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 A
Explanation
Answer and explanation
Choice A rationale:
Participating in regular daily exercise, especially weight-bearing exercises, can help maintain bone density and reduce the risk of osteoporosis.
Choice B rationale:
Eating high-fiber, high-calorie foods does not directly contribute to reducing the risk of osteoporosis.
Choice C rationale:
Taking vitamin supplements, particularly Vitamin D and calcium, can help maintain bone health and reduce the risk of osteoporosis.
Choice D rationale:
Restricting fluid to 1,000 mL daily is not recommended for reducing the risk of osteoporosis.
Correct Answer is D
Explanation
Choice A rationale:
Notifying the primary care provider is important but not the immediate next step. The nurse has other immediate responsibilities to ensure the safety of the mother and baby.
Choice B rationale:
A vaginal exam could introduce bacteria into the uterus and is not the immediate next step after rupture of membranes.
Choice C rationale:
Changing the linen saver pad is not the immediate next step. While it might be necessary for the comfort of the mother, it does not address the potential risks associated with rupture of membranes.
Choice D rationale:
Checking the fetal heart rate is the correct next step. This ensures that the baby is not in distress following the rupture of membranes.
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