Difficulty: Medium
Average Score: 83%
Simulated
The laboring client in the first stage of labor is talking and laughing with her husband. The nurse should conclude that the client is probably in what phase?
Correct answer
D
Rationale
During the latent phase (1ÔÇö3 cm), the client is usually happy and talkative. During the transition phase (8ÔÇö10 cm), the client is usually more restless, irritable, and more likely to lose control. During the active phase (4ÔÇö7 cm), the client may become more anxious and fatigued and needs to concentrate on breathing techniques to cope with the increasingly stronger contractions. The client who is actively pushing is focusing on how effective she is in the descent of the fetus and concentrating on how she is coping with contractions. She is usually not expressing happiness or laughter, and is not talkative.