Via vaginal examination, the nurse evaluates the woman to be 4 cm dilated, with uterine contractions every 3½ to 4 minutes by external fetal monitor. The nurse would report this as:
1. first stage, latent phase.
2. first stage, active phase.
3. first stage, transition phase.
4. second stage, latent phase.
2
1. Incorrect. During the latent phase of the first stage of labor, the expected maternal progress is 0 to 3 cm dilated with contractions occurring every 5 to 30 minutes.
2. Correct. This maternal progress indicates that the woman is in the active phase of the first stage of labor.
3. Incorrect. During the transition phase of the first stage of labor, the expected maternal progress is 8 to 10 cm dilated with contractions occurring every 2 to 3 minutes.
4. Incorrect. During the latent phase of the second stage of labor, the woman would be completely dilated and experience a restful period of "laboring down.".
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