A nurse is assessing a client who is in labor and notes that the fetal head is visible at the vaginal opening but does not advance with pushing.
The nurse should identify this finding as which of the following?
Crowning
Molding
Caput succedaneum
Shoulder dystocia.
The Correct Answer is A
Crowning is when the fetal head is visible at the vaginal opening and does not slip back in with each contraction. This indicates that the baby is ready to be born and the mother should stop pushing to avoid tearing or the need for an episiotomy.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
This is a condition where fetal blood vessels that run through the membranes rupture and bleed.
The bleeding is from the fetus, not the mother, and can cause fetal hypoxia and death.
The FHR deceleration indicates fetal distress.
The uterus is soft because there is no uterine bleeding or contraction.
Normal ranges for FHR are 110 to 160 beats per minute.
Normal ranges for uterine contraction frequency are 2 to 5 contractions in 10 minutes.
Normal ranges for uterine contraction duration are 45 to 80 seconds.
Normal ranges for uterine contraction intensity are mild to moderate to palpation
Correct Answer is ["B","D","E"]
Explanation
The nurse should include these instructions in the teaching because:
• Choice B: Using sanitary pads rather than tampons for vaginal bleeding can prevent infection and irritation of the surgical site.
• Choice D: Drinking plenty of fluids and eating foods high in fiber can help prevent constipation, which can strain the abdominal muscles and cause pain.
• Choice E: Reporting any foul-smelling vaginal discharge or fever to the provider can help detect signs of infection, which can be a complication of hysterectomy.
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