Final Answer:
A woman arrives at the hospital in labor. The midwife states that the client is 4 cm dilated and 60% effaced is, A. The cervix is opening and thinning.
Step-by-step explanation:
Cervix Opening and Thinning: The correct option is A. "The cervix is opening and thinning." This statement accurately describes the midwife's assessment of the client. The dilation of 4 cm indicates the opening of the cervix, and 60% effacement signifies the thinning of the cervix.
Dilation: This refers to the opening of the cervix. In this case, the cervix is 4 cm dilated, suggesting it is progressively opening in preparation for childbirth.
Effacement: This is the thinning of the cervix. The midwife's statement of 60% effacement means that the cervix is thinning, allowing for the passage of the baby through the birth canal.
In summary, option A accurately represents the midwife's findings, indicating that the cervix is both opening (dilating) and thinning (effacing) as the woman progresses through labor.