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

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A rationale:

Estrogen deficiency is the primary cause of hot flashes and night sweats in postmenopausal women. As estrogen levels decrease, it affects the hypothalamus, which is responsible for regulating body temperature, leading to these symptoms.

Choice B rationale:

Changes in vaginal pH occur during menopause due to estrogen deficiency, but this is not the primary cause of hot flashes and night sweats.

Choice C rationale:

An active lifestyle can help manage symptoms of menopause, but it is not the primary cause of hot flashes and night sweats.

Choice D rationale:

Poor dietary intake can exacerbate symptoms of menopause, but it is not the primary cause of hot flashes and night sweats.

A. A shallow deceleration occurring with the beginning of contractions. B. Fetal heart rate declining late with contractions and remaining depressed. C. Fetal baseline rate increasing at least 5 mm Hg with contractions. D. Variable decelerations, too unpredictable to count.

Correct Answer is B

Explanation

hoice A rationale:

This is incorrect. A shallow deceleration at the beginning of contractions is not indicative of uteroplacental insufficiency.

Choice B rationale:

This is correct. Late decelerations of the fetal heart rate during contractions can indicate uteroplacental insufficiency.

Choice C rationale:

This is incorrect. An increase in baseline heart rate with contractions is not a typical sign of uteroplacental insufficiency.

Choice D rationale:

This is incorrect. Variable decelerations are typically associated with cord compression, not uteroplacental insufficiency.

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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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When teaching a group of postmenopausal women about hot flashes and night sweats, the nurse would address which primary cause?.

Correct Answer is A

Explanation

If a fetus were not receiving enough oxygen during labor because of uteroplacental insufficiency, which pattern would the nurse anticipate seeing on the monitor?.

Correct Answer is B

Explanation

A nurse is assessing a woman in labor. Which finding would the nurse identify as a cause for concern during a contraction?.

Which measure would the nurse include in the teaching plan for a woman to reduce the risk of osteoporosis after menopause?.

When assessing a woman at follow-up prenatal visits, the nurse would anticipate which procedure to be performed?.

A young adult woman who is HIV-positive is receiving anti-retroviral therapy (ART) and is having difficulty with adherence. To promote adherence, which area would be most important for the nurse to assess?.

A client is diagnosed with gestational hypertension and is receiving magnesium sulfate. The nurse determines that the medication is at a therapeutic level based on which finding?.

A client's membranes spontaneously ruptured, as evidenced by a gush of clear fluid with a contraction. What would the nurse do next?

When teaching a class of pregnant women about the effects of substance use during pregnancy, the nurse would include which effect?.

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.