Practice Question
A nurse is assessing a client who is in active labor and notes that the presenting part is at 0 station. Which of the following is the correct interpretation of this clinical finding?
Answer Choices:
Correct Answer:
The lowermost portion of the fetus is at the level of the ischial spines
Rationale:
🔴 A station of 0 means the presenting part is at the ischial spines, marking engagement.
🔴 It’s a critical reference point in assessing descent through the birth canal.
🔴 A station of 0 indicates no ascent or descent, i.e., it's aligned with the maternal pelvis midpoint.
🔴 Descent progresses from negative stations (above spines) to positive (below spines).
🔴 Engagement is a sign of labor progress, especially in primigravidas.
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This question is from RN Capstone week 11 Exam which contains 50 questions.
More Questions from This Exam
A nurse is caring for a client who is scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation. The nurse provides which of the following explanations about this test to the client?
Answer Choices:
A. This test identifies an Rh incompatibility between the mother and fetus.
B. It assesses various markers of fetal well-being.
C. It is a screening test for spinal defects in the fetus.
D. This test assesses fetal lung maturity.
A nurse in the labor and delivery unit is caring for a client who is undergoing external fetal monitoring. The nurse observes that the fetal heart rate begins to slow after the start of a contraction, and the lowest rate occurs after the peak of the contraction. Which of the following actions should the nurse take first?
Answer Choices:
A. Place the client in the lateral position.
B. Elevate the client's legs.
C. Increase the rate of maintenance IV infusion.
D. Administer oxygen using a nonrebreather mask.
A nurse is providing home safety information for an older adult client who uses a cane. Which of the following statements should the nurse include in the teaching?
Answer Choices:
A. "You should advance the cane 12 to 24 inches before taking a step."
B. "You should hold the cane in your weak hand when ambulating."
C. "The cane's height should be the exact distance from the floor to mid flank."
D. "You should advance your weak leg forward to the cane, then move your strong leg."
A nurse working in a community health center is preparing a flow sheet detailing essential screenings according to age group. At which developmental stage on the chart should the nurse add scoliosis screening?
Answer Choices:
A. Older Adult
B. Pre-adolescent/adolescent
C. Toddler/Preschooler
D. Infant
A nurse is caring for a client who is at 40 weeks gestation and is in active labor. The client has 6 cm of cervical dilation and 100% cervical effacement. The nurse obtains the client's blood pressure reading as 82/52 mm Hg. Which of the following nursing interventions should the nurse perform?
Answer Choices:
A. Prepare for a cesarean birth
B. Ask the client to turn onto her side
C. Assist the client to an upright position
D. Prepare for an immediate vaginal delivery
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Capstone Exam(s)
- Answer Choices: 4