The nurse has received a report about a woman in labor. The woman's last vaginal

examination was recorded as 4 cm, 80 %, and -2. The nurse's interpretation of this

assessment is that;

The cervix is dilated 4 cm, it is effaced 80%, and the presenting part is 2 cm below the

ischial spines

The cervix is effaced 4 cm, it is dilated 80%, and the presenting part is 2 cm below the

ischial spines.

The cervix is effaced 4 cm, it is dilated 80%, and the presenting part is 2 cm above the

ischial spines

The cervix is 4 cm dilated, it is effaced 80%, and the presenting part is 2 cm above the

ischial spines

Nurses can help their clients by keeping them informed about the different stages of

labor. What description of the phases of the first stage of labor is accurate?

Latent: Mild, regular contractions; no dilation; bloody show; duration of 2 to 4 hours

Active: Moderate, regular contractions; 4 to 7 cm dilation; duration of 3 to 6 hours

Inactive: No contractions; dilation stable; duration of 20 to 60 minutes

Transition: Very strong but irregular contractions; 8- to 10-cm dilation; duration of 3-4

hours

The cervical dilatation taken at 8:00 A.M. in a G1P0 patient was 6 cm. A repeat I.E. done

at 10 A.M. showed that cervical dilation was 7 cm. The correct interpretation of this

result is;

The laboring mother is beginning the second stage of labor

The laboring mother is in the latent phase of labor

The laboring mother is in the active phase of labor

The laboring mother is in the transition phase of labor

During a vaginal examination, the nurse palpates fetal buttocks that are facing the left

posterior and is 1 cm above the level of the ischial spines. This is consistent with which

assessment record?

LOA, -1 station

LSP, -1 station

LMP, +1 station

LSA, +1 station