The nurse has received a report regarding her patient in labor. The woman's last vaginal examination was recorded as 2 cm, 80%, and +2. The nurse's interpretation of this assessment is that:

Select one:

The cervix is dilated 2 cm, it is effaced 80%, and the presenting part is 2 inches below the ischial spines.

The cervix is 2 cm dilated, it is effaced 80%, and the presenting part is 2 cm above the ischial spines.

The cervix is dilated 2 cm, it is effaced 80%, and the presenting part is 2 cm below the ischial spines.

The cervix is effaced 2 cm, it is dilated 80%, and the presenting part is 2 cm above the ischial spines.

Answer and Explanation

The Correct Answer is C

a.   This is an incorrect interpretation of the assessment.
b.   This is an incorrect interpretation of the assessment.
c.   This is the correct interpretation of the assessment indicating that the labor is progressing well and the baby is descending into the pelvis.
d.   This is an incorrect interpretation of the assessment.

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Correct Answer is C

Explanation

a. This is not where fetal heart tones are typically auscultated.
b. This is not where fetal heart tones are typically auscultated.
c. The round, firm, moveable part in the fundus of the uterus is most likely the fetal head, and the long, smooth surface on the right side is most likely the fetal back. The fetal heart tones are best heard over the fetal back, which is closest to the maternal abdomen. Therefore, the nurse should expect to auscultate fetal heart tones in the right upper quadrant.
d. This is not where fetal heart tones are typically auscultated.

A. Limit alcohol and tobacco consumption. B. Increase intake of iron-rich foods. C. Avoid foods containing aspartame. D. Consume foods fortified with folic acid

Correct Answer is ["D"]

Explanation

a. This is an important recommendation for overall health but is not specifically related to reducing the risk of NTDs.
b. This is an important recommendation for overall health but is not specifically related to reducing the risk of NTDs.
c. This is an important recommendation for overall health but is not specifically related to reducing the risk of NTDs.
d. Folic acid supplementation before and during pregnancy has been shown to reduce the risk of NTDs in newborns.

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The nurse has received a report regarding her patient in labor. The woman's last vaginal examination was recorded as 2 cm, 80%, and +2. The nurse's interpretation of this assessment is that: Select one:

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Correct Answer is C

Explanation

A nurse is instructing a woman who is contemplating pregnancy about nutritional needs. To reduce the risk of giving birth to a newborn who has neural tube defects (NTD), which of the following information should the nurse include in the teaching? Select one:

Correct Answer is ["D"]

Explanation

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A woman is at 9 weeks of gestation. The nurse would expect to palpate the fundus at which level? Select one:

Because of the effect of cyclic ovarian changes on the breast, the best time for breast self-examination (BSE) is:

A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?

A 37 weeks pregnant female reports to the nurse that she is sleeping in a supine position and feels dizzy after waking up in the morning. What advice does the nurse give to the patient? Select one:

A nurse is caring for a client who is in labor. Which of the following nursing actions reflects the application of the Gate control theory of pain?

The nurse has received a report regarding her patient in labor. The woman's last vaginal examination was recorded as 2 cm, 80%, and +2. The nurse's interpretation of this assessment is that:

Select one: