Through vaginal examination, the nurse determines that the woman is 8 cm dilated, and the external fetal monitor shows uterine contractions every 3 minutes and a duration of 50 seconds. The nurse would report these findings as:

Second stage, latent phase.

First stage, transition phase.

First stage, latent phase.

First stage, active phase.

Answer and Explanation

The Correct Answer is B

a.   The second stage of labor begins when the cervix is fully dilated and ends with the birth of the baby. The latent phase is the early part of the second stage when the woman may be resting between contractions.
b.   The first stage, transition phase is from 8 to 10 cm dilation, with strong and frequent contractions.
c.   The first stage, latent phase is the early part of the first stage of labor when the cervix is dilated from 0 to 4 cm and contractions are mild and irregular.
d.   The first stage, active phase is from 4 to 7 cm dilation, with moderate and regular contractions.

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Correct Answer is B

Explanation

a. Not every woman ovulates on day 14 of her cycle, and the basal temperature only rises after ovulation, not before.
b. The basal temperature is the lowest body temperature during a 24-hour period.

It is usually measured first thing in the morning before any physical activity or eating. The basal temperature can indicate when a woman is ovulating, as it tends to rise slightly (about 0.5°F or 0.3°C) after ovulation and remain elevated until the next menstrual period. By tracking the basal temperature over several cycles, a woman can identify her most fertile days and plan accordingly.
c. Intercourse can affect the body temperature and give a false reading.

d. The basal temperature is influenced by factors such as food, drink, stress, and activity, so it should be measured before any of these occur.

A. Bulging of the vulva B. The membranes rupture during a contraction C. The fetal head is felt at 0 station during vaginal examination D. Bloody mucus discharge increases

Correct Answer is A

Explanation

a. Bulging of the vulva: This indicates that the fetal head is descending but does not necessarily mean the woman is almost ready to give birth. This indicates that the fetal head is crowning and putting pressure on the perineum, which means that delivery is imminent.
b. This indicates that the amniotic sac has ruptured but does not necessarily mean the woman is almost ready to give birth.
c. The fetal head at 0 station means that it is at the level of the maternal ischial spines, but it still needs to descend further to reach the perineum.
d. This indicates that the woman is in the early stages of labor but does not necessarily mean she is almost ready to give birth.

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Through vaginal examination, the nurse determines that the woman is 8 cm dilated, and the external fetal monitor shows uterine contractions every 3 minutes and a duration of 50 seconds. The nurse would report these findings as:

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Naxlex Comprehensive Predictor Exams

A nurse is instructing a female client about how to check the basal temperature in order to determine if the client is ovulating. The nurse should instruct the client to check her temperature at which of the following times?

Correct Answer is B

Explanation

Which nursing assessment indicates that a woman who is in second-stage labor is almost ready to give birth Select one:

Correct Answer is A

Explanation

Which fetal heart rate (FHR) finding would concern the nurse during labor? Select one:

A nurse is caring for a client who is in the first stage of labor, undergoing external fetal monitoring, and receiving IV fluid. The nurse observes variable decelerations in the fetal heart rate on the monitor strip. Which of the following is a correct interpretation of this finding?

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:

A nurse is caring for a client who is in labor. Which of the following nursing actions reflects the application of the Gate control theory of pain?

A woman at 10 weeks of gestation who is seen in the prenatal clinic with presumptive signs and symptoms of pregnancy likely will have:

The nurse caring for the laboring woman should understand that early decelerations are caused by: