The nurse assesses a laboring client's cervix and states it is 6 cm dilated and 70% effaced.
The client asks what it means to be effaced. Which descriptions will the nurse include when responding to the client? Select all that apply.

It becomes thinner

It becomes shorter

It becomes engaged

It becomes wider

Answer and Explanation

Correct Answer : A,B

A.   Effacement refers to the thinning of the cervix, making it easier for the cervix to dilate during labor.
B.   Effacement also involves the shortening of the cervix, contributing to the progressive dilation during labor.
C.   Engagement refers to the descent of the fetal head into the pelvic inlet, not a part of effacement.
D.   Effacement does not involve the cervix becoming wider; dilation refers to the opening of the cervix.
E.   Effacement does not involve the cervix becoming lower; descent of the presenting part is associated with engagement.

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Correct Answer is C

Explanation

A. Early decelerations are generally considered benign and not an indication for a vaginal exam unless other concerning factors are present.
B. Promptly informing the primary care provider may not be necessary for early decelerations, which are often a normal response to head compression.
C. Continuous monitoring and observation of the client and fetal heart rate are appropriate for early decelerations, especially when the baseline is reassuring and there is moderate variability.
D. Repositioning the client to the left side is a general measure for optimizing fetal oxygenation, but it may not be the priority in the case of early decelerations, which are usually benign and
related to head compression.

A. Powers B. Passage C. Passenger D. Psyche

Correct Answer is D

Explanation

A. Powers refer to uterine contractions and maternal pushing efforts, which seem appropriate based on the given information.
B. Passage refers to the birth canal, and there is no indication that the birth canal is obstructing the progress.
C. Passenger refers to the fetus, and the cephalic presentation is favorable for a vaginal delivery.

D. The client's psychological state, including fear and anxiety, can impact labor progress. The client's emotional and psychological well-being can influence the progression of labor.

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The nurse assesses a laboring client's cervix and states it is 6 cm dilated and 70% effaced. The client asks what it means to be effaced. Which descriptions will the nurse include when responding to the client? Select all that apply.

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a laboring client with early decelerations and a fetal heart rate baseline of 130 with moderate variability. What will the nurse do for this client?

Correct Answer is C

Explanation

Correct Answer is D

Explanation

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The nurse assesses a laboring client's cervix and states it is 6 cm dilated and 70% effaced. The client asks what it means to be effaced. Which descriptions will the nurse include when responding to the client? Select all that apply.

The nurse assesses a laboring client's cervix and states it is 6 cm dilated and 70% effaced.
The client asks what it means to be effaced. Which descriptions will the nurse include when responding to the client? Select all that apply.