A nurse is assessing a client who is in labor and notes that the fetal head is visible at the vaginal opening but does not advance with pushing.
The nurse should identify this finding as which of the following?
Crowning
Molding
Caput succedaneum
Shoulder dystocia.
The Correct Answer is A
Crowning is when the fetal head is visible at the vaginal opening and does not slip back in with each contraction. This indicates that the baby is ready to be born and the mother should stop pushing to avoid tearing or the need for an episiotomy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A"]
Explanation
A boggy uterus is a sign of uterine atony, which is the failure of the uterus to contract sufficiently after childbirth.
This can lead to excessive bleeding and postpartum hemorrhage.
A firm fundus at the umbilicus is a normal finding after delivery and indicates that the uterus is contracting well.
Excessive lochia rubra is also a sign of uterine atony and postpartum hemorrhage.Lochia rubra is the vaginal discharge composed of blood, mucus, and tissue from the placenta and the uterus lining that occurs after childbirth.
It is normal for the first 3 to 4 days, but it should gradually decrease in amount and change in color.
Clots larger than a quarter are abnormal and indicate excessive bleeding.
A pulse rate of 110/min is a sign of tachycardia, which can be caused by blood loss, infection, or pain.
A normal pulse rate for an adult is between 60 and 100 beats per minute.
Correct Answer is B
Explanation
a vesicovaginal fistula is an abnormal opening that forms between the bladder and the wall of the vagina, causing urine to leak out of the vagina.Zinc oxide cream can help protect the skin from irritation and infection.
Normal ranges for fluid intake are about 2 to 3 liters per day for healthy adults, depending on age, activity level, and climate.Normal ranges for pelvic floor muscle strength are 10 to 12 contractions of 6 to 8 seconds each, with a rest period of 4 to 6 seconds between each contraction.
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