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

Answer and Explanation

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.

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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.

A. Increased risk of vomiting B. Alleviation of diarrhea symptoms C. Decreased levels of electrolytes D. Increased risk of dehydration

Correct Answer is B

Explanation

A. Increased risk of vomiting – Incorrect; ORS does not increase vomiting risk. It is given in small amounts to prevent vomiting.

B. Alleviation of diarrhea symptoms – Incorrect; ORS does not stop diarrhea, but it prevents dehydration.

C. Decreased levels of electrolytes – Incorrect; ORS helps restore electrolytes, not decrease them.

D. Increased risk of dehydration – Incorrect; ORS prevents dehydration, which is its primary purpose.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

How is the frequency of uterine contractions measured?

Correct Answer is A

Explanation

The nurse understands that a potential benefit of oral rehydration solution (ORS) in children with diarrhea is the:

Correct Answer is B

Explanation

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