Author Question: A laboring client is having contractions every 3 minutes lasting 50 seconds and is dilated 7 ... (Read 106 times)

casperchen82 · **on:** Jun 27, 2018

A laboring client is having contractions every 3 minutes lasting 50 seconds and is dilated 7 centimeters. The nurse determines the client is in what phase of labor?

a. Latent c. Prodromal
b. Active d. Transition

Question 2

During labor, a vaginal examination should be performed only when necessary because of the risk of

a. Fetal injury
b. Discomfort
c. Infection
d. Perineal trauma

carolinefletcherr · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

B
The contractions in the scenario are characteristic of the active phase of the first stage of labor. During this phase contractions are usually 2 to 3 minutes apart an lasting up to 60 seconds. Latent phase contractions are usually 15 to 20 minutes apart, lasting 20 to 30 seconds. Characteristics of transition are contractions occurring 1.5 to 2 minutes apart and lasting 60 to 90 seconds in duration.

Answer to Question 2

C
Feedback
A Properly performed vaginal examinations should not cause fetal injury.
B Vaginal examinations may be uncomfortable for some women in labor, but that
is not the main reason for limiting them.
C Vaginal examinations increase the risk of infection by carrying vaginal
microorganisms upward toward the uterus.
D A properly performed vaginal examination should not cause perineal trauma.