A laboring woman is lying in the supine position.
The most appropriate nursing action at this time is to:.
Ask her to turn to one side.
Elevate her feet and legs.
Take her blood pressure.
Determine whether fetal tachycardia is present.
The Correct Answer is A
Choice A rationale:
Ask her to turn to one side. The supine position during labor can compress the vena cava, reducing blood flow to the uterus and potentially compromising fetal oxygenation. Turning the woman to her side, especially the left side, can relieve this pressure and improve blood flow to the uterus, ensuring adequate oxygen supply to the fetus. This position change is crucial for the well-being of both the mother and the baby during labor.
Choice B rationale:
Elevate her feet and legs. Elevating the woman's feet and legs might not be effective in relieving the pressure on the vena cava, as it does not change the orientation of the uterus in relation to the vena cava. Turning the woman to her side is a more appropriate and effective action to improve blood flow to the uterus and fetus.
Choice C rationale:
Take her blood pressure. While monitoring the woman's blood pressure is essential during labor, it is not the most appropriate action in this situation. The priority is to relieve the compression of the vena cava by changing the woman's position.
Choice D rationale:
Determine whether fetal tachycardia is present. Monitoring the fetal heart rate is crucial during labor, but the woman's position should be the immediate concern if she is lying in the supine position. Changing her position to relieve the vena cava compression takes precedence to ensure adequate oxygenation to the fetus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Kimberly and Amanda sharing clay to each make things represents cooperative play, not parallel play. Cooperative play involves interaction and collaboration between children, whereas parallel play involves children playing side by side without interacting.
Choice B rationale:
Brian playing with his truck next to Kristina playing with her truck demonstrates parallel play. In parallel play, children play independently but alongside others, showing interest in what others are doing but without direct interaction.
Choice C rationale:
Adam playing a board game with Kyle, Steven, and Erich represents cooperative play, not parallel play. Cooperative play involves shared activities and collaboration, while parallel play involves independent activities in proximity to others.
Choice D rationale:
Danielle playing with a music box on her mother's lap is an example of solitary play, where a child plays alone without regard to others. Solitary play is common in younger children and is different from parallel play.
Correct Answer is ["A","D","E","F"]
Explanation
Choice A rationale:
A review of systems is essential in a health history because it helps in understanding the patient's overall health status and can reveal symptoms or issues that the patient might not consider significant. This information aids in making a comprehensive assessment.
Choice D rationale:
Height, weight, and BMI data are crucial parameters to assess a patient's nutritional status and overall health. These measurements help in identifying obesity, malnutrition, or other health-related issues.
Choice E rationale:
Diet and nutritional intake provide insights into the patient's eating habits, dietary restrictions, allergies, and potential deficiencies. This information is vital for assessing the patient's overall health and planning appropriate interventions.
Choice F rationale:
Family medical history is valuable as it helps in identifying genetic predispositions, hereditary diseases, and other health conditions that might run in the family. This information is crucial for understanding the patient's risk factors and developing a personalized healthcare plan. Choice B and C rationales: Physical assessment is indeed essential in healthcare, but it is not a part of the health history, which specifically focuses on the patient's past and current health status, medical conditions, medications, allergies, surgeries, and lifestyle habits. Similarly, a sexual history is important, especially for specific medical conditions, but it might not be relevant to every patient and might not always be included in the general health history.
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