Practice Quiz

CPM Certified Professional Midwife

Category - Labor, Birth, and Immediate Postpartum

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A midwife is monitoring a G3P2 client who is in labor. Cervical changes are assessed, and the findings are noted. Which of the following cervical changes would the midwife expect when caring for the client?
  1. Cervical effacement is accomplished before dilatation begins.
  2. Cervical effacement and dilatation occur at the same time.
  3. Cervical dilatation proceeds before full effacement.
  4. Cervical dilatation is the only cervical change determined during labor
Explanation
Answer: C - In multiparous clients, cervical dilatation usually precedes full effacement. In primiparous clients, dilatation occurs rapidly once is full effacement is achieved.
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