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The nurse has received a report about a woman in labor. The woman's last vaginal
examination was recorded as 4 cm, 80 %, and -2. The nurse's interpretation of this
assessment is that;
The cervix is dilated 4 cm, it is effaced 80%, and the presenting part is 2 cm below the
ischial spines
The cervix is effaced 4 cm, it is dilated 80%, and the presenting part is 2 cm below the
ischial spines.
The cervix is effaced 4 cm, it is dilated 80%, and the presenting part is 2 cm above the
ischial spines
The cervix is 4 cm dilated, it is effaced 80%, and the presenting part is 2 cm above the
ischial spines
Nurses can help their clients by keeping them informed about the different stages of
labor. What description of the phases of the first stage of labor is accurate?
Latent: Mild, regular contractions; no dilation; bloody show; duration of 2 to 4 hours
Active: Moderate, regular contractions; 4 to 7 cm dilation; duration of 3 to 6 hours
Inactive: No contractions; dilation stable; duration of 20 to 60 minutes
Transition: Very strong but irregular contractions; 8- to 10-cm dilation; duration of 3-4
hours
The cervical dilatation taken at 8:00 A.M. in a G1P0 patient was 6 cm. A repeat I.E. done
at 10 A.M. showed that cervical dilation was 7 cm. The correct interpretation of this
result is;
The laboring mother is beginning the second stage of labor
The laboring mother is in the latent phase of labor
The laboring mother is in the active phase of labor
The laboring mother is in the transition phase of labor
During a vaginal examination, the nurse palpates fetal buttocks that are facing the left
posterior and is 1 cm above the level of the ischial spines. This is consistent with which
assessment record?
LOA, -1 station
LSP, -1 station
LMP, +1 station
LSA, +1 station
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