A nurse is providing care to a woman in labor.
The nurse determines that the client is in the active phase based on which assessment findings? Select all that apply.
Cervical effacement of 30%.
Strong desire to push.
Contractions every 90 seconds.
Cervical dilation of 6 cm.
Contractions every 2 to 3 minutes
Correct Answer : D,E
Choice A rationale:
Cervical effacement of 30% is more indicative of the early phase of labor, not the active phase. In the active phase, effacement is usually 80-100%.
Choice B rationale:
A strong desire to push is usually associated with the transition phase of labor, not the active phase.
Choice C rationale:
Contractions every 90 seconds could be indicative of the active phase, but this can vary between individuals.
Choice D rationale:
Cervical dilation of 6 cm is indeed indicative of the active phase of labor, which is typically characterized by cervical dilation of 4-7 cm.
Choice E rationale:
Contractions every 2 to 3 minutes are common in the active phase of labor.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
While HPV can cause fertility issues in some cases, it is not the primary risk associated with the virus.
Choice B rationale:
Dysmenorrhea, or painful periods, is not directly linked to HPV.
Choice C rationale:
Dyspareunia, or painful intercourse, is not a common symptom of HPV.
Choice D rationale:
Women with HPV are at a higher risk for cervical cancer. This is why regular follow-up care is crucial.
So, the correct answer is D, Cervical cancer.
Correct Answer is C
Explanation
Choice A rationale:
Cephalic refers to the presentation of the fetus, not the lie. The lie refers to the orientation of the fetus in relation to the mother’s spine.
Choice B rationale:
Flexion refers to the attitude or posture of the fetus, not the lie.
Choice C rationale:
Longitudinal is the term used to describe the fetal lie when the fetus is aligned with the mother’s spine, either head down (cephalic) or buttocks down (breech).
Choice D rationale:
Extension refers to the attitude or posture of the fetus, not the lie.
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