Maternal / Newborn Question #25
A primipara is in the 38th week and states her neighbor said dilation and effacement will occur rapidly. The nurse explains which concept to the client about primipara dilation and effacement?
- The cervix will dilate first.
- Both dilation and effacement will occur at the same time.
- Effacement must be 100% before dilation can be significant.
- Cervical effacement occurs slowly, before significant dilation occurs.
The cervix of the primipara effaces slowly before significant dilation occurs. Option A is incorrect since effacement, not dilation will occur first in primipara. Selection B is incorrect since primipara will dilate separately, whereas multiparas may do this at the same time. Selection C is incorrect since effacement completes when dilation is complete.