CNM Certified Nurse Midwife

Category - Intrapartum

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A nurse 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 nurse midwife expect when caring for the client?

Cervical effacement is accomplished before dilatation begins.
Cervical effacement and dilatation occur at the same time.
Cervical dilatation proceeds before full effacement.
Cervical dilatation is the only cervical change determined during labor

Explanation

Answer: C - In multiparous women, cervical dilatation usually precedes full effacement. In primiparous women, dilatation occurs rapidly once is full effacement is achieved.

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