A woman is in the second stage of labor with a strong urge to push.

Which of the following actions by the nurse is appropriate at this time?

Call and notify the provider the patient would like to push.

Perform a sterile vaginal exam (SVE).

Give supportive words and care to comfort the patient during labor.

Monitor the fetal heart rate tracing for signs of fetal intolerance to labor.

Answer and Explanation

The Correct Answer is B

Choice A rationale
Notifying the provider is important but does not address the immediate need to assess the patient's progress and readiness for delivery. A direct intervention is required to determine the next steps.
Choice B rationale
Performing a sterile vaginal exam allows the nurse to assess cervical dilation and effacement, fetal station, and presentation, which are crucial to determine if the patient is ready to push and proceed with delivery.
Choice C rationale
Supportive words and care are essential for patient comfort, but they do not provide the necessary assessment to determine the patient's progress in labor or readiness for pushing.
Choice D rationale
Monitoring the fetal heart rate tracing is important for assessing fetal well-being but does not specifically address the patient's readiness to push or her labor progress.

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Correct Answer is A

Explanation

Choice A rationale
Indoor cats can carry Toxoplasma gondii, the parasite that causes toxoplasmosis. Exposure to cat feces increases the risk of infection, which can cross the placenta and harm the fetus.
Choice B rationale
Outdoor dogs do not pose a significant risk for toxoplasmosis as the disease is primarily associated with cat feces. The primary concern is soil contamination from infected cats.
Choice C rationale
Pet turtles do not carry Toxoplasma gondii. The primary zoonotic concern with turtles is Salmonella, not toxoplasmosis, which does not affect pregnancy in the same way.
Choice D rationale
Horses are not carriers of Toxoplasma gondii. They are not a source of infection for toxoplasmosis, and there is no increased risk associated with having a horse during pregnancy.

A. This ointment prevents the infant’s eyelids from sticking together and helps the infant see. B. This ophthalmic ointment prevents gonorrheal infection of the infant’s eyes, potentially acquired from the birth canal. C. Erythromycin prevents potentially harmful exudate from invading the tear ducts of the infant’s eyes, leading to dry eyes. D. Erythromycin ophthalmic ointment destroys an infectious exudate caused by Staphylococcus that could make the infant blind.

Correct Answer is B

Explanation

Choice A rationale
Erythromycin ophthalmic ointment does not prevent the infant's eyelids from sticking together; it is not its primary purpose and does not aid in vision enhancement.
Choice B rationale
Erythromycin ophthalmic ointment is used to prevent gonorrheal infection acquired during birth, protecting the infant’s eyes from potential infection that can cause blindness.
Choice C rationale
Erythromycin does not prevent exudate from invading the tear ducts, nor does it lead to dry eyes. Its primary function is antimicrobial.
Choice D rationale
Erythromycin ophthalmic ointment is not specific to Staphylococcus and does not directly destroy infectious exudate. It prevents infections like gonorrhea.

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A woman is in the second stage of labor with a strong urge to push. Which of the following actions by the nurse is appropriate at this time?

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Naxlex Comprehensive Predictor Exams

Which factor would alert the nurse that a pregnant woman is at risk for the development of toxoplasmosis?

Correct Answer is A

Explanation

A new father wants to know what medication was put into his infant’s eyes and why it is needed. How does the nurse explain the purpose of the erythromycin ophthalmic ointment?

Correct Answer is B

Explanation

The nurse caring for a client in labor observes the external fetal monitor tracing showing that there are accelerations with moderate variability. Which of the following actions is most appropriate?

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A woman is in the second stage of labor with a strong urge to push.

Which of the following actions by the nurse is appropriate at this time?