The nurse is admitting a pregnant client into the labor and delivery unit. Which findings indicate the client is in the latent phase of the first stage of labor? Select all that apply.

Cervical dilation of 5 cm

Cervical effacement of 50%

Contractions lasting about 30 to 45 seconds

Moderate contraction intensity

Contractions occurring every 5 to 10 minutes

Answer and Explanation

Correct Answer : B,C,E

A.   Cervical dilation of 5 cm typically indicates the active phase rather than the latent phase of the first stage of labor.

B.   Cervical effacement of 50% is consistent with the latent phase, where cervical effacement is a prominent feature.
C.   Contractions lasting about 30 to 45 seconds are characteristic of the latent phase.

D. Moderate contraction intensity is more typical of the active phase of the first stage of labor.

E. Contractions occurring every 5 to 10 minutes are consistent with the latent phase, where contractions are typically less frequent than in the active phase.

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Correct Answer is ["A","B"]

Explanation

A. Effacement refers to the thinning of the cervix, making it easier for the cervix to dilate during labor.
B. Effacement also involves the shortening of the cervix, contributing to the progressive dilation during labor.

C. Engagement refers to the descent of the fetal head into the pelvic inlet, not a part of effacement.
D. Effacement does not involve the cervix becoming wider; dilation refers to the opening of the cervix.
E. Effacement does not involve the cervix becoming lower; descent of the presenting part is associated with engagement.

A. "With a classical incision, there is an increased risk of uterine rupture in labor, so a vaginal birth is not usually recommended." B. "This depends on whether your next baby is born at full term; if it is another preterm birth, then a repeat cesarean will be advised." C. "There is a decreased risk for complications and easier recovery after a vaginal birth, so a vaginal birth will be recommended for you." D. "As long as there is an 18-month interval for scar healing between births, a vaginal birth after cesarean is generally permitted."

Correct Answer is A

Explanation

A. A classical incision increases the risk of uterine rupture during labor, and a vaginal birth is not typically recommended due to this risk.
B. The type of incision, not the term of the subsequent birth, is the primary consideration for deciding on a mode of delivery.
C. A classical incision is associated with an increased risk of complications, not a decreased risk.

D. The recommendation for a vaginal birth after cesarean (VBAC) depends on factors such as the type of uterine incision and other clinical considerations, not just the time interval.

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The nurse is admitting a pregnant client into the labor and delivery unit. Which findings indicate the client is in the latent phase of the first stage of labor? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse assesses a laboring client's cervix and states it is 6 cm dilated and 70% effaced. The client asks what it means to be effaced. Which descriptions will the nurse include when responding to the client? Select all that apply.

Correct Answer is ["A","B"]

Explanation

The nurse is discussing birth options with a pregnant client. The client previously had a cesarean birth with a classical incision at 26 weeks' gestation but desires a vaginal birth with this pregnancy. What is the best response by the nurse?

Correct Answer is A

Explanation

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