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

6 cm dilated and 80% effaced

8 cm dilated and 100% effaced

5 cm dilated and 70% effaced

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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Correct Answer is A

Explanation

A. Halfway between the symphysis pubis and the umbilicus. – Correct; at 16 weeks, the fundus is typically midway between the symphysis pubis and the umbilicus.

B. Just above the pubic bone – Incorrect; the fundus is at the pubic symphysis at 12 weeks, not 16 weeks.

C. The uterus would not be palpable at 16 weeks – Incorrect; the uterus is palpable by 12 weeks and grows above the symphysis pubis as pregnancy progresses.

D. At the umbilicus – Incorrect; the fundus reaches the umbilicus at 20 weeks, not 16 weeks.

A. Elevated client blood pressure during contractions B. Decrease in client blood volume C. Increased client cardiac output D. Client bradypnea

Correct Answer is C

Explanation

A. Elevated client blood pressure during contractions – Incorrect; high BP can reduce uteroplacental circulation, affecting fetal oxygenation.

B. Decrease in client blood volume – Incorrect; a drop in blood volume would compromise oxygen delivery.

C. Increased client cardiac output – Correct; cardiac output increases during labor to enhance blood flow to the placenta, improving fetal oxygenation.

D. Client bradypnea – Incorrect; slow breathing (bradypnea) can lead to hypoxia, reducing fetal oxygen supply.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client is 16 weeks pregnant. If the pregnancy is progressing as expected, where would the healthcare provider be able to palpate the uterine fundus?

Correct Answer is A

Explanation

A nurse is discussing fetal oxygenation during labor of a client with the RN. As the client progresses through the first stage of labor, which of the following client physiologic adaptations should the nurse identify as promoting fetal oxygenation?

Correct Answer is C

Explanation

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