Practice Question
A nurse is caring for a client who is in labor and reports increasing rectal pressure. She is experiencing contractions 2 to 3 min apart, each lasting 80 to 90 seconds, and a vaginal examination reveals that her cervix is dilated to 9 cm. The nurse should identify that the client is in which of the following phases of labor?
Answer Choices:
Correct Answer:
Transition
Rationale:
🔶 The transition phase is the final stage of the first stage of labor, occurring when the cervix dilates from 8 to 10 cm.
🔶 This phase is characterized by strong contractions, occurring every 2 to 3 minutes and lasting up to 90 seconds, as described in the scenario.
🔶 The client’s increasing rectal pressure is also a hallmark of this intense stage, signaling imminent complete dilation.
🔶 Nursing support during this phase is crucial, as women may feel overwhelmed due to pain and pressure sensations.
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This question is from RN ATI Maternal Newborn Online-2019~Practice B with NGN which contains 97 questions.
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From Exam
RN ATI Maternal Newborn Online-2019~Practice B with NGN
97 Questions
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- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Maternal & Newborn Care
- Answer Choices: 3