The nurse has received a report regarding her patient in labor. The woman's last vaginal examination was recorded as 2 cm, 80%, and +2. The nurse's interpretation of this assessment is that:
Select one:
The cervix is dilated 2 cm, it is effaced 80%, and the presenting part is 2 inches below the ischial spines.
The cervix is 2 cm dilated, it is effaced 80%, and the presenting part is 2 cm above the ischial spines.
The cervix is dilated 2 cm, it is effaced 80%, and the presenting part is 2 cm below the ischial spines.
The cervix is effaced 2 cm, it is dilated 80%, and the presenting part is 2 cm above the ischial spines.
The Correct Answer is C
a. This is an incorrect interpretation of the assessment.
b. This is an incorrect interpretation of the assessment.
c. This is the correct interpretation of the assessment indicating that the labor is progressing well and the baby is descending into the pelvis.
d. This is an incorrect interpretation of the assessment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a. Bacterial vaginosis may present with a vaginal discharge that is often grayish-white with a fishy odor, but it does not typically cause inflammation of the vulva.
b. Trichomoniasis can cause inflammation of the vagina and vulva, along with a frothy, greenish-yellow discharge with a strong fishy odor.
c. Chlamydia may cause vaginal discharge but typically does not present with a strong fishy odor.
d. Candidiasis (yeast infection) may cause inflammation and itching of the vulva, but the discharge is typically white, thick, and cottage cheese-like, not greenish with a fishy odor.
Correct Answer is C
Explanation
a. This is a common cause of variable decelerations, not late decelerations.
b. This is a common cause of variable decelerations, not late decelerations.
c. Late decelerations are caused by decreased blood flow to the placenta during contractions, resulting in a reduced oxygen supply to the fetus.
d. This is a common cause of variable decelerations, not late decelerations.
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