NursingPlex
    Sign In
    Ati demsn maternal newborn proctored exam

    A nurse is caring for four laboring patients. Match each patient's description to the correct stage of labor: Patient A is experiencing regular contractions every 2-3 minutes with complete cervical dilation and begins involuntary pushing efforts. Patient B has mild, irregular contractions and reports only slight cervical effacement and dilation. Patient C has just delivered her baby and is now experiencing mild contractions with a gush of blood. Patient D is resting comfortably, reporting relief after delivery, with uterine firmness and lochia present.

    Explanation & Rationale

    A. Patient A is in the second stage because complete cervical dilation and involuntary pushing characterize this stage. Patient B is in the latent phase of the first stage, with mild, irregular contractions and minimal cervical change. Patient C is in the third stage, which involves delivery of the placenta and associated bleeding. Patient D is in the fourth stage, the immediate postpartum period, where the client is resting, the uterus is firm, and lochia is present. B. Patient A-First stage, Patient B-Second stage, Patient C-Third stage, Patient D-Fourth stage: This sequence incorrectly places Patient A in the first stage despite complete cervical dilation and pushing, and misclassifies Patient B’s early labor as second stage. C. Patient A-Second stage, Patient B-Fourth stage, Patient C-First stage, Patient D-Third stage: This arrangement mismatches stages with clinical signs; Patient B is still in early labor, not postpartum, and Patient C has already delivered, indicating the third stage, not first stage. D. Patient A-Third stage, Patient B-Second stage, Patient C-Fourth stage, Patient D-First stage (transition phase): Patient A is actively pushing (second stage), and the other patients’ stages do not match their described symptoms or postpartum status.

    🔒 Submit your answer to reveal