Which factor should alert the nurse for the potential of a prolapsed umbilical cord?

Correct Answer: A

Rationale: A presenting part at station minus 3 indicates that there is too much empty space between the presenting part (usually the fetus's head) and the pelvic inlet. This increased space raises the potential for the umbilical cord to prolapse through the cervix and into the birth canal ahead of the baby, especially when the membranes rupture. A prolapsed umbilical cord is a severe obstetric emergency that can cause fetal compromise due to umbilical cord compression and compromise of blood flow. It requires immediate intervention to relieve the pressure on the cord and increase the likelihood of a safe delivery. Therefore, a presenting part at station minus 3 should alert the nurse to the potential of a prolapsed umbilical cord.

Correct Answer: C

Rationale: Gestational diabetes increases the risk of fetal macrosomia, which can complicate delivery.

Correct Answer: B

Rationale: Syphilis often coexists with other STIs, so questioning is important.

Correct Answer: D

Rationale: Gonorrhea in a 9-year-old girl is highly suggestive of sexual abuse, which requires reporting to child protective services.

Correct Answer: A

Rationale: Absence of menstruation suggests potential anorexia.