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. Thin, white, and compact cervical mucus is not a typical characteristic of the cervical mucus before ovulation.
b. Cloudy, compact, and tacky cervical mucus is not a typical characteristic of the cervical mucus before ovulation.
c. Thin, watery, and slippery cervical mucus is a typical characteristic of the cervical mucus before ovulation, as it facilitates sperm movement and fertilization.
d. Scant, compact, and thick cervical mucus is not a typical characteristic of the cervical mucus before ovulation.

A. Call the maternity unit and inform them that the client will be admitted in a labor and delivery unit. B. Instruct the client to maintain bed rest for the remainder of the pregnancy. C. Inform the client that these contractions are normal and may occur throughout the pregnancy. D. Contact the health care provider.

Correct Answer is C

Explanation

a. Braxton Hicks contractions are normal and do not require admission to the labor and delivery unit.
b. Braxton Hicks contractions are normal and do not require bed rest.
c. This is the most appropriate action as Braxton Hicks contractions are normal and may occur throughout the pregnancy.
d. Braxton Hicks contractions are normal and do not require contact with the health care provider.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse tells a woman who is trying to conceive to check her cervical mucus for changes. What will she expect the characteristic of cervical mucus to be a few days before ovulation? Select one:

Correct Answer is C

Explanation

A pregnant client is seen for a regular prenatal visit and tells the nurse that she is experiencing irregular contractions and painless. The nurse determines that she is experiencing Braxton Hicks contractions. On the basis of this finding, which nursing action is most appropriate? Select one:

Correct Answer is C

Explanation

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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: