Which of the following assessments is noted that the nurse determines - ProProfs Discuss
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Which of the following assessments is noted that the nurse determines that the client is beginning in the second stage of labor when? A nurse is caring for a client in labor.



A. The client begins to expel clear vaginal fluid
B. The contractions are regular
C. The membranes have ruptured
D. The cervix is dilated completely

This question is part of Obstetrical Nursing – Intrapartum – NCLEX Quiz 1
Asked by Santepro, Last updated: Jul 06, 2020

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2 Answers

F. Ray

F. Ray, Student, Kansas City

Answered Sep 19, 2018

The answer to this is D. When this happens, the nurse should know that the patient is going to give birth soon. Expelling of clear vaginal fluid may occur during the first stage of labor. It may even signify that labor is already starting. The contractions may start since then and a regular labor would become more frequent as the mother goes nearer into giving birth.

The rupture of the membranes also occurs during the first stage of labor which means that the only option is D. This usually ends when the mother finally gives birth to her child. A child who has been properly trained for this situation will be able to determine the proper signs.

 

santepro

Santepro

Answered Aug 19, 2018

The cervix is dilated completely

The second stage of labor begins when the cervix is dilated completely and ends with the birth of the neonate.
 

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