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A woman is admitted to the labor and birthing suite.

Vaginal examination reveals that the presenting part is approximately 2 cm above the ischial spines.

The nurse documents this finding as

-2 station.

0 station.

Crowning.

+2 station.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

-2 station means the baby’s head is 2 cm above the ischial spines. This is a possible position during labor.

Choice B rationale:

0 station means the baby’s head is at the level of the ischial spines, which typically indicates the beginning of active labor.

Choice C rationale:

Crowning refers to when the baby’s head is visible at the vaginal opening, which occurs later in labor.

Choice D rationale:

+2 station means the baby’s head is 2 cm below the ischial spines. This typically occurs later in labor.

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Correct Answer is ["D","E"]

Explanation

Choice A rationale:

Cervical effacement of 30% is more indicative of the early phase of labor, not the active phase. In the active phase, effacement is usually 80-100%.

Choice B rationale:

A strong desire to push is usually associated with the transition phase of labor, not the active phase.

Choice C rationale:

Contractions every 90 seconds could be indicative of the active phase, but this can vary between individuals.

Choice D rationale:

Cervical dilation of 6 cm is indeed indicative of the active phase of labor, which is typically characterized by cervical dilation of 4-7 cm.

Choice E rationale:

Contractions every 2 to 3 minutes are common in the active phase of labor.

A. Internal rotation. B. Flexion. C. Pronation. D. Abduction. E. Descent.

Correct Answer is ["A","E"]

Explanation

Choice A rationale:

Internal rotation is a movement the fetus makes as it travels through the birth canal.

Choice B rationale:

Flexion is another movement that occurs as the fetus adjusts its position during labor.

Choice C rationale:

Pronation is not typically included in the description of fetal movements during labor and birth.

Choice D rationale:

Abduction is not a movement associated with the fetus’s journey through the birth canal.

Choice E rationale:

Descent is a key movement that occurs as the fetus moves down through the birth canal.

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A woman is admitted to the labor and birthing suite. Vaginal examination reveals that the presenting part is approximately 2 cm above the ischial spines. The nurse documents this finding as

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Naxlex Comprehensive Predictor Exams

A nurse is providing care to a woman in labor. The nurse determines that the client is in the active phase based on which assessment findings? Select all that apply.

Correct Answer is ["D","E"]

Explanation

A nurse is preparing a class for pregnant women about labor and birth. When describing the typical movements that the fetus goes through as it travels through the passageway, which movements would the nurse include? Select all that apply.

Correct Answer is ["A","E"]

Explanation

A woman in labor who received an opioid for pain relief develops respiratory depression. The nurse would expect which agent to be administered?.

A young adult woman who is HIV-positive is receiving anti-retroviral therapy (ART) and is having difficulty with adherence. To promote adherence, which area would be most important for the nurse to assess?.

A client states "I think my water broke! I felt this gush of fluid between my legs.”. The nurse tests the fluid with nitrazine paper and confirms membrane rupture if the swab turns:.

Upon entering the room of a client who has had a spontaneous abortion, the nurse observes the client crying. Which response by the nurse would be most appropriate?.

Your patient is receiving Heparin via a continuous IV infusion at a rate of 1600 units per hour. The bag is labeled N/S 500 mLs and contains Heparin 40,000 units. What rate should the IV pump be set at to deliver this ordered amount of Heparin? mLs/hr.

When teaching a class of pregnant women about the effects of substance use during pregnancy, the nurse would include which effect?.

A woman is admitted to the labor and birthing suite.

Vaginal examination reveals that the presenting part is approximately 2 cm above the ischial spines.

The nurse documents this finding as