Which nursing assessment indicates that a woman who is in second-stage labor is almost ready to give birth
Select one:
Bulging of the vulva
The membranes rupture during a contraction
The fetal head is felt at 0 station during vaginal examination
Bloody mucus discharge increases
The Correct Answer is A
a. Bulging of the vulva: This indicates that the fetal head is descending but does not necessarily mean the woman is almost ready to give birth. This indicates that the fetal head is crowning and putting pressure on the perineum, which means that delivery is imminent.
b. This indicates that the amniotic sac has ruptured but does not necessarily mean the woman is almost ready to give birth.
c. The fetal head at 0 station means that it is at the level of the maternal ischial spines, but it still needs to descend further to reach the perineum.
d. This indicates that the woman is in the early stages of labor but does not necessarily mean she is almost ready to give birth.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a. This is not the purpose of maternal serum alpha-fetoprotein testing.
b. Maternal serum alpha-fetoprotein testing is used to screen for neural tube defects and other spinal defects in the fetus.
c. This is not the purpose of maternal serum alpha-fetoprotein testing.
d. This is not the purpose of maternal serum alpha-fetoprotein testing.
Correct Answer is D
Explanation
a. This is a common cause of variable decelerations, not early decelerations.
b. This is not a cause of early decelerations.
c. This is a common cause of variable decelerations, not early decelerations.
d. This is the cause of early decelerations and is a normal response to the pressure of the fetal head on the cervix during contractions.
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