Final Exam:NSG 432/ NSG432 Final Exam (Nursing Care of the Childbearing Family) Questions & Answers: Updated Solution

A nurse is performing a vaginal exam on a client in labor and finds the fetal presentation 1 cm above the ischial spines. How should the nurse document the fetal station? a) 0 b) -1 c) +1 d) -2 b) -1 Upon examining a laboring client's cervix, the nurse notes the assessment as 7, 80, -3. How does the nurse interpret this assessment? a) Cervix dilated 7 cm, 50% effaced, fetus 3 cm below the ischial spines. b) Cervix dilated 7 cm, 80% effaced, presenting 3 cm above the ischial spines. c) Cervix dilated 7 cm, 80% effaced, presenting part at the level of the ischial spines. d) Cervix dilated 5 cm, 80% effaced, presenting 3 cm above the ischial spines. b) Cervix dilated 7 cm, 80% effaced, presenting 3 cm above the ischial spines. The nurse recognizes that uterine activity during labor requires additional assessment and possible intervention when the nurse's assessment reveals which of the following?a) Contractions lasting 60 seconds, 5 minutes apart. b) Contractions lasting longer than 90 seconds with less than 30 seconds of resting. c) Contractions lasting 45 seconds, 5 times within a 10-minute period. d) Contractions lasting 70 seconds, 4 times within a 10-minute period.