Author Question: A woman is admitted to the labor and birthing suite. Vaginal examination reveals that the presenting ... (Read 61 times)

madam-professor · **on:** Jun 27, 2018

A woman is admitted to the labor and birthing suite. Vaginal examination reveals that the presenting part is approximately 2 cm above the ischial spines. The nurse documents this finding as:

A) +2 station
B) 0 station
C) 2 station
D) Crowning

Question 2

The nurse is preparing to assess the frequency of contractions for a patient in labor. Which process should the nurse use to time the contractions?

A) Number of contractions that occur in 5 minutes
B) The end of one contraction to the beginning of the next
C) The interval between the acmes of two consecutive contractions
D) The interval between the beginning and the end of one contraction

sultana.d · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

C
Feedback:
The ischial spines serve as landmarks and are designated as zero status. If the presenting part is palpated higher than the maternal ischial spines, a negative number is assigned. Therefore, the nurse would document the finding as 2 station. If the presenting part is below the ischial spines, then the station would be +2 . Crowning refers to the appearance of the fetal head at the vaginal opening.

Answer to Question 2

D
Feedback:
To determine the beginning of a contraction without a monitor, rest a hand on a woman's abdomen at the fundus of the uterus very gently until you sense the gradual tensing and upward rising of the fundus that accompanies a contraction. Time the duration of the contraction from the moment the uterus first tenses until it has relaxed again. Contractions are not timed by measuring the number of contractions in 5 minutes, the end of one contraction to the beginning of the next, or by using the interval between the acmes of two consecutive contractions.