Practice Quiz

NCLEX-PN

Category - Psychosocial Integrity

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A female client who is 37 weeks gestation is admitted to the labor room. On assessment, the client’s cervix is dilated at 5 cm. The contractions are regular every 5 minutes, each lasting for 30 seconds. Which of the following behaviors by the client should the nurse expect during this stage of labor?
  1. The client is talkative and excited about the baby
  2. The client does not want to left alone
  3. The client sleeps between contractions
  4. The client has a limited ability to concentrate
Explanation
Answer: B - A cervical dilatation of 5 cm, with regular contractions every 5 minutes, each lasting 30 seconds, indicates that the client is in the active phase. In this stage, the nurse should expect the client to be more anxious about being alone because of the more intense labor pain.
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