NURSE-UN 1242 Study Guide - Final Guide: Placental Abruption, Cephalic Presentation, Occipital Bone
5 Jan 2019
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A 32-year-old woman presents to the labor-and-delivery suite in active labor. She is multigravida, relaxed, and talking with her husband. When examined by the nurse, the fetus is found to be in a cephalic presentation. His occiput is facing toward the front and slightly to the right of the mother"s pelvis, and he is exhibiting a flexed attitude. How does the nurse document the position of the fetus: a) loa, b) roa, c) lop, d) rop, document the fetal position in the clinical record using abbreviations. The first letter describes the side of the maternal pelvis toward which the presenting part is facing (r for right and l for left). The second letter or abbreviation indicates the reference point (o for occiput, fr for frontum, etc. ). The nurse would document fetal station as: a) +2, b) -2, c) 0, d) +4, when the presenting part is above the ischial spines, it is noted as a negative station.
