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The nurse should suspect cephalopelvic disproportion after noting documentation of which of the following for a laboring client?

1. Pelvic outlet is less than 9 cm.
2. Midpelvis is contracted.
3. Fetal shoulders are too large to pass through the bony pelvis.
4. Fetal head is too large to pass through the bony pelvis.

Explanation

Cephalopelvic disproportion (CPD) means that the fetal head is too large to pass through the bony pelvis. Options 1 and 2 refer to a smaller-than-normal pelvis, but do not take into account the fetal head size. Option 3 refers to shoulder dystocia. Specific knowledge of cephalopelvic disproportion is needed to answer this question. Use nursing knowledge and the process of elimination to make your selection.

Contributor

Andrew
Member since: April 2011
(Boynton Beach,FL) Original question source

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Topics: Maternal-Newborn, Nursing Process: Analysis

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