During CPR on a pregnant woman, what is the correct method for displacing the gravid uterus?
No displacement of the gravid uterus is necessary during CPR on a pregnant woman.
Apply pressure on the abdomen above the umbilicus to displace the uterus.
Tilt the woman's pelvis to the left to relieve pressure on the inferior vena cava.
Apply pressure directly on the gravid uterus to maintain blood flow to the fetus.
Correct answer: C
The Correct Answer is C
A. No displacement of the gravid uterus is necessary during CPR on a pregnant woman. Displacement of the uterus is necessary in a pregnant woman (especially after 20 weeks gestation) to prevent supine hypotension syndrome.
B. Apply pressure on the abdomen above the umbilicus to displace the uterus. Applying pressure above the umbilicus is not an effective method of uterine displacement. The correct technique involves manual displacement to the left or tilting the woman to the left.
C. Tilt the woman's pelvis to the left to relieve pressure on the inferior vena cava. Tilting the uterus to the left helps relieve compression on the inferior vena cava, improving venous return and cardiac output. This is essential during CPR to optimize blood flow to the mother and fetus.
D. Apply pressure directly on the gravid uterus to maintain blood flow to the fetus. Applying direct pressure on the uterus could further compromise circulation rather than improving it.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "The test will be performed if your baby's heartbeat is heard." The test is performed based on the presence of sufficient amniotic fluid for sampling, not just on fetal heart activity.
B. "This test requires the presence of amniotic fluid." Amniocentesis involves extracting a sample of amniotic fluid to assess genetic conditions, fetal infections, or other concerns, making the presence of amniotic fluid essential.
C. "This test will determine if your baby's lungs are mature." Fetal lung maturity is typically assessed via amniocentesis in the third trimester, not at 15 weeks. The early amniocentesis is primarily for genetic and chromosomal testing.
D. "After the test, you will be given Rh immune globulin since you are Rh positive."Rh immune globulin (RhoGAM) is given to Rh-negative mothers after an amniocentesis to prevent Rh sensitization, not to Rh-positive mothers.
Correct Answer is A
Explanation
A. Feeling irregular contractions that become more frequent, longer, and stronger over time. This describes true labor contractions, which increase in intensity and frequency, leading to cervical changes.
B. Feeling less energetic and experiencing a decrease in Braxton Hicks contractions. Many clients experience a burst of energy (nesting) before labor, not decreased energy. A reduction in Braxton Hicks contractions is not a sign of impending labor.
C. Experiencing frequent urination and increased back pain. While these symptoms can occur due to fetal descent, they are not definitive signs that labor is starting.
D. Experiencing a decrease in vaginal discharge and a loss of the mucus plug. A loss of the mucus plug can occur days before labor, but it does not indicate labor is beginning immediately. Vaginal discharge often increases, not decreases, before labor.
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