ATI Maternity Nur230

Extract:

Client in labor at 2 cm dilation, 50% effaced, fetus at -2 station

Question 1 of 5

A nurse in the labor and delivery unit is attending to a client in labor. The nurse applies an external fetal monitor and toco transducer. The FHR is around 140/min. Contractions are every 8 min and 30 to 40 seconds in duration. The nurse performs a vaginal exam and finds the cervix is 2 cm dilated, 50% effaced, and the fetus is at a -2 station. Which stage and phase of labor is this client experiencing?

A. The first stage, active phase. B. The first stage, transition phase. C. The second stage of labor. D. The first stage, latent phase.

Correct Answer: D

Rationale: The latent phase of the first stage involves mild, irregular contractions, 0-3 cm dilation, and 0-40% effacement, matching these findings.

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ATI Maternity Nur230 | Nurselytic

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