CNM Certified Nurse Midwife

Category - Intrapartum

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A nurse midwife is monitoring a client in labor. Assessment findings determine that the fetus is in cephalic presentation. The descent of _________________ to the level of the ischial spines indicates that engagement has started.

Biparietal diameter
Intertrochanteric diameter
Hips
Biacromial diameter

Explanation

Answer: A - The descent of biparietal diameter, the widest part of the fetus in cephalic presentation, to the level of the ischial spines indicates that engagement has started. The intertrochanteric diameter is the widest part of the fetus in breech presentation.

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