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. At 9 weeks of gestation, the uterus is still within the pelvic cavity and not palpable above the symphysis pubis.
b. The fundus is not expected to be palpable 5 cm above the umbilicus until around 20 weeks of gestation.
c. The fundus is not expected to be palpable at the level of the umbilicus until around 20 weeks of gestation.

d. The fundus is not expected to be palpable slightly above the symphysis pubis at 9 weeks of gestation.

A. Darkening of the areola and breast tenderness B. Softening of the lower segment of the uterus. C. Violet or purplish discoloration of the vulva, vagina, and cervix D. Presence of early fetal movements E. Presence of early fetal movements

Correct Answer is C

Explanation

a. Darkening of the areola and breast tenderness are common symptoms of early pregnancy but are not associated with Chadwick's sign.

b. Softening of the lower segment of the uterus is associated with Hegar's sign, not Chadwick's sign.
c. Chadwick's sign is the violet or purplish discoloration of the vulva, vagina, and cervix due to increased blood flow during pregnancy.
d. Presence of early fetal movements is not associated with Chadwick's sign.

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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 woman is at 9 weeks of gestation. The nurse would expect to palpate the fundus at which level? Select one:

Correct Answer is A

Explanation

During the physical examination for the first prenatal visit, it is noted that Chadwick's sign is present. What is the interpretation of Chadwick's sign? Select one:

Correct Answer is C

Explanation

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A pregnant woman's amniotic membranes rupture. Prolapsed umbilical cord is suspected. What intervention would be the top priority? 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: