A nurse is caring for a client who is having a vacuum-assisted birth. Which of the following actions should the nurse take?

Inform the client that the vacuum cup will be positioned in front of the fetal ears.

Discontinue fetal monitoring during the procedure.

Encourage the client to push during contractions.

Administer a fluid bolus to ensure a full bladder during the procedure.

Answer and Explanation

The Correct Answer is C

A. The vacuum cup is positioned on the fetal head, over the flexion point, not in front of the ears.
B. Continuous fetal monitoring should be maintained during vacuum-assisted delivery.
C. The nurse should encourage the client to push during contractions to assist with the delivery.
D. A full bladder can obstruct delivery; the bladder should be emptied prior to the procedure.

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Correct Answer is D

Explanation

Naegele's rule calculation:

First day of last menstrual period (LMP): July 21

Add 1 year: July 21, next year

Subtract 3 months: April 21

Add 7 days: April 28

Answer; April 28th.

A. "Your baby needs to be repositioned every 2 to 3 hours while under the lights." B. "Your baby's eyes will be covered with an eye shield during therapy." C. "Avoid applying lotion to your baby's skin." D. "Keep a hat on your baby during treatment." E. "We will give your baby glucose water between breast feedings. F. "Bilirubin is primarily excreted through the stool." G. The treatment lights can cause a transient skin rash on your baby." H. The treatment lights emit a significant amount of ultraviolet radiation.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"B"},"F":{"answers":"A"},"G":{"answers":"A"},"H":{"answers":"B"}}

Explanation

Statement	Include	Not Include
"Your baby needs to be repositioned every 2 to 3 hours while under the lights."	✅
"Your baby's eyes will be covered with an eye shield during therapy."	✅
"Avoid applying lotion to your baby's skin."	✅
"Keep a hat on your baby during treatment."		✅
"We will give your baby glucose water between breast feedings.		✅
"Bilirubin is primarily excreted through the stool."	✅
The treatment lights can cause a transient skin rash on your baby."	✅
The treatment lights emit a significant amount of ultraviolet radiation.		✅

Repositioning every 2 to 3 hours exposes different skin areas to light, enhancing bilirubin breakdown and preventing pressure sores.
Eye shields protect the newborn’s eyes from damage caused by bright phototherapy lights.
Avoiding lotion prevents skin irritation or burns and ensures effective light penetration during treatment.
Keeping a hat on blocks light exposure to the scalp, reducing the effectiveness of phototherapy.
Glucose water is not recommended; feeding with breast milk or formula helps promote bilirubin elimination through stools.
Bilirubin is mainly excreted through the stool after being converted into a water-soluble form by phototherapy.
Phototherapy can cause a mild, temporary rash, which is harmless but important to inform parents about.
Phototherapy lights emit blue light, not harmful ultraviolet radiation, making them safe for newborn treatment.

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A nurse is caring for a client who is having a vacuum-assisted birth. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is using Naegele's rule to calculate the estimated due date of a client who reports that the first day of their last menstrual cycle was July 21st. Which of the following should the nurse document as the client's expected due date?

Correct Answer is D

Explanation

A nurse is caring for a newborn Exhibits Which of the following statements should the nurse include in the plan of care for the baby

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"B"},"F":{"answers":"A"},"G":{"answers":"A"},"H":{"answers":"B"}}

Explanation

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