The nurse is admitting a pregnant client into the labor and delivery unit. Which findings indicate the client is in the latent phase of the first stage of labor? Select all that apply.
Cervical dilation of 5 cm
Cervical effacement of 50%
Contractions lasting about 30 to 45 seconds
Moderate contraction intensity
Contractions occurring every 5 to 10 minutes
Correct Answer : B,C,E
A. Cervical dilation of 5 cm typically indicates the active phase rather than the latent phase of the first stage of labor.
B. Cervical effacement of 50% is consistent with the latent phase, where cervical effacement is a prominent feature.
C. Contractions lasting about 30 to 45 seconds are characteristic of the latent phase.
D. Moderate contraction intensity is more typical of the active phase of the first stage of labor.
E. Contractions occurring every 5 to 10 minutes are consistent with the latent phase, where contractions are typically less frequent than in the active phase.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
A. Preparing the client for emergency cesarean delivery is often necessary when a prolapsed umbilical cord is identified.
B. Positioning the client in a knee-chest position helps alleviate pressure on the umbilical cord, improving fetal oxygenation.
C. Inserting a vacuum suction catheter into the vagina and pushing the infant back into the uterus is not a recommended intervention for a prolapsed umbilical cord; this action may cause harm to the fetus.
D. Keeping a gloved hand in the vagina and pushing upward on the presenting part helps relieve pressure on the umbilical cord.
E. Contacting the provider and reporting a prolapsed umbilical cord is essential for prompt communication and decision-making.
Correct Answer is B
Explanation
A. The image does not show variable decelerations
B. The tracing shows a decrease in the fetal heart rate that occurs during the peak of the uterine contraction and returns to the baseline after the end of the contraction. This pattern indicates a late deceleration
C. The image does not show prolonged decelerations
D. The image does not show late decelerations
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
