A client is admitted to the labor and delivery unit with contractions that are 2 minutes apart, lasting 60 seconds. She reports that she had bloody show earlier that morning
A vaginal exam reveals that her cervix is 100 percent effaced and 8 cm dilated. The nurse knows that the client is in which phase of labor? 1. Active
2. Latent
3. Transition
4. Fourth
3
Rationale:
1. Active is not correct because dilatation is less than 8 cm, and contractions are less frequent and are of shorter duration.
2. Latent is not correct because dilatation is less than 8 cm, and contractions are less frequent and are of shorter duration.
3. The transition phase begins with 8 cm of dilatation, and is characterized by contractions that are closer and more intense.
4. Fourth is incorrect because the fourth phase does not exist. The fourth stage occurs after delivery of the placenta.
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