Health Promotion and Maintenance
35. A client, who is gravida 1, para 0, presents to labor and delivery because her contractions have become regular, every 5 minutes, and she rates them a 5 on a pain scale of 1 to 10. She talks excitedly with her husband, who is to be her coach. She says that she is pleased that the happy day is finally here, but she is afraid that she will start screaming and she will not be able to handle it when the contractions get stronger. She and her husband have attended childbirth preparation classes. Based on her contractions pattern and her behavior, what are the most likely stage and phase of labor?
Choices
. First stage, active phase.
. First phase, active stage.
. First phase, latent stage.
. First stage, latent phase.
Question Hint
Test-Taking Tip
Remember stages and phases of labor. There are four stages of labor, with the first stage having three phases of labor: latent, active and transition.
Content Area: Maternity, Intrapartum; Integrated Process: Nursing Process, Analysis; Cognitive Level: Analysis; Client Need/Subneed: Health Promotion and Maintenance/Ante/Intra/Postpartum and Newborn Care
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Health Promotion and Maintenance
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Answer 1 is incorrect because the active phase of the first stage of labor usually is associated with behavior that is self-focused and requires concentration to breathe with the contractions. This client is excited and talkative, suggesting she is in early labor or the latent phase. Answer 2 is incorrect because there is no first phase of labor; it is the first stage of labor. Answer 3 is incorrect because there is no first phase of labor; it is the first stage of labor. Answer 4 is correct because this client is excited and talkative, suggesting she is in early labor or the latent phase of the first stage of labor.
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