Which pelvic shape is most conducive to vaginal labor and birth? ...

[Anajune7]

Which pelvic shape is most conducive to vaginal labor and birth?
 
  a. Android
  b. Gynecoid
  c. Platypelloid
  d. Anthropoid

Question 2

The labor nurse is admitting a patient in active labor with a history of genital herpes. On assessment, the patient reports a recent outbreak, and the nurse verifies lesions on the perineum. What is the nurse's next action?
 
  a. Ask the patient when she last had anything to eat or drink.
  b. Take a culture of the lesions to verify the involved organism.
  c. Ask the patient if she has had unprotected sex since her outbreak.
  d. Use electronic fetal surveillance to determine a baseline fetal heart rate.

[juiceman1987]

Answer to Question 1

ANS: B
The gynecoid pelvis is round and cylinder-shaped, with a wide pubic arch. The prognosis for a vaginal birth is good. Only 30 of women have an android-shaped pelvis, which has a poor prognosis for vaginal birth. The anthropoid pelvis is a long narrow oval, with a narrow pubic arch. It is more favorable than the android or platypelloid pelvic shape. The platypelloid pelvis is flat, wide, short, and oval and has a very poor prognosis for vaginal birth.

Answer to Question 2

ANS: A
A cesarean birth is recommended for women with active lesions in the genital area, whether recurrent or primary, at the time of labor. The patient's dietary intake is needed to prepare for surgery. This patient is in active labor and the fetus is at risk for infection if the membranes rupture. The health care provider needs to be notified, and a cesarean section needs to be performed as soon as possible. There is no need to validate the infection because the patient is well aware of the symptoms of an active infection. Although transmission to sexual partners is valid information, it is not necessary information in an urgent situation such as depicted in this scenario. Electronic fetal surveillance is the standard of care.

[Anajune7]

TYSM

[Liddy]

Gracias!