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A laboring patient reports, anxiety, vomiting, and the need to have a bowel movement. What is the expected cervical examination finding?

A.

6 cm dilated and 80% effaced

B.

8 cm dilated and 100% effaced

C.

5 cm dilated and 70% effaced

D.

Unmeasurable

Answer and Explanation

The Correct Answer is B

A. 6 cm dilated and 80% effaced – Incorrect; this is more consistent with active labor, but the symptoms suggest transition phase.
B. 8 cm dilated and 100% effaced – Correct; the transition phase (8-10 cm dilation) is characterized by intense contractions, nausea, and the sensation of rectal pressure.
C. 5 cm dilated and 70% effaced – Incorrect; this is too early for the transition phase symptoms.
D. Unmeasurable – Incorrect; cervical dilation and effacement can always be measured during labor unless obstructed by fetal descent.


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Related Questions

Correct Answer is D

Explanation

A. Fraternal – Incorrect; fraternal twins develop from two separate eggs and sperm and do not share identical genetic material.
B. Dizygotic – Incorrect; dizygotic twins are fraternal twins with different genetic makeup.
C. Trizygotic – Incorrect; trizygotic refers to triplets, not twins.
D. Monozygotic – Correct; monozygotic twins result from one fertilized egg that splits, leading to identical genetic material.

Correct Answer is D

Explanation

A. Decreased response with sexual activity – Incorrect; decreased libido is common postpartum and not an urgent concern.

B. A scant non-odorous white vaginal discharge – Incorrect; lochia alba (whitish discharge) is normal at 4 weeks postpartum.

C. Uterine cramping during breastfeeding – Incorrect; cramping (due to oxytocin release) is expected postpartum.

D. A moderate serosanguineous malodorous discharge – Correct; foul-smelling lochia can indicate endometritis (a postpartum infection).

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