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 A
Explanation
Choice A rationale:
Implementing measures for a vaginal birth is a reasonable intervention as the baby is in a favorable position for a normal delivery.
Choice B rationale:
Continuous internal fetal monitoring is not necessary unless there are complications or high-risk factors present.
Choice C rationale:
Artificial rupture of the membranes can be done to induce or augment labor, but it’s not necessary in this case.
Choice D rationale:
Preparing for a cesarean birth is not necessary as the baby is in a favorable position for a vaginal birth.
Correct Answer is B
Explanation
Choice A rationale:
Abdominal distention is not a common side effect of opioids in newborns.
Choice B rationale:
Respiratory depression is a known side effect of opioid use, and newborns are particularly susceptible.
Choice C rationale:
Hyperreflexia is not typically associated with opioid use.
Choice D rationale:
Urinary retention is not a common side effect of opioids in newborns.
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