The primiparous client has asked the nurse why her cervix has only changed from 1 to 2 cm in 3 hours of contractions occurring every 5 minutes. How should the nurse respond to this client?
1. What did you expect? You have only had contractions for a few hours. Labor takes time.
2. When your perineal body thins out, your cervix will begin to dilate much faster than it is now.
3. The hormones that cause labor to begin are just getting to be at levels that will change your cervix.
4. Your cervix has also effaced, or thinned out, and that change in the cervix is also labor progress.
Question 2
The nurse is caring for laboring clients. Which women are experiencing problems related to a critical factor of labor? Select all that apply.
1. Multipara at 3 cm, fetus in longitudinal lie
2. Primipara at 7 cm, fetus in military attitude
3. Multipara at 6 cm, fetus at 2 station, mild contractions
4. Primipara at 5 cm, fetal presenting part is right shoulder
5. Primipara at 4 cm, fetus with macrocephaly due to hydrocephalus
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