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 D
Explanation
Answer and explanation
Choice A rationale:
Butorphanol is an opioid agonist-antagonist. It would not be the first choice to treat opioid-induced respiratory depression because it can also cause respiratory depression.
Choice B rationale:
Promethazine is an antihistamine that has sedative effects and could potentially worsen respiratory depression.
Choice C rationale:
Fentanyl is a potent opioid and would likely exacerbate respiratory depression.
Choice D rationale:
Naloxone is an opioid antagonist used to reverse the effects of opioids such as respiratory depression.
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.
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