The midwife performs a vaginal exam and determines that the fetal head is at a -2 station. What does this indicate to the nurse about the birth?
1. The birth is imminent.
2. The birth is likely to occur in 1-2 hours.
3. The birth will occur later in the shift.
4. The birth is difficult to predict.
4
Explanation: 4. A -2 station means that the fetus is 2 cm above the ischial spines. The ischial spines as a landmark have been designated as zero station. If the presenting part is higher than the ischial spines, a negative number is assigned, noting centimeters above zero station. With the fetus's head that high in the pelvis, it is difficult to predict when birth will occur.
You might also like to view...
The nurse is visiting with a school-age child in the clinic. The child states to the nurse, "Friends are giving me cigarettes to smoke." What is the best response by the nurse?
1. "Tell them 'no,' don't do it again, and don't tell anyone." 2. "Smoking occasionally will not hurt you." 3. Show the child a model of lungs with smoke damage then have the child try to breathe through a straw. 4. Explain to the child the risks associated with smoking.
The nurse is providing care to a patient who is receiving an aminoglycoside for a wound infection. The patient is also ordered to receive a cephalosporin. The nurse would carefully assess the patient for which of the following?
A) Nausea B) Nephrotoxicity C) Increased bleeding D) Respiratory difficulty
The nurse has determined that an adolescent's body mass index (BMI) is in the 90th percentile. What information should the nurse convey to the adolescent?
a. The adolescent is overweight. b. The adolescent has maintained weight within the normal range. c. The adolescent is at risk for becoming overweight. d. Nutritional supplementation should occur at least three times per week
Wound care is never complex in subacute units
Indicate whether the statement is true or false.