The nurse is evaluating care provided to a patient giving birth to her first child. Which outcome regarding labor indicates that care has been effective?
A) Client achieved 4 cm of dilation after 7 hours of labor.
B) Client achieved full dilatation after 8 hours of labor.
C) Client delivered infant within 2 hours after full dilatation with epidural.
D) Client delivered infant within 30 minutes after full dilatation without epidural.
A
Feedback:
For a nulliparous patient, achievement of 4 cm of dilation after 7 hours of labor is expected and indicates that care has been effective. Full dilatation after 8 hours is appropriate for a multiparous patient. Delivering the infant within 2 hours after full dilatation with an epidural is appropriate for a multiparous patient. Delivering the infant within 30 minutes after full dilatation without an epidural is appropriate for a multiparous patient without an epidural.
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