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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Orange juice enhances iron absorption and should not be avoided.
Choice B rationale:
Eating foods high in fiber can prevent constipation, a side effect of iron supplements.
Choice C rationale:
Iron should not be taken with milk as it inhibits iron absorption.
Choice D rationale:
Black, tarry stools are a common side effect of iron supplements and are not usually a concern.
So, the correct answer is B. “I need to eat foods high in fiber.”.
Correct Answer is B
Explanation
Choice A rationale:
Informing the family of the need for information is important, but it is not the most important aspect when working with a family who suspects they could bear a child with a genetic abnormality.
Choice B rationale:
Presenting the information in a factual, nondirective manner is the most important aspect. This allows the family to make informed decisions based on accurate information without being influenced by the nurse’s personal beliefs or opinions.
Choice C rationale:
Maintaining the confidentiality of the information is a standard nursing practice and while it is important, it is not the most important aspect in this scenario.
Choice D rationale:
Gathering information for three generations can provide valuable insight into the family’s genetic history, but it is not the most important aspect in this scenario.
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