Following this type of birth, the nurse should monitor the client for hemorrhage and monitor the newborn for facial nerve palsy.
What additional care should the nurse consider?
Administering prophylactic antibiotics to prevent infection.
Assessing for signs of jaundice in the newborn.
Monitoring the client's vital signs for stability.
Educating the client on breastfeeding techniques.
The Correct Answer is B
Choice A rationale
Administering prophylactic antibiotics is essential when there is infection risk, but this intervention is not directly related to managing hemorrhage or neonatal nerve palsy.
Choice B rationale
Jaundice assessment is critical for newborns with facial bruising or cephalohematoma, as bilirubin levels may rise due to blood breakdown in the localized hematoma.
Choice C rationale
Monitoring vital signs ensures maternal stability, though it does not directly address hemorrhage risk or neonatal complications like nerve palsy.
Choice D rationale
Educating the client on breastfeeding techniques provides essential support but does not focus on managing cephalohematoma-related neonatal conditions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Amnioinfusion addresses variable decelerations by relieving cord compression; however, discontinuing oxytocin to prevent further decelerations precedes procedural interventions for labor augmentation.
Choice B rationale
Vaginal/speculum exams are not the priority during recurrent variable decelerations as they delay immediate measures addressing cord compression and fetal oxygenation concerns.
Choice C rationale
Discontinuing oxytocin reduces uterine contractions, alleviating cord compression and improving fetal oxygenation, which is the first step in managing recurrent variable decelerations of fetal heart rate.
Choice D rationale
Instructions about potential birth preparation are important but not immediate for addressing variable decelerations, as they do not directly resolve underlying cord compression concerns. .
Correct Answer is B
Explanation
Choice A rationale
Administering prophylactic antibiotics is essential when there is infection risk, but this intervention is not directly related to managing hemorrhage or neonatal nerve palsy.
Choice B rationale
Jaundice assessment is critical for newborns with facial bruising or cephalohematoma, as bilirubin levels may rise due to blood breakdown in the localized hematoma.
Choice C rationale
Monitoring vital signs ensures maternal stability, though it does not directly address hemorrhage risk or neonatal complications like nerve palsy.
Choice D rationale
Educating the client on breastfeeding techniques provides essential support but does not focus on managing cephalohematoma-related neonatal conditions.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.