After a birth complicated by a shoulder dystocia, the infant’s Apgar scores were 7 at 1 minute and 9 at 5 minutes. The infant is now crying vigorously.
What should the nurse in the birthing room do?
Palpate the infant’s clavicles
Encourage the parents to hold the infant
Perform a complete newborn assessment
Give supplemental oxygen with a small face mask
The Correct Answer is A
Choice A rationale
After a birth complicated by shoulder dystocia, it is important to palpate the infant’s clavicles. This is because shoulder dystocia can lead to a clavicle fracture.
Choice B rationale
While encouraging the parents to hold the infant is generally a good practice, it is not the immediate action to take after a birth complicated by shoulder dystocia.
Choice C rationale
A complete newborn assessment is important, but the immediate action after a birth complicated by shoulder dystocia is to check for any injuries related to the difficult birth.
Choice D rationale
Giving supplemental oxygen is not the immediate action to take after a birth complicated by shoulder dystocia unless the baby shows signs of respiratory distress.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
In the Gamete Intrafallopian Transfer (GIFT) procedure, fertilization occurs within the woman’s body. The eggs and sperm are collected, mixed together, and then injected into the fallopian tubes. This allows fertilization to occur naturally within the woman’s body. Choice B rationale
Zygotes are not positioned in the fallopian tubes in the GIFT procedure. This is a characteristic of the Zygote Intrafallopian Transfer (ZIFT) procedure, not GIFT.
Choice C rationale
Donor sperm are not placed in a medium with donor eggs in the GIFT procedure. In GIFT, the woman’s eggs and the man’s sperm are mixed together and then injected into the woman’s fallopian tubes.
Choice D rationale
A surrogate does not carry the infertile woman’s fetus in the GIFT procedure. In GIFT, the fertilized egg implants and develops in the woman’s own uterus.
Correct Answer is C
Explanation
Choice A rationale
While quitting smoking is generally beneficial for overall health, it is not specifically linked to the treatment of fibrocystic breast disease.
Choice B rationale
There is no specific link between the consumption of dairy products and the treatment of fibrocystic breast disease.
Choice C rationale
Caffeine has been associated with fibrocystic breast changes, and some women may notice an improvement in their symptoms after reducing their caffeine intake.
Choice D rationale
While reducing the intake of sweets can be beneficial for overall health, it is not specifically linked to the treatment of fibrocystic breast disease.
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