A client arrives in labor and delivery, and the L&D primary nurse gets a report from the L&D triage nurse.
How does the primary nurse interpret the following information on the client's labor: 2 cm, 60%, and -2 station?
2 cm dilated, 60% effaced, 2 cm below the ischial spines.
2 cm dilated, 60% effaced, 2 cm above the ischial spines.
2 cm effaced, 60% dilated, 2 cm below the ischial spines.
2 cm effaced, 60% dilated, 2 cm above the ischial spines.
The Correct Answer is B
Choice A rationale
2 cm dilated, 60% effaced, 2 cm below the ischial spines is incorrect because the -2 station means the presenting part is above the ischial spines, not below.
Choice B rationale
2 cm dilated, 60% effaced, 2 cm above the ischial spines correctly interprets the given data: cervical dilation, effacement, and station relative to the ischial spines.
Choice C rationale
2 cm effaced, 60% dilated, 2 cm below the ischial spines is incorrect because it reverses effacement and dilation figures and incorrectly places the station.
Choice D rationale
2 cm effaced, 60% dilated, 2 cm above the ischial spines is incorrect due to reversed effacement and dilation figures, though the station is correctly above the ischial spines.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
A magnesium sulfate level of 61 mEq/L is high and may cause toxicity, but the most critical level is higher.
Choice B rationale
A magnesium sulfate level of 70 mEq/L is extremely high and most likely to result in toxicity, including respiratory and cardiac complications.
Choice C rationale
A magnesium sulfate level of 29 mEq/L is elevated but not necessarily indicative of toxicity.
Choice D rationale
A magnesium sulfate level of 45 mEq/L is also high but less critical compared to 70 mEq/L.
Correct Answer is ["7"]
Explanation
Step 1 is 2800 grams × 2.5 mg/kg. 2800 grams × 2.5 mg/kg = 7000 mg/kg.
Step 2 is 7000 mg ÷ (1000 mg/kg). 7000 mg ÷ (1000 mg/kg) = 7 mg.
Final calculated answer: 7 mg.
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