A nurse on the labor and delivery unit is caring for a client following a vaginal examination by the provider which is documented as: -1. Which of the following interpretations of this finding should the nurse make?
The cervix is effaced 1 cm.
The presenting part is 1 cm above the ischial spines.
The cervix is 1 cm dilated.
The presenting part is 1 cm below the ischial spines.
The Correct Answer is B
The correct answer is choice B.
Choice A rationale:
The term “-1” in a vaginal examination does not refer to the effacement of the cervix. Effacement is usually expressed as a percentage.
Choice B rationale:
In a vaginal examination, “-1” refers to the station of the fetus. A “-1” station means that the presenting part of the fetus (usually the head) is 1 cm above the ischial spines.
Choice C rationale:
The term “-1” in a vaginal examination does not refer to the dilation of the cervix. Dilation is usually measured in centimeters, from 0 (no dilation) to 10 (fully dilated).
Choice D rationale:
A “-1” station does not mean that the presenting part is below the ischial spines. It means that it is above the ischial spines.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is choice D. When the cervix is fully dilated.
Choice A rationale:
The arrival of the health care provider does not determine when the laboring client should push. This is dependent on the dilation of the cervix.
Choice B rationale:
Seeing the fetal head is not the determinant for when the laboring client should push. The cervix needs to be fully dilated.
Choice C rationale:
The nurse wanting the client to push is not the correct time for the laboring client to push. The cervix needs to be fully dilated.
Choice D rationale:
The laboring client is encouraged to push when the cervix is fully dilated. This is to avoid birth trauma.
Correct Answer is B
Explanation
The correct answer is choice B.
Choice A rationale:
Placing a baby on their stomach while sleeping is not recommended due to the risk of Sudden Infant Death Syndrome (SIDS).
Choice B rationale:
Removing extra blankets from the crib is a safety measure to prevent suffocation and overheating, which can lead to SIDS.
Choice C rationale:
Padding the mattress in the crib can pose a suffocation risk for the baby.
Choice D rationale:
It’s recommended for newborns to sleep in the same room as their parents for at least the first six months to reduce the risk of SIDS.
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