An emergency shoulder dystocia delivery occurred that requires the nurse to apply suprapubic pressure. What is the rationale for this action?

To prevent uterine atony

To facilitate the delivery of the baby's head.

To facilitate the delivery of the baby's shoulders

To prepare for the third stage of labor.

Answer and Explanation

The Correct Answer is C

A. To prevent uterine atony. Suprapubic pressure is not used to prevent uterine atony. Uterine atony, which leads to postpartum hemorrhage, is managed through uterine massage and medications such as oxytocin.

B. To facilitate the delivery of the baby's head. The baby's head has already been delivered in shoulder dystocia. The emergency arises because the shoulders are stuck behind the pubic bone, requiring specific maneuvers to release them.

C. To facilitate the delivery of the baby's shoulders. Shoulder dystocia occurs when the anterior shoulder becomes impacted behind the maternal pubic bone, preventing delivery. Suprapubic pressure is applied to help dislodge the shoulder by compressing it downward, allowing it to pass under the pubic bone. This maneuver, along with the McRoberts position, is commonly used to resolve the dystocia.

D. To prepare for the third stage of labor. The third stage of labor refers to the delivery of the placenta, which occurs after the baby is born. Suprapubic pressure is specifically used to assist in the second stage of labor when shoulder dystocia occurs.

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Correct Answer is C

Explanation

A. The patient will deliver a baby that is appropriate for gestational age. While cerclage helps prevent preterm birth, it does not directly influence fetal growth or ensure that the baby will be appropriate for gestational age (AGA). Factors such as maternal nutrition, placental function, and genetics play a larger role in fetal growth.

B. The patient will have a normal blood glucose throughout the pregnancy. Cerclage is performed to prevent cervical insufficiency and preterm birth, not to regulate blood glucose. Maintaining normal blood sugar levels is important for pregnancy outcomes but is unrelated to this procedure.

C. The patient will deliver after 38 weeks' gestation. The primary goal of a cerclage is to prevent preterm birth by reinforcing the cervix and allowing the pregnancy to progress to term. Women with a history of second-trimester pregnancy losses or cervical insufficiency benefit from this procedure to increase the likelihood of delivering at or near term.

D. The patient will gain less than 25 pounds during the pregnancy. Weight gain recommendations are based on maternal BMI and nutritional status, not the need for a cerclage. The procedure does not directly affect maternal weight gain.

A. An ectopic pregnancy does not need major treatment and can be delivered vaginally." B. "An ectopic pregnancy involves a fertilized ovum outside the uterus that cannot be transferred to the uterus." C. "An ectopic pregnancy involves a cancerous fertilized ovum in either fallopian tube." D. "An ectopic pregnancy involves a fertilized ovum in the vagina

Correct Answer is B

Explanation

A. "An ectopic pregnancy does not need major treatment and can be delivered vaginally." This statement is incorrect. An ectopic pregnancy involves the fertilized ovum implanting outside the uterus, most commonly in a fallopian tube, which poses serious risks to the mother. The pregnancy cannot be carried to term, and it requires prompt medical intervention, such as medication or surgery, to prevent life-threatening complications.
B. "An ectopic pregnancy involves a fertilized ovum outside the uterus that cannot be transferred to the uterus." This is an accurate explanation of an ectopic pregnancy. The fertilized egg implants outside the uterus, most commonly in the fallopian tubes, and cannot develop into a viable pregnancy. The condition requires immediate treatment to prevent tube rupture and internal bleeding.
C. "An ectopic pregnancy involves a cancerous fertilized ovum in either fallopian tube." This is incorrect. An ectopic pregnancy is not cancerous. It refers to a pregnancy where the fertilized ovum implants in an abnormal location outside the uterus, most commonly the fallopian tubes, not involving cancerous growth.
D. "An ectopic pregnancy involves a fertilized ovum in the vagina." This statement is incorrect. An ectopic pregnancy occurs when the fertilized ovum implants outside the uterus, but it does not implant in the vagina. The condition most commonly involves the fallopian tubes but can also occur in other locations such as the cervix, ovary, or abdominal cavity.

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An emergency shoulder dystocia delivery occurred that requires the nurse to apply suprapubic pressure. What is the rationale for this action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A woman, G4P0210, and 12 weeks' gestation has been admitted to labor and delivery for a cerclage procedure. Which of the following long-term goals for this patient would we anticipate by doing this procedure?

Correct Answer is C

Explanation

A patient has been admitted to the emergency department with a suspected diagnosis of ectopic pregnancy. How should the nurse explain this condition to the patient?

Correct Answer is B

Explanation

The nurse discovers a loop of the umbilical cord protruding through the vagina when preparing to perform a vaginal examination. The priority intervention is to:

The nurse is preparing for the admission of a 30 weeks' gestation patient experiencing vaginal bleeding with a suspected diagnosis of placenta previa. In anticipating the patient's needs, which of the following would be most appropriate for the nurse to include? Select all that apply.

A 29-week gravid patient is admitted to the labor and delivery unit with vaginal bleeding. To differentiate between placenta previa and abruptio placentae, the nurse should assess which of the following?

After delivering a healthy baby boy with epidural anesthesia, a woman on the after-birth unit complains of a severe headache. The nurse should anticipate which actions in the patient's plan of care? (Select all that apply.)

The least common cause of long. difficult, or abnormal labor (dystocia) is:

A nurse is monitoring the labor of a patient who is receiving IV oxytocin (Pitocin) at 6 ml/hr. Which of the following clinical signs would lead the nurse to stop the infusion?

During a vaginal delivery the midwife tells you that a shoulder dystocia has occurred. Which of the following initial nursing actions is appropriate at this time?