The nurse has received a report about a woman in labor. The woman's last vaginal examination was recorded as 3 cm, 30%, and -2. The nurse's interpretation of this assessment is that the cervix is:
1. effaced 3 cm, it is dilated 30%, and the presenting part is 2 cm above the ischial spines.
2. 3 cm dilated, it is effaced 30%, and the presenting part is 2 cm above the ischial spines.
3. effaced 3 cm, it is dilated 30%, and the presenting part is 2 cm below the ischial spines.
4. dilated 3 cm, it is effaced 30%, and the presenting part is 2 cm below the ischial spines.
2
1, 3, 4. Incorrect. The sterile vaginal exam is recorded as centimeters of cervical dilation, per-centage of cervical dilation, and the relationship of the presenting part to the ischial spines (either above or below). For this woman, the cervix is dilated 3 cm, effaced 30%, and the presenting part is 2 cm above the ischial spines.
2. Correct. This is the correct description of the vaginal exam for this woman in labor.
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