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 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.
Correct Answer is B
Explanation
Choice A rationale:
Bacterial vaginosis typically presents with a thin, grayish-white discharge with a fishy odor. It does not usually cause intense itching or dyspareunia.
Choice B rationale:
Candidiasis is characterized by a thick, white, cottage cheese-like vaginal discharge, intense itching, and dyspareunia. These symptoms align with the client’s presentation.
Choice C rationale:
Genital herpes simplex usually presents with painful blisters or ulcers in the genital area, not a thick, white discharge.
Choice D rationale:
Trichomoniasis often causes a frothy, yellow-green discharge with a fishy smell. Itching can occur, but the discharge is not typically thick and white.
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