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

Answer and Explanation

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

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["A","B","C"]

Explanation

A. Provide a dark, quiet environment. Clients with severe gestational hypertension are at risk for seizures (eclampsia). A dark, quiet environment helps reduce stimuli that can trigger seizures.

B. Administer magnesium sulfate IV. Magnesium sulfate is the drug of choice to prevent seizures in clients with severe gestational hypertension or preeclampsia.

C. Ensure that calcium gluconate is readily available. Calcium gluconate is the antidote for magnesium sulfate toxicity and should always be available when administering magnesium sulfate.

D. Assess respiratory status every 4 hr. Respiratory status should be assessed more frequently (at least every hour) when administering magnesium sulfate, as respiratory depression is a sign of toxicity.

E. Evaluate neurologic status every 8 hr. Neurologic status should be evaluated at least every 1-2 hours, as changes (e.g., confusion, headaches, hyperreflexia) can indicate worsening preeclampsia or impending seizure activity.

A. Intravenous (IV) therapy to correct fluid and electrolyte imbalances B. Enteral nutrition to correct nutritional deficits C. Corticosteroids to reduce inflammation D. Antiemetic medication, such as pyridoxine, to control nausea and vomiting

Correct Answer is A

Explanation

A. Intravenous (IV) therapy to correct fluid and electrolyte imbalances: The primary concern in hyperemesis gravidarum is dehydration and electrolyte imbalances due to excessive vomiting. IV fluids are the first-line treatment to restore hydration and correct any imbalances.

B. Enteral nutrition to correct nutritional deficits: Enteral nutrition is considered if the client cannot tolerate oral intake after initial IV therapy, but it is not the first-line treatment.

C. Corticosteroids to reduce inflammation: Corticosteroids are not typically used for hyperemesis gravidarum. They may be considered in severe, refractory cases, but they are not part of the initial treatment.

D. Antiemetic medication, such as pyridoxine, to control nausea and vomiting: Although pyridoxine (vitamin B6) and antiemetics are commonly used to manage nausea, the initial priority is rehydration and correction of electrolyte imbalances before initiating oral medications.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

During CPR on a pregnant woman, what is the correct method for displacing the gravid uterus?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a client who is at 37 weeks of gestation and has severe gestational hypertension. Which of the following actions should the nurse expect to implement? (Select all that apply.)

Correct Answer is ["A","B","C"]

Explanation

The nurse who is caring for a woman hospitalized for hyperemesis gravidarum would expect the initial treatment to involve what?

Correct Answer is A

Explanation

A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?

A nurse is caring for a client who has preeclampsia and is being treated with magnesium sulfate IV. The client's respiratory rate is 10/min and deep-tendon reflexes are absent. Which of the following actions should the nurse take?

A nurse is completing the admission assessment of a client who is at 38 weeks of gestation and has severe preeclampsia. Which of the following is an expected finding?

A nurse is caring for a client who is in active labor when the client's membranes rupture. The fetal monitor tracing shows late decelerations. Which of the following actions should the nurse take first?

A nurse is caring for a client who is to undergo a biophysical profile. The client asks the nurse what is being evaluated during this test. Which of the following should the nurse include? (Select all that apply.)

A nurse is assessing a client who is receiving magnesium sulfate as a treatment for preeclampsia. Which of the following clinical findings is the nurse's priority?

What is considered a reactive nonstress test (NST)?