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 C

Explanation

a. This is a common cause of variable decelerations, not late decelerations.

b. This is a common cause of variable decelerations, not late decelerations.

c. Late decelerations are caused by decreased blood flow to the placenta during contractions, resulting in a reduced oxygen supply to the fetus.
d. This is a common cause of variable decelerations, not late decelerations.

A. Constipation for 2 days. B. Absent of fetal movement in one full day C. Edema at the end of the day, resolving during the night. D. Anxiety during the night

Correct Answer is B

Explanation

a. This is not typically considered a danger sign of pregnancy.

b. This is a potential danger sign of pregnancy and should be reported to the healthcare provider.
c. This is not typically considered a danger sign of pregnancy.

d. This is not typically considered a danger sign of pregnancy.

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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

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Correct Answer is C

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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: