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Practice Question

A first-time mother presents for a labor check. She is informed that her vaginal exam shows dilated (3 cm). effaced (10096). and fetal station ( -2). The client asks the nurse to explain the meaning of the results. What explanation is the most appropriate response by the nurse?

Answer Choices:

Correct Answer:

Your cervix is open a little, but the baby is still high in the pelvis.

Rationale:

🟡 A cervical dilation of 3 cm indicates early (latent) labor, where the cervix has just begun to open.

🟡 Effacement of 100% means the cervix has completely thinned, which prepares it for full dilation.

🟡 A fetal station of -2 means the presenting part (usually the head) is still 2 cm above the ischial spines, indicating that the baby is not yet deeply engaged in the pelvis.

🟡 This combination of findings suggests early progress in labor, but the baby has not yet descended into the birth canal.

🟡 Clear, factual explanations like this help reduce anxiety and improve client understanding during labor.

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This question is from Custom: NUR209 SU 2 2025 Midpoint Assessment which contains 36 questions.

More Questions from This Exam
A nurse on the postpartum unit is caring for a group of clients with an assistive personnel (AP). Which of the following tasks should the nurse plan to delegate to the AP?

Answer Choices:

A. Observe an area of redness on the breast of a client who is 1 day postpartum.
B. Monitor vital signs during admission of a client who has gestational hypertension.
C. Change the initial perineal pad of a client who just transferred from labor and delivery.
D. Provide a sitz bath to a client who has a fourth-degree laceration and is 2 days postpartum.
Olivia Martinez is a 32-year-old G2P1 at 34 weeks and 2 days gestation who presents with a persistent frontal headache and blurry vision that started yesterday.

Answer Choices:

A. Olivia Martinez is a 32-year-old G2P1 at 34 weeks and 2 days gestation who presents with a persistent frontal headache and blurry vision that started yesterday. Her blood pressure on admission is 164/112 mmHg, and urine dipstick shows 2+ protein. Her deep tendon reflexes are 3+ with mild ankle clonus, and she has facial swelling. Labs reveal a platelet count of 120,000/mm3 and AST of 76 1-J/L. She is alert and oriented but anxious. The fetal heart rate is 140 bpm with moderate variability. She denies contractions or vaginal bleeding.
Patient's data.

Answer Choices:

A. Initiate seizure precautions.
B. Begin IV magnesium sulfate per protocol.
C. Encourage oral fluids and ambulation.
D. Insert Foley catheter for strict intake and output monitoring.
E. Notify provider of low platelet count.
F. Apply warm compresses for leg cramps.
Patient's data.

Answer Choices:

A. Client reports no headache or visual changes
B. Deep tendon reflexes are absent
C. Respiratory rate is 10 breaths/min
D. Urine output is 20 mL/hr
From Exam
Custom: NUR209 SU 2 2025 Midpoint Assessment

36 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN Custom Exam(s)
  • Answer Choices: 4
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