A primigravida client arrives in the labor and delivery unit and describes her contractions as occurring every 10–12 minutes, lasting 30 seconds. She is smiling and very excited about the possibility of being in labor
On exam, her cervix is dilated 2 cm, 100% effaced, and is a ?2 station. What best describes this labor? 1. Second phase
2. Latent phase
3. Active phase
4. Transition phase
2
Rationale:
1. There is no phase of labor that is identified as the second phase.
2. The latent phase of labor starts with the beginning of regular mild contractions. The mother is talkative and excited, and has minimal cervical changes.
3. During the active phase, the woman's cervix dilates from 3–4 cm to 8 cm, and the mother has an increasing level of anxiety.
4. During transition, the cervix dilates from 8 to 10 cm, and the mother becomes restless.
You might also like to view...
A patient is being treated for a seizure disorder with phenytoin (Dilantin). He is admitted to the emergency room with sinus bradycardia. What action will occur regarding his antiepileptic agent?
A) Phenytoin (Dilantin) dose will be reduced. B) Phenytoin (Dilantin) will be discontinued. C) Phenytoin (Dilantin) will be given every other day. D) Phenytoin (Dilantin) dose will be increased.
A 49-year-old woman who is terminally ill with metastatic breast cancer has been coping with her impending death by speaking at cancer conventions, putting her affairs in order, and looking inward for answers
The nurse is aware that these activities: A) Could be spiritual in nature and that the family would benefit if they were included when ever possible B) May result in dysfunctional behaviors and denial that alienates the family C) Represent the need to control her final days, by showing the world and her family that she is fine D) Need to be addressed and limited, so she spends time with her family or it will result in dysfunctional grieving when she dies
A critically ill newborn is the child of two parents who are Catholic. What action should the nurse take regarding the baptism of this infant?
1. Baptize the baby. 2. Ask the parents for direction in whom they want to baptize the baby. 3. Ask the hospital chaplain to baptize the baby. 4. Ask the doctor to baptize the baby.
A nurse is teaching a group of nursing students about neurotransmitters. Which statement by a student about acetylcholine indicates a need for further teaching?
a. "It activates three cholinergic receptor subtypes." b. "It has effects in the parasympathetic, sympathetic, and somatic nervous sys-tems." c. "It is used at most junctions of the peri-pheral nervous system." d. "Its transmission is terminated by reuptake into the cholinergic nerve terminal."