation

a. Idiopathic thrombocytopenia is a condition characterized by a low platelet count without an identifiable cause, which is not the case in this scenario.
b. Disseminated intravascular coagulation (DIC) is a condition characterized by widespread activation of the clotting system, which is not the case in this scenario.
c. HELLP syndrome is a serious complication of preeclampsia characterized by hemolysis, elevated liver enzymes, and low platelet count.
d. Eclampsia is a severe complication of preeclampsia characterized by seizures, which is not the case in this scenario.

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The nurse has received a report regarding her patient in labor. The woman's last vaginal examination was recorded as 2 cm, 80%, and +2. The nurse's interpretation of this assessment is that: Select one:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is in the first stage of labor, undergoing external fetal monitoring, and receiving IV fluid. The nurse observes variable decelerations in the fetal heart rate on the monitor strip. Which of the following is a correct interpretation of this finding?

Correct Answer is A

Explanation

Correct Answer is C

Explanation

A woman at 10 weeks of gestation who is seen in the prenatal clinic with presumptive signs and symptoms of pregnancy likely will have:

A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is "not really sure if she is in labor or not." Which of the following should the nurse recognize as a sign of true labor?

A nurse is admitting a client who has severe preeclampsia at 35 weeks of gestation and is reviewing the provider's orders. Which of the following orders requires clarification?

The phase in which the ovarian function and hormone production decline and the patient had a lack of menstrual period for 13 months is known as:

A nurse is planning to teach couples about the physiology of the sex act. What correct information will the nurse provide? Select one:

Management of primary dysmenorrhea often requires a multifaceted approach. The nurse who provides care for a client with this condition should be aware that the optimal pharmacologic therapy for pain relief is: Select one:

You are working in the labor and delivery unit, you received several nursing reports. Which patient should you assess first? Select one:

The nurse has received a report regarding her patient in labor. The woman's last vaginal examination was recorded as 2 cm, 80%, and +2. The nurse's interpretation of this assessment is that:

Select one: