A nurse reads in a woman's chart that the fetus is in a ...

[evelyn o bentley]

A nurse reads in a woman's chart that the fetus is in a longitudinal lie. What can the nurse conclude about this situation?
 
  A.
  The fetal head is flexed prior to delivery.
  B.
  The fetal head-to-tailbone axis is at a 90  angle to the woman's head-to-tailbone axis.
  C.
  The fetal head-to-tailbone axis is the same as the woman's head-to-tailbone axis.
  D.
  Vaginal birth will be very difficult.

Question 2

A patient's cervix is 8 cm dilated and she is 100 effaced. What action by the nurse is most important at this time?
 
  A.
  Allow the support person to be at the bedside.
  B.
  Encourage the woman to bear down.
  C.
  Have the woman avoid pushing at this time.
  D.
  Instruct the woman to rest between contractions.

[courtney_bruh]

Answer to Question 1

ANS: C
The fetal lie is the relationship of the long axis of the woman to the long axis of the fetus. If the head-to-tailbone axis of the fetus is the same as the woman's, the fetus is in a longitudinal lie. This occurs in more than 99 of pregnancies. Flexion of the fetal head is related to fetal attitude. When the long axis of the fetus is at a 90  angle to the long axis of the woman, it is called a transverse lie; this occurs in fewer than 1 of pregnancies.

Answer to Question 2

ANS: C
Pushing against a partially dilated cervix can lead to cervical edema and damage and can adversely affect the progress of the woman's labor. It is most important to protect the patient from injury. Encouraging rest between contractions and allowing the support person at the bedside are also important, but safety comes first.

[evelyn o bentley]

Correct answers!

[courtney_bruh]

Great! Please up vote