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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

a. This may be necessary once the woman's condition stabilizes, but it is not the initial treatment.
b. This is not typically indicated for hyperemesis gravidarum.

c. This is the initial treatment for hyperemesis gravidarum to prevent dehydration and correct electrolyte imbalances.
d. This may be part of the treatment plan, but it is not the initial treatment.

A. Prepare the woman for imminent birth B. Assess the fetal heart rate and pattern C. Notify the woman's primary health care provider D. Document the characteristics of the fluid.

Correct Answer is B

Explanation

a. This may be necessary once fetal heart rate and pattern have been assessed, but it is not the initial priority.
b. This is the priority as it will help determine the next steps in the management of labor.

c. This may be necessary once fetal heart rate and pattern have been assessed, but it is not the initial priority.
d. This may be done after assessing the fetal heart rate and pattern, but it is not the initial priority.

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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:

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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: