A client is in active labor.
Checking the EFM tracing, the nurse notes variables that are abnormal.
What would be the nurse's first nursing intervention?
Obtain assistance to check for a compressed umbilical cord.
Prepare the woman for an emergency cesarean birth.
Document the finding.
Help the woman change positions.
The Correct Answer is D
Choice A rationale:
Checking for a compressed umbilical cord is important as it can cause fetal distress. However, it’s not the first step in response to abnormal EFM tracing.
Choice B rationale:
Preparing for an emergency cesarean birth might be necessary if the abnormality persists and indicates fetal distress. But it’s not the immediate first step.
Choice C rationale:
Documenting the finding is part of the nursing process, but immediate interventions to address the abnormality take precedence.
Choice D rationale:
Helping the woman change positions can relieve pressure on the umbilical cord, potentially resolving the abnormality. This is often the first intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C"]
Explanation
Choice A rationale:
Viewing birth as a stressor can increase anxiety and hinder coping mechanisms during labor.
Choice B rationale:
Fear of loss of control can also increase anxiety and negatively impact the labor experience.
Choice C rationale:
Participation in a pregnancy exercise program can promote physical well-being, enhance mood, and improve coping abilities during labor.
Choice D rationale:
The presence of a support partner can provide emotional reassurance and practical assistance, promoting a positive labor experience.
Choice E rationale:
A low anxiety level can facilitate coping and contribute to a positive perception of the labor experience. So, the correct answer is C. Participation in a pregnancy exercise program,
D. Presence of a support partner, and E. Low anxiety level after analyzing all choices.
Correct Answer is B
Explanation
Answer and explanation
Choice A rationale:
LOP (Left Occiput Posterior) would mean the baby’s occiput is towards the mother’s left and facing posteriorly, which is not the case here.
Choice B rationale:
ROA (Right Occiput Anterior) would mean the baby’s occiput is towards the mother’s right and facing anteriorly, which matches the description.
Choice C rationale:
LOA (Left Occiput Anterior) would mean the baby’s occiput is towards the mother’s left and facing anteriorly, which is not the case here.
Choice D rationale:
ROP (Right Occiput Posterior) would mean the baby’s occiput is towards the mother’s right and facing posteriorly, which is not the case here.
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