A pregnant woman has a midpelvis pelvimetry measurement of 3.8 ...

[rlane42]

A pregnant woman has a midpelvis pelvimetry measurement of 3.8 inches (9.65 cm). What action by the labor and delivery nurse is most important?
 
  A.
  Encourage attendance at childbirth classes.
  B.
  Explain that vaginal birth will be possible.
  C.
  Instruct her to drink 10 glasses of water daily.
  D.
  Obtain consent for possible cesarean delivery.

Question 2

A nurse is examining a patient's Skene's glands. What action is best to visualize these structures?
 
  A.
  Place a gloved finger in the rectum.
  B.
  Place a gloved finger in the vagina.
  C.
  Pull the urethral margins apart.
  D.
  Use a speculum and a bright light.

[Jayson]

Answer to Question 1

ANS: D
Pelvimetry measurements demonstrate the feasibility of a vaginal birth. The minimum measurement for the midpelvis (which is the narrowest lateral portion of the female pelvis) is 4.7 inches (12 cm). Pelvimetry measurements may not be accurate for several reasons, and despite findings, in most situations, the woman is allowed a trial of labor. As the joints of the pelvis soften and become more mobile, a vaginal delivery might still be possible. The nurse should obtain consent for a possible cesarean delivery. All pregnant women should attend childbirth preparation classes. The nurse should not guarantee that a vaginal birth can occur. Drinking water is not related.

Answer to Question 2

ANS: C
The Skene's glands are located on each side of the urethra. To examine them, the nurse should gently pull the margins of the urethra apart and evert the mucous membranes.