A nurse is caring for a client who is in active labor and experiencing shoulder dystocia.

Which of the following actions should the nurse take? (Select all that apply.).

Apply suprapubic pressure

Instruct the client to push with contractions

Assist the provider with McRoberts maneuver

Perform fundal massage

Administer oxygen via face mask.

Answer and Explanation

Correct Answer : A,C

Applying suprapubic pressure and assisting the provider with McRoberts maneuver are two nursing interventions that can help dislodge the impacted shoulder and facilitate the delivery of the baby.

Normal ranges for fetal heart rate are 110 to 160 beats per minute, and for maternal blood pressure are 110/70 to 140/90 mm Hg.

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Free Nursing Study Resources

Correct Answer is ["B","C","D","E"]

Explanation

These actions can help reduce the risk of infection for the client who has prolonged labor.

• ChoiceBis correct because changing perineal pads every 2 hours can prevent bacterial growth and contamination of the genital tract.

• ChoiceCis correct because encouraging oral fluid intake can help maintain hydration and blood volume, which can improve uterine perfusion and prevent maternal and fetal acidosis.

• ChoiceDis correct because administering IV antibiotics as prescribed can prevent or treat maternal peripartum infections, which are among the leading causes of maternal mortality worldwide.

• ChoiceEis correct because using sterile gloves when providing perineal care can prevent introducing pathogens into the genital tract.

A. Avoid lifting anything heavier than your newborn for 6 weeks B. Use sanitary pads rather than tampons for vaginal bleeding C. Resume sexual intercourse when you feel comfortable D. Drink plenty of fluids and eat foods high in fiber E. Report any foul-smelling vaginal discharge or fever to your provider.

Correct Answer is ["B","D","E"]

Explanation

The nurse should include these instructions in the teaching because:

• Choice B: Using sanitary pads rather than tampons for vaginal bleeding can prevent infection and irritation of the surgical site.

• Choice D: Drinking plenty of fluids and eating foods high in fiber can help prevent constipation, which can strain the abdominal muscles and cause pain.

• Choice E: Reporting any foul-smelling vaginal discharge or fever to the provider can help detect signs of infection, which can be a complication of hysterectomy.

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A nurse is caring for a client who is in active labor and experiencing shoulder dystocia. Which of the following actions should the nurse take? (Select all that apply.).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has prolonged labor and is at risk for infection. Which of the following actions should the nurse take to reduce this risk? (Select all that apply.)

Correct Answer is ["B","C","D","E"]

Explanation

A nurse is providing discharge teaching to a client who had a ruptured uterus and a hysterectomy during labor. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

Correct Answer is ["B","D","E"]

Explanation

A nurse is reviewing the risk factors for uterine rupture with a group of nursing students. Which of the following risk factors should the nurse include? (Select all that apply.)

A nurse is counseling a client who has a small pelvis and wants to have a vaginal delivery. Which of the following factors should the nurse consider when discussing the possibility of vaginal birth after cesarean (VBAC)?

A nurse is reviewing the partograph of a client in labor. The nurse notes that the cervical dilation curve is above the alert line and below the action line. What does this indicate?

A nurse is providing emotional support to a client who had a prolonged labor and delivered a stillborn baby by cesarean section. Which of the following actions should the nurse take?

A gush of blood is noted with the rupture of membranes. On palpation, the uterus is soft (i.e., relaxed) and the patient is not reporting any pain. An FHR deceleration down to 90 bpm is noted. What does the nurse suspect has happened?

A nurse is caring for a client who is in active labor and experiencing shoulder dystocia. Which of the following actions should the nurse take? (Select all that apply.).

A nurse is assisting a client who has prolonged and obstructed labor to deliver by vacuum extraction. Which of the following complications should the nurse monitor for in the newborn?

A nurse is caring for a client who is in active labor and experiencing shoulder dystocia.

Which of the following actions should the nurse take? (Select all that apply.).