The nurse is caring for a client in labor. Assessment reveals that the fetus is in a vertex presentation and at -4 station. What does the nurse determine as the position of the fetal head?
Horizontal
Engaged
Floating
Crowning
The Correct Answer is C
A. Horizontal does not describe the position of the fetal head in relation to the pelvic station.
B. Engagement typically occurs when the presenting part of the fetus reaches 0 station or is at the level of the ischial spines.
C. At -4 station, the fetal head is considered to be floating, indicating that it has not yet entered the pelvic inlet.
D. Crowning occurs when the fetal head is visible at the vaginal opening during the second stage of labor.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Absent variations would show no detectable fluctuations in the fetal heart rate.
B. Minimal variability would show minimal fluctuations in the fetal heart rate, with an amplitude range of less than 5 beats per minute.
C. Marked variability would show wide and pronounced fluctuations in the fetal heart rate, with an amplitude range greater than 25 beats per minute.
D. Fluctuations in the fetal heart rate are within a moderate range, between 6 and 25 beats per minute.
Correct Answer is A
Explanation
A. A classical incision increases the risk of uterine rupture during labor, and a vaginal birth is not typically recommended due to this risk.
B. The type of incision, not the term of the subsequent birth, is the primary consideration for deciding on a mode of delivery.
C. A classical incision is associated with an increased risk of complications, not a decreased risk.
D. The recommendation for a vaginal birth after cesarean (VBAC) depends on factors such as the type of uterine incision and other clinical considerations, not just the time interval.
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