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?

Active labor with the head as presenting part, not yet engaged


•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.

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