In which stage and phase of labor is the client who is at 7 cm of cervical dilation and 100% effacement, with the fetus at 1 station and intact amniotic membranes, and reporting the urge to push?
Second stage, active phase
First stage, active phase
First stage, latent phase
Second stage, latent phase
The Correct Answer is B
A. Second stage, active phase – Incorrect; the second stage begins at 10 cm dilation, not 7 cm.
B. First stage, active phase – Correct; the active phase of the first stage occurs from 6-10 cm dilation and includes increased discomfort and pressure.
C. First stage, latent phase – Incorrect; the latent phase occurs 0-5 cm dilation, before active labor.
D. Second stage, latent phase – Incorrect; the second stage starts at 10 cm when pushing begins.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. By calculating the time between the beginning of one contraction to the beginning of the next – Correct; frequency is measured from the start of one contraction to the start of the next.
B. By measuring the duration of the contractions – Incorrect; duration refers to how long a contraction lasts, not frequency.
C. By assessing the intensity of the contractions – Incorrect; intensity refers to the strength of the contraction.
D. By palpating the resting tone of the uterus – Incorrect; resting tone assesses uterine relaxation between contractions.
Correct Answer is ["C","E"]
Explanation
A. Quickening – Incorrect; quickening (fetal movement) is a presumptive sign of pregnancy.
B. Amenorrhea – Incorrect; absence of menstruation is a presumptive sign of pregnancy.
C. Ballottement – Correct; ballottement is a probable sign, not a presumptive sign, as it is detected by a healthcare provider.
D. Increased urination – Incorrect; frequent urination is a presumptive sign of pregnancy.
E. Positive pregnancy test via blood work – Correct; a positive pregnancy test is a probable sign, not a presumptive one.
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