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Exam NCLEX-RN topic 5 question 96 discussion

Actual exam question from Test Prep's NCLEX-RN
Question #: 96
Topic #: 5
[All NCLEX-RN Questions]

A 19-year-old primigravida is admitted to the labor and delivery suite of the hospital. Her husband is accompanying her. The couple tells the nurse that this is the first hospital admission for her. The clients vaginal exam indicates she is 3 cm dilated, 80% effaced, and at _0 station. Based on the vaginal exam, she is in:

  • A. Stage 2, latent phase
  • B. Stage 1, active phase
  • C. Stage 3, transition phase
  • D. Stage 1, latent phase
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Suggested Answer: D 🗳️
(A) The second stage of labor is from full cervical dilation through birth of the baby. The three phases of this stage include latency or resting, descent, and final transition. The client is less than fully dilated so she is not in stage 2. (B) The first stage of labor begins with regular uterine contractions and continues until the woman is 10 cm dilated. The three phases of this stage include the early or latent phase (03 cm), the active phase (47 cm), and the transitional phase (710 cm). The client is <4 cm dilated so she is in the latent phase of the first stage of labor. (C) The third stage of labor is from the birth of the baby until the delivery of the placenta. The client is less than fully dilated. (D) The first stage of labor begins with regular uterine contractions and continues until the woman is 10 cm dilated. The three phases of this stage include the early orlatent phase (03 cm), the active phase (47 cm), and the transitional phase (710 cm). The client is <4 cm dilated so she is in the latent phase of the first stage of labor.

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