A woman is admitted to the labor and birthing suite.
Vaginal examination reveals that the presenting part is approximately 2 cm above the ischial spines.
The nurse documents this finding as
-2 station.
0 station.
Crowning.
+2 station.
The Correct Answer is A
Choice A rationale:
-2 station means the baby’s head is 2 cm above the ischial spines. This is a possible position during labor.
Choice B rationale:
0 station means the baby’s head is at the level of the ischial spines, which typically indicates the beginning of active labor.
Choice C rationale:
Crowning refers to when the baby’s head is visible at the vaginal opening, which occurs later in labor.
Choice D rationale:
+2 station means the baby’s head is 2 cm below the ischial spines. This typically occurs later in labor.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Notifying the primary care provider is important but not the immediate next step. The nurse has other immediate responsibilities to ensure the safety of the mother and baby.
Choice B rationale:
A vaginal exam could introduce bacteria into the uterus and is not the immediate next step after rupture of membranes.
Choice C rationale:
Changing the linen saver pad is not the immediate next step. While it might be necessary for the comfort of the mother, it does not address the potential risks associated with rupture of membranes.
Choice D rationale:
Checking the fetal heart rate is the correct next step. This ensures that the baby is not in distress following the rupture of membranes.
Correct Answer is A
Explanation
Choice A rationale:
Fundal height measurement is a common procedure during prenatal visits to monitor the baby’s growth.
Choice B rationale:
While ultrasounds are performed during pregnancy, they aren’t typically done at every prenatal visit.
Choice C rationale:
Urine cultures are important for detecting urinary tract infections, but they aren’t a routine part of every prenatal visit.
Choice D rationale:
Hemoglobin and hematocrit tests are done to check for anemia, but they aren’t typically performed at every visit.
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