The nurse explains to the client that the obstetric conjugate measurement is important because:
1. The size of this diameter determines whether the fetus can move down into the birth canal so that engagement can occur.
2. This measurement determines the shape of the inlet.
3. The fetus passes under it during birth.
4. This determines the tilt of the pelvis.
1
Rationale:
1. The obstetric conjugate extends from the middle of the sacral promontory to an area approximately 1 cm below the pubic crest. The fetus passes through the obstetric conjugate, and the size of this diameter determines whether the fetus can move down into the birth canal in order for engagement to occur.
2. The transverse diameter is the largest diameter of the inlet, and helps determine its shape.
3. The fetus passes under the pubic arch, which is part of the pelvic outlet.
4. A change in the lumbar curve can increase or decrease the tilt of the pelvis.
You might also like to view...
Every chemical ingested by a pregnant woman poses a potential danger to her unborn child. This is especially true during the
1. labor and delivery. 2. first trimester of pregnancy. 3. third trimester of pregnancy. 4. second trimester of pregnancy.
The nurse is preparing to administer an osmotic diuretic to a patient. What should the nurse do when providing this medication?
Select all that apply. 1. Check solution for crystallization prior to IV administration. 2. Evaluate urine output after test dose is given. 3. Assess for signs of worsening heart failure. 4. Assess for orthostatic hypotension. 5. Monitor patient for signs of ototoxicity.
Which intervention demonstrates effective management of two contradictory goals of case management?
a. Arranging for outpatient patients to car pool to group meetings b. Assessing patients to determine who is able to shower independently c. Scheduling a patient to have in-home help with cooking and cleaning d. Helping a patient appropriately fill a personal 5-day medication container
In relation to hygiene and the acute care setting, the nurse knows that which of the following statements is true?
a. The disposable bath is a less desirable form of bathing than the traditional basin bath. b. The disposable bath is a more desirable form of bathing than the traditional basin bath. c. The disposable bath is more desirable for patients who can bathe independently. d. The disposable bath is not an acceptable form of bathing in the acute care setting.