Mrs. Dela Cruz’s has contractions growing stronger which lasts for 40-60 seconds and occur approximately every 3-5 minutes.. 4-7 cm

Mrs. Dela Cruz’s has contractions growing stronger which lasts for 40-60 seconds and occur approximately every 3-5 minutes.

The doctor is about to perform an IE, the nurse expects that the client’s cervical dilatation will be:

a- 0-3 cm
b- 4-7 cm
c- 8-10 cm
d- 11-13 cm

Answer: B.

The nurse would expect that the client’s cervical dilatation is 4-7 cm as the contraction duration and interval is noted for clients who are in the active phase of the first stage of labor.

The maximum cervical dilatation is 10 cm, thus, letter D should be eliminated first. The first stage of labor (stage of dilatation) is divided into three phases.

• Latent phase – 0-3 cm cervical dilatation; contractions are short and mild lasting 20-40 seconds and occurring approximately every 5-10 minutes.
• Active phase – 4-7 cm cervical dilatation; contractions grow stronger, lasting 40-60 seconds and occur at approximately every 3-5 minutes.
• Transition phase – 8-10 cm cervical dilatation; contractions reach their peak of intensity, occurring every 2-3 minutes with a duration of 60-90 seconds.

Based on the information provided, the most likely cervical dilatation for Mrs. Dela Cruz would be: b. 4-7 cm

Here's the reasoning:

- Contraction strength and duration:

Contractions lasting 40-60 seconds and occurring every 3-5 minutes are indicative of the active phase of labor. During this phase, the cervix dilates from 4 to 7 cm.

- Friedman's score:

A scoring system called Friedman's score can be used to estimate cervical dilatation based on contraction frequency and duration. In this case, the score would be around 80-90, which also points to a dilatation of 4-7 cm.

Therefore, while options a and c are possible in the active phase, they are less likely based on the specific details provided. Options d and e are unlikely as they represent more advanced stages of labor that typically have stronger and more frequent contractions.

It's important to remember that cervical dilatation can vary depending on individual factors and progress throughout labor. This information should be used for educational purposes only and not as a substitute for professional medical advice.