Practice Quiz

Nurse Midwife Exam Prep

Category - Midwifery

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A nurse midwife is monitoring a client who is in labor. Assessment findings reveal that the fetus is in LOA position. The nurse midwife notes that the presenting part of the fetus is at 0 station. This finding indicates that:
  1. The presenting part is at the perineum, and the fetal head is crowning.
  2. The presenting part is at the level of the ischial spines, and the fetal head is engaged.
  3. The presenting part is above the level of the ischial spines, and the fetal head is floating.
  4. The presenting part has descended to within the pelvic inlet.
Explanation
Answer: B - A 0 station indicates that the presenting part, the head of the fetus, is at the level of the ischial spines and that engagement has occurred. Option A indicates a +4 station. Option C indicates a negative station. Option D describes descent, the first cardinal movement of labor. Station refers to the relationship of the presenting part of the fetus to the level of the ischial spines.
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