The nurse has received a report about a woman in labor. The woman's last vaginal examination was recorded as 4 cm, 60%, and –1. The nurse's assessment of this report is the cervix is _____, with the presenting part 1 cm _____ the ischial spines

a. 4 cm dilated and 60% effaced; above
b. effaced 4 cm and dilated 60%; above
c. effaced 4 cm and dilated 60%; below
d. 4 cm dilated and 60% effaced; below


ANS: A
Uterine contractions cause the cervix to efface (thin), measured in percentages, and dilate (open), described in centimeters (cm) from 1 to 10 (complete dilation). Station is the relationship of the presenting part to an imaginary line between the maternal ischial spines, measured in centimeters above (minus) or below (plus). At the level of the spines, the station is 0.

Nursing

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