Assessment of a woman in labor reveals that the fetus is in a cephalic presentation and engagement has occurred.
The nurse interprets this finding to indicate that the presenting part is at which station?.
-2.
+1.
0.
-1.
-1.
The Correct Answer is C
Choice A rationale:
Station -2 means the presenting part is 2 cm above the ischial spines. Engagement usually occurs at 0 station.
Choice B rationale:
Station +1 means the presenting part is 1 cm below the ischial spines. This usually occurs during labor, not necessarily at engagement.
Choice C rationale:
Station 0 means the presenting part is at the level of the ischial spines. This is typically when engagement occurs.
Choice D rationale:
Station -1 means the presenting part is 1 cm above the ischial spines. Engagement usually occurs at 0 station.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
A slight increase in blood pressure during contractions is normal.
Choice B rationale:
A white blood cell count of 12,000 cells/mm is within the normal range.
Choice C rationale:
A respiratory rate of 10 breaths/minute is low and could indicate respiratory depression.
Choice D rationale:
A heart rate increase from 76 bpm to 90 bpm is within the normal range.
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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