img-download-app
img-download-app

A nurse is providing care to a woman 38 weeks pregnant. During the most recent vaginal examination, the nurse notes that the cervix is 6 centimeters dilated, 100% effaced, with the vertex at -1 station. What is the best interpretation?

Explanation

•The best interpretation is that the woman is in active labor with the head as presenting part. This is because cervical dilatation is 6 centimeters and not yet engaged (the vertex lies at -1 station).

•Transition phase and Latent phase are incorrect because the cervical dilation, which is 6 cm, is in the active phase of the first stage of labor. Transition phase starts to peak in contractions and dilatation of 8 to 10 cms. Furthermore, Latent phase is the onset of the first stage of labor and is when cervical dilatation begins.

•Active labor, fully engaged is also incorrect because the woman is still at -1 station or not yet engaged.

Visit our website for other NCLEX topics now!
Related questions
An anemic woman, 34 weeks pregnant, is taking iron supplements. Which of the following foods should the patient take with iron?
A patient with mastitis asks the nurse if her infant will be infected if she continues to breastfeed. Which of the following is the appropriate response by the nurse?
A new mother with pregnancy induced hypertension calls the hospital complaining of a severe headache and blurred vision. How should the nurse respond?
To accurately assess for jaundice in a patient with dark skin, the nurse should examine which area of the body?
In planning postpartum nursing care for a patient with cardiac disease, the nurse would question which of the following physician orders:
A woman is completely dilated and at +2 station. Her contractions are strong and last 50 to 70 seconds. Based on this information, the nurse should know that the patient is in which stage of labor?
The nurse is caring for a woman in labor. What signs would indicate that the patient is in the transition phase of labor?
A nurse is caring for a patient in need of birth control. The patient questions the nurse about the proper method of using a diaphragm. Which of the following is correct?
A 25-year-old in her third trimester of pregnancy is rushed to the hospital for abrupt, painless bright red vaginal bleeding. The physician diagnoses placenta previa after an ultrasound. The nurse's immediate care measures are: