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. Decrease the rate of the IV infusion. B. Place the client in a knee-chest position. C. Instruct the client to push with the next contraction. D. Replace the umbilical cord into the cervix

Correct Answer is B

Explanation

A. Decreasing IV infusion rate does not relieve umbilical cord prolapse.
B. Placing the client in a knee-chest position helps relieve pressure on the prolapsed umbilical cord, improving fetal oxygenation until delivery.
C. Instructing the client to push can worsen cord compression and is contraindicated.
D. The nurse should not attempt to replace the umbilical cord into the cervix; this is a sterile procedure typically performed by the provider.

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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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Correct Answer is D

Explanation

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Explanation

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