A client who is breastfeeding her newborn tells the nurse, "I notice that when I feed him, I feel fairly strong contraction-like pain. Labor is over. Why am I having contractions now?" Which response by the nurse would be most appropriate?
Select one:

"Your body is responding to the events of labor, just like after a tough workout."

"This could be a sign that your body is trying to get rid of retained placental fragments."

"Let me check your vaginal discharge just to make sure everything is fine."

"The baby's sucking releases oxytocin which causes your uterus to contract."

Answer and Explanation

The Correct Answer is D

Choice A Reason: "Your body is responding to the events of labor, just like after a tough workout." This is an inaccurate statement that does not explain the cause of the contractions or reassure the client.

Choice B Reason: "This could be a sign that your body is trying to get rid of retained placental fragments." This is an alarming statement that may scare the client and imply that something is wrong. Retained placental fragments are rare and usually cause heavy bleeding, fever, and infection.

Choice C Reason: "Let me check your vaginal discharge just to make sure everything is fine." This is an unnecessary statement that does not answer the client's question or provide any information.

Choice D Reason: "The baby's sucking releases oxytocin which causes your uterus to contract." This is a correct statement that explains the physiological mechanism of the contractions and reassures the client that they are normal and beneficial.

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Correct Answer is C

Explanation

Choice A Reason: Continuing to monitor and document fetal heart rate. This is an inadequate response that does not address the urgency of the situation or intervene to prevent fetal distress or demise.

Choice B Reason: Changing the mother's position to left lateral and giving oxygen by nasal cannula. This is a partial response that may improve maternal-fetal blood ﬂow and oxygenation, but it does not resolve the cord compression or facilitate delivery.

Choice C Reason: With a sterile glove, maintaining pressure to lift the presenting part and emergently notifying the provider for a STAT C-section. This is an appropriate response that aims to reduce the cord compression by elevating the fetal head away from the cord and prepare for an immediate cesarean delivery.

Choice D Reason: Bolusing the patient with 1000cc lactated ringers. This is an irrelevant response that does not address the cause of the problem or improve fetal outcome.

A. Shoulder dystocia. B. Placental abruption. C. Anaphylactoid syndrome of pregnancy. D. Placenta previa.

Correct Answer is B

Explanation

Choice A Reason: Shoulder dystocia. This is an incorrect answer that describes a diﬀerent obstetric complication. Shoulder dystocia is a condition where the baby's shoulder gets stuck behind the mother's pubic bone during delivery, which can cause nerve injury, fracture, or asphyxia to the baby. Shoulder dystocia does not cause fetal bradycardia, abdominal pain, or vaginal bleeding.

Choice B Reason: Placental abruption. This is a correct answer that explains the symptoms of fetal bradycardia, abdominal pain, and vaginal bleeding in a woman with a history of crack cocaine use. Placental abruption. This is because placental abruption is a condition where the placenta separates from the uterine wall before delivery, which can cause fetal distress, maternal hemorrhage, and shock. Placental abruption can be triggered by maternal hypertension, trauma, or substance abuse, such as crack cocaine.

Choice C Reason: Anaphylactoid syndrome of pregnancy. This is an incorrect answer that refers to a rare and fatal condition also known as amniotic ﬂuid embolism. Anaphylactoid syndrome of pregnancy is a condition where amniotic ﬂuid enters into the maternal bloodstream and causes an allergic reaction, which can lead to respiratory failure, cardiac arrest, coagulopathy, and coma. Anaphylactoid syndrome of pregnancy does not cause fetal bradycardia or vaginal bleeding.

Choice D Reason: Placenta previa. This is an incorrect answer that indicates another placental disorder. Placenta previa is a condition where the placenta covers or is near the cervix, which can cause painless bright red bleeding during pregnancy or labor. Placenta previa does not cause fetal bradycardia or abdominal pain.

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A client who is breastfeeding her newborn tells the nurse, "I notice that when I feed him, I feel fairly strong contraction-like pain. Labor is over. Why am I having contractions now?" Which response by the nurse would be most appropriate? Select one:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse, working in labor and delivery, performs a sterile vaginal exam on a laboring woman. During the exam, she feels a loop of pulsating cord in the vagina. The nurse would anticipate: Select one:

Correct Answer is C

Explanation

Correct Answer is B

Explanation

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A client who is breastfeeding her newborn tells the nurse, "I notice that when I feed him, I feel fairly strong contraction-like pain. Labor is over. Why am I having contractions now?" Which response by the nurse would be most appropriate?
Select one: