nurse is assessing a client who is in active labor and notes that the presenting part is at 0 station. Which of the following is the correct Interpretation of this clinical finding?
The posterior fontanel is palpable.
The lowermost portion of the fetus is at the level of the ischial spines.
The fetal head is in the left occiput posterior position.
The largest fetal diameter has passed through the pelvic outlet.
The Correct Answer is B
A) The posterior fontanel is palpable:
This statement is not directly related to station. The fontanelles are soft spots on the fetal skull used to assess fetal head position, but they are not specifically related to station.
B) The lowermost portion of the fetus is at the level of the ischial spines:
In obstetrics, station refers to the relationship between the presenting part of the fetus and the maternal ischial spines. When the presenting part is at 0 station, it means that the lowest part of the fetus (usually the head) is at the level of the maternal ischial spines. This is a significant landmark indicating the progress of labor. As labor progresses, the fetus descends further into the pelvis, with stations progressing from -3 to +3.
C) The fetal head is in the left occiput posterior position:
The station does not provide information about the fetal head position. Left occiput posterior position refers to the position of the fetal head in relation to the maternal pelvis, which is determined separately through pelvic examinations.
D) The largest fetal diameter has passed through the pelvic outlet:
While 0 station indicates engagement of the fetal head in the pelvis, it does not necessarily mean that the largest fetal diameter has passed through the pelvic outlet. Labor continues until the entire fetus is delivered through the birth canal, which occurs as labor progresses through the different stages.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Place a hot pack to the perineum: Heat application is not recommended for unrelieved episiotomy pain. Heat can increase swelling and discomfort in the perineal area.
B. Offer a warm sitz bath: While warm sitz baths can help relieve discomfort and promote healing, they are not the most appropriate intervention for unrelieved episiotomy pain after a vaginal birth.
C. Apply an ice pack to the affected area: Applying an ice pack to the perineum can help reduce swelling and relieve pain. It is a common intervention for postpartum perineal discomfort, especially in cases of episiotomy.
D. Provide a squeeze bottle of antiseptic solution: While providing a squeeze bottle of antiseptic solution can promote perineal hygiene, it does not address the issue of unrelieved episiotomy pain. Cold therapy is more effective in reducing pain and swelling associated with episiotomy.
Correct Answer is ["15"]
Explanation
Prescribed dose per administration: 150 mg
Concentration of amantadine per mL of syrup: 50 mg/5 mL (we can rewrite this concentration as 10 mg/mL, because 50 mg divided by 5 mL is the same as 10 mg divided by 1 mL)
Steps to find the volume to administer:
Calculate the amount of amantadine per 1 mL of syrup: 50 mg / 5 mL = 10 mg/mL
Divide the prescribed dose by the concentration per mL: 150 mg / 10 mg/mL = 15 mL
Since we need to round to the nearest whole number for the amount of medication to administer, the nurse should administer 15 mL of amantadine syrup per dose.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.