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. A woman at 37 weeks' gestation who experienced spontaneous rupture of membranes 30 minutes ago with normal fetal movements is not a priority assessment as long as there are no signs of fetal distress.
b. A woman who is 9 cm dilated and fully effaced and is requesting to go to the bathroom to have a bowel movement is in the second stage of labor, which means that the cervix is fully dilated and the fetus is descending in the birth canal. The urge to have a bowel movement is a sign that the fetal head is pressing on the rectum and that delivery is imminent. This patient needs immediate attention and preparation for delivery.
c. A woman at 27 weeks' gestation who noted scant vaginal bleeding today after having sexual intercourse in the morning may be experiencing placenta previa or placental abruption but this is not a priority compared to the woman in option b who is yet to deliver.
d. A woman who is 2 cm dilated and 80% effaced and is crying and shows mild anxiety is not a priority assessment as long as there are no signs of fetal distress.

A. Blood pressure control. B. Intestinal motility C. c Follicle growing and maturation. D. Insulin secretion.

Correct Answer is C

Explanation

a. GnRH does not directly affect blood pressure control.
b. GnRH does not directly affect intestinal motility.
c. GnRH is a hormone that stimulates the release of follicle-stimulating hormone (FSH) and luteinizing hormone (LH), which are involved in follicle growth and maturation in the ovaries.
d. GnRH does not directly affect insulin secretion.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

You are working in the labor and delivery unit, you received several nursing reports. Which patient should you assess first? Select one:

Correct Answer is B

Explanation

The nurse is reviewing the laboratory results of a patient and notes that the patient has low levels of gonadotropin-releasing hormone (GnRH). Which physiologic process would be highly affected in the patient?

Correct Answer is C

Explanation

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