Author Question: After performing a vaginal examination on a laboring woman, the nurse charts: 80 percent, 5 cm, -1 . ... (Read 83 times)

ereecah · **on:** Jun 27, 2018

After performing a vaginal examination on a laboring woman, the nurse charts: 80 percent, 5 cm, -1 . Which is a correct interpretation of the data?

a. Fetal presenting part is at the ischial spines.
b. Effacement is 3 centimeters from completion.
c. Dilation is 50 percent completed.
d. Effacement and dilation of the cervix is complete.

Question 2

The nurse providing care for the laboring woman should understand that variable fetal heart rate (FHR) decelerations are caused by:

a. Altered fetal cerebral blood flow.
b. Umbilical cord compression.
c. Uteroplacental insufficiency.
d. Fetal hypoxemia.

stano32 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

C
Complete cervical dilation is 10 cm, so this client's dilation is 50 percent complete. When fetal presenting part is at the ischial spines, the fetus would be at 0 station, but in this case the fetus is at -1 . Effacement refers to thinning of the cervix and is recorded in percentage not centimeters. This client is only effaced by 80 percent, so effacement is incomplete.

Answer to Question 2

B

Feedback
A Altered fetal cerebral blood flow would result in early decelerations in the FHR.
B Variable decelerations can occur any time during the uterine contracting phase and are caused by compression of the umbilical cord.
C Uteroplacental insufficiency would result in late decelerations in the FHR.
D Fetal hypoxemia would result in tachycardia initially and then bradycardia if hypoxia continues.