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.
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Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
A. Anomalies in fetal chromosomes: Amniocentesis can diagnose chromosomal disorders such as Down syndrome, trisomy 18, and trisomy 13.
B. Neural tube defects: Amniocentesis measures alpha-fetoprotein (AFP) levels, which can indicate neural tube defects like spina bifida or anencephaly.
C. Cephalopelvic disproportion: Cephalopelvic disproportion (CPD) refers to a mismatch between fetal head size and maternal pelvis, which is assessed via ultrasound or clinical examination, not amniocentesis.
D. Fetal gender: Amniocentesis can determine fetal gender by analyzing fetal DNA, which is helpful in diagnosing sex-linked genetic disorders (e.g., hemophilia, Duchenne muscular dystrophy).
E. Rh incompatibility: Amniocentesis can assess bilirubin levels in amniotic fluid to determine the severity of hemolytic disease in Rh-incompatible pregnancies.
Correct Answer is D
Explanation
A. "I will need to eat 600 more calories per day because I am pregnant." Pregnant clients with diabetes require careful calorie management. The recommended increase is about 300 kcal/day, not 600, to support fetal growth while maintaining glycemic control.
B. "I will plan my diet based on the results of urine glucose testing." Urine glucose testing is not a reliable indicator of blood glucose control because it does not reflect real-time fluctuations. Clients should base dietary adjustments on blood glucose monitoring.
C. "I can continue with the same diet as before pregnancy as long as it is well balanced." Pregnancy alters insulin needs, requiring dietary modifications to maintain blood glucose control. Carbohydrate intake must be carefully regulated to prevent hyperglycemia.
D. "Diet and insulin needs change during pregnancy." Hormonal changes in pregnancy increase insulin resistance, necessitating adjustments in diet and insulin therapy to maintain optimal blood glucose levels.
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