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 A
Explanation
Choice A rationale:
Estrogen deficiency is the primary cause of hot flashes and night sweats in postmenopausal women. As estrogen levels decrease, it affects the hypothalamus, which is responsible for regulating body temperature, leading to these symptoms.
Choice B rationale:
Changes in vaginal pH occur during menopause due to estrogen deficiency, but this is not the primary cause of hot flashes and night sweats.
Choice C rationale:
An active lifestyle can help manage symptoms of menopause, but it is not the primary cause of hot flashes and night sweats.
Choice D rationale:
Poor dietary intake can exacerbate symptoms of menopause, but it is not the primary cause of hot flashes and night sweats.
Correct Answer is ["B","C","D","E"]
Explanation
Choice A rationale:
The vagina is not part of the true pelvis. It is the canal that leads from the uterus to the exterior of the body.
Choice B rationale:
The pelvic inlet is the upper part of the lesser pelvis where the baby’s head engages during labor. It is part of the true pelvis.
Choice C rationale:
The pelvic outlet is the lower opening of the pelvis. It is part of the true pelvis.
Choice D rationale:
The mid pelvis is the part of the pelvis where the baby turns to get into the right position for birth. It is part of the true pelvis.
Choice E rationale:
The pelvic floor muscles support the pelvic organs and help in the process of childbirth. They are part of the true pelvis.
Choice F rationale:
The cervix is the lower part of the uterus that opens into the vagina. It is not part of the true pelvis. So, the correct answers are B, C, D, and E.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.