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    Nu 314 Maternal Newborn Proctored Exam

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    Question: 1 of 41Nu 314 maternal newborn proctored exam
    A nurse has received a report about a patient in labor. The patient's last vaginal examination was recorded as 3 cm, 30%, and -2. What is the nurse's interpretation of this assessment?
    Explanation
    Choice A rationale This choice is incorrect because it inaccurately defines the meaning of the clinical findings. Effacement is measured as a percentage, not in centimeters. The station, indicated by a positive or negative number, represents the fetal head's position relative to the ischial spines, not the cervix. A negative number indicates the head is positioned above the ischial spines. Choice B rationale This choice is incorrect because it reverses the definitions of dilation and effacement. Dilation is measured in centimeters (cm), while effacement is measured as a percentage. Additionally, a negative station number indicates that the presenting part is above the ischial spines, not below them. Choice C rationale This choice is incorrect because it reverses the definitions of dilation and effacement. Dilation is measured in centimeters, while effacement is measured as a percentage. The station, a negative number like -2, correctly indicates that the presenting part is above the ischial spines. Choice D rationale This choice is correct because it accurately interprets the three parameters of a vaginal examination. The first number, 3 cm, indicates cervical dilation. The second number, 30%, represents cervical effacement. The third number, -2, signifies that the presenting part is 2 cm above the ischial spines. This is a fundamental assessment in labor.
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