The nurse is admitting a client to the labor and delivery unit who states she is at 39 weeks and began having steady contractions approximately 6 hours ago.Which assessment findings discovered during the nurse's vaginal examination would indicate that this client will deliver within the next few hours? Select all that apply.
A)The client's cervix is dilated 7 centimeters.
B)The client's cervix is effaced 20%.
C)The presenting part of the fetus is at -4 station.
D)The client's membranes appear to have ruptured.
E)There is the presence of a bloody show on the nurse's gloved hand.

Question

Quizplus · Accepted Answer

A) Cervical dilation of 7 centimeters indicates that the client is in active labor and progressing towards delivery. Active labor is typically characterized by dilation from 6 to 10 centimeters, and it is during this phase that labor progresses more rapidly towards delivery.D) Ruptured membranes (water breaking) suggest that labor is progressing and delivery could be imminent. Once the membranes have ruptured, there is an increased risk of infection, so delivery within a reasonable timeframe is desirable.E) The presence of a bloody show is a sign that labor is progressing. It occurs as the cervix dilates and effaces, causing small blood vessels to break. This is a common sign that labor is advancing and delivery may happen soon.

The Nurse Is Admitting a Client to the Labor and Delivery