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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
a. GnRH does not directly affect blood pressure control.
b. GnRH does not directly affect intestinal motility.
c. GnRH is a hormone that stimulates the release of follicle-stimulating hormone (FSH) and luteinizing hormone (LH), which are involved in follicle growth and maturation in the ovaries.
d. GnRH does not directly affect insulin secretion.
Correct Answer is A
Explanation
a. Massaging the client's back can help to close the "gate" for pain signals to reach the brain according to the Gate control theory of pain.
b. Administering analgesic medications addresses pain but does not directly apply the principles of the Gate control theory.
c. Placing the client on a supine position does not specifically address pain control according to the Gate control theory.
d. Repositioning onto her left side may be done for fetal well-being but does not directly apply the principles of the Gate control theory.
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