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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 A

Explanation

A. "We are looking for increases in fetal heart rate of 15/min for at least 15 seconds. This means the baby is doing well." – Correct; a reactive NST shows at least two accelerations of 15 bpm lasting at least 15 seconds within 20 minutes, indicating fetal well-being.
B. "We will draw blood to evaluate the baby's risk of genetic problems." – Incorrect; an NST does not involve blood work; genetic testing is done through amniocentesis or blood screening.
C. "I am looking at the ultrasound to see if the baby has any congenital anomalies." – Incorrect; an NST does not evaluate congenital anomalies; an ultrasound or amniocentesis would be used for that.
D. "If the baby moves 5 times in 15 minutes, then the baby is healthy." – Incorrect; fetal movement is assessed with kick counts, not an NST.

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

Explanation

A. Methicillin-resistant Staphylococcus aureus (MRSA) – Correct; requires contact precautions due to the risk of direct and indirect transmission.

B. Vancomycin-resistant Enterococcus (VRE) – Correct; requires contact precautions as it spreads through contaminated surfaces and hands.

C. Pertussis – Incorrect; pertussis is transmitted via droplets, so droplet precautions are needed.

D. Influenza – Incorrect; influenza spreads via droplets, requiring droplet precautions.

E. Group A Streptococcus B-hemolytic – Incorrect; requires droplet precautions, unless skin infections are present, which would then require contact precautions.

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