A nurse is caring for a client who is in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at 1+ station, and the client's amniotic membranes are intact. The client
suddenly states that she needs to push. Which of the following actions should the nurse take?
Have the client pant during the next contractions.
Assist the client into a comfortable position.
Help the client to the bathroom to void.
Observe the perineum for signs of crowning
The Correct Answer is A
A Panting helps the client manage the urge to push and prevents premature pushing, which can cause cervical swelling or injury. This technique helps delay pushing until full dilation is achieved, ensuring a safer delivery process.
B. Helping the client into a comfortable position can facilitate labor progress. However, it may not be the most urgent action given the potential imminent delivery.
C. Voiding is a common suggestion during labor, but if the client feels the urge to push, it may be an indication that the baby is descending and delivery is imminent.
D. The client's urge to push indicates that the baby is descending, and birth is imminent. It would not be safe to have the client walk to the bathroom at this stage, as she may deliver the baby during the process, increasing the risk of an unattended birth.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A . Polyhydramnios refers to an excessive accumulation of amniotic fluid, which can occur for various reasons, including fetal anomalies, maternal diabetes, fetal anemia, or idiopathic causes. Polyhydramnios can lead to complications during pregnancy and labor, such as preterm labor, fetal malpresentation, or umbilical cord prolapse.
B. Elevated levels of alpha-fetoprotein (AFP) in the amniotic fluid are associated with neural tube defects and other congenital anomalies, but this finding is not specifically indicative of polyhydramnios.
C. Polyhydramnios itself does not necessarily indicate fetal anomalies or growth restriction, although it can be associated with them.
D. Polyhydramnios may be present in pregnancies with more than one fetus, it is not a definitive indicator of a multiple gestation.
Correct Answer is C
Explanation
Insulin is the most commonly used medication for managing gestational diabetes because it does not cross the placenta and is considered safe for both the mother and the fetus. Other oral antidiabetic medications like repaglinide, glipizide, and acarbose are generally not recommended during pregnancy due to concerns about their safety for the fetus.
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.