A primigravida at 39 weeks of gestation is observed for 2 hours ...

[ishan]

A primigravida at 39 weeks of gestation is observed for 2 hours in the intrapartum unit. The fetal heart rate has been normal. Contractions are 5 to 9 minutes apart, 20 to 30 seconds in duration, and of mild intensity.
 
  Cervical dilation is 1 to 2 cm and uneffaced (unchanged from admission). Membranes are intact. The nurse should expect the woman to be a. Admitted and prepared for a cesarean birth
  b. Admitted for extended observation
  c. Discharged home with a sedative
  d. Discharged home to await the onset of true labor

Question 2

During a vaginal examination, the nurse palpates the fetal posterior fontanel. Which describes the fetal lie?
 
  a. Flexion c. Transverse
  b. Occiput d. Longitudinal

[thall411]

Answer to Question 1

D
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A These are all indications of false labor without fetal distress. There is no
indication that a cesarean birth is indicated.
B These are all indications of false labor; there is no indication that further
assessment or observations are indicated.
C The patient will probably be discharged, but there is no indication that a sedative
is needed.
D The situation describes a woman with normal assessments who is probably in
false labor and will probably not deliver rapidly once true labor begins.

Answer to Question 2

D
The fetal lie describes the relationship of the fetal long axis (head to foot) to that of the maternal long axis or spinal cord. In a breech or cephalic presentation, the lie is longitudinal.