A nurse palpates a woman's fundus to determine contraction intensity.
What would be most appropriate for the nurse to use for palpation?.
Back of the hand.
Finger tips.
Palm of the hand.
Finger pads.
Finger pads.
The Correct Answer is C
Choice A rationale:
The back of the hand is sensitive to temperature, not pressure, making it less suitable for assessing contraction intensity.
Choice B rationale:
Finger tips are sensitive and can detect small changes, but they may not cover a large enough area to accurately assess contraction intensity.
Choice C rationale:
The palm of the hand covers a larger area and can better gauge the overall firmness of the uterus.
Choice D rationale:
Finger pads are sensitive to texture, not pressure, making them less suitable for this task.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","E"]
Explanation
Choice A rationale:
Internal rotation is a movement the fetus makes as it travels through the birth canal.
Choice B rationale:
Flexion is another movement that occurs as the fetus adjusts its position during labor.
Choice C rationale:
Pronation is not typically included in the description of fetal movements during labor and birth.
Choice D rationale:
Abduction is not a movement associated with the fetus’s journey through the birth canal.
Choice E rationale:
Descent is a key movement that occurs as the fetus moves down through the birth canal.
Correct Answer is B
Explanation
Choice A rationale:
Informing the family of the need for information is important, but it is not the most important aspect when working with a family who suspects they could bear a child with a genetic abnormality.
Choice B rationale:
Presenting the information in a factual, nondirective manner is the most important aspect. This allows the family to make informed decisions based on accurate information without being influenced by the nurse’s personal beliefs or opinions.
Choice C rationale:
Maintaining the confidentiality of the information is a standard nursing practice and while it is important, it is not the most important aspect in this scenario.
Choice D rationale:
Gathering information for three generations can provide valuable insight into the family’s genetic history, but it is not the most important aspect in this scenario.
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