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 ["A","E"]

Explanation

A. Inactivated influenza vaccine is safe and recommended during pregnancy to protect both mother and fetus.
B. Human papillomavirus (HPV) vaccine is not recommended during pregnancy.
C. Measles, mumps, and rubella (MMR) vaccine is a live vaccine and contraindicated during pregnancy.
D. Varicella vaccine is live and contraindicated during pregnancy.
E. The Tdap vaccine (diphtheria, acellular pertussis, tetanus) is recommended during each pregnancy, ideally between 27 and 36 weeks gestation to protect the newborn from pertussis.

A. "Plan to spend individual time with your preschooler." B. "Move your preschooler from their crib to a bed the day before the baby comes home." C. "Ensure that your preschooler sees you holding the baby during the initial encounter" D. "Avoid bringing your preschooler to prenatal visits."

Correct Answer is A

Explanation

A. Spending individual time with the preschooler helps reduce feelings of jealousy and promotes security during the transition.
B. Moving the child too close to the arrival of the new baby can increase stress; it’s better to make such changes well in advance.
C. The preschooler might feel excluded or jealous if they see the parent holding the baby first; it is better to prepare them beforehand.
D. Including the preschooler in prenatal visits can help them feel involved and less anxious about the new sibling.

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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?

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Naxlex Comprehensive Predictor Exams

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Explanation

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