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A Gravida 1, Para 0, 38 Weeks' Gestation Is in the Transition

Question 33

Multiple Choice

A gravida 1, para 0, 38 weeks' gestation is in the transition phase of labor with SROM and is very anxious. Vaginal exam, 8 cm, 100% effaced, -1 station vertex presentation. She wants the nurse to keep checking her by performing repeated vaginal exams because she is sure that she is progressing rapidly. What is the best response that the nurse can provide to this client at this time?


A) Performing more frequent vaginal exams will not make the labor go any quicker.
B) Even though she is in transition, frequent vaginal exams must be limited because of the potential for infection.
C) Tell the client that she will check every 30 minutes.
D) Medicate the client as needed for anxiety so that the labor can progress.

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