The nurse knows that the occurrence of shoulder dystocia during labor is most likely related to which of the following?

Advance maternal age

Polyhydramnios

Macrosomia

Preterm birth

Answer and Explanation

The Correct Answer is C

A. Advanced maternal age may increase the risk of certain pregnancy complications, but it is not specifically associated with shoulder dystocia. Other factors, such as fetal size, are more directly related to shoulder dystocia.

B. Polyhydramnios (excess amniotic fluid) can sometimes be associated with complications during labor, but it is not the primary risk factor for shoulder dystocia. The condition most often involves difficulties with the fetal position or size rather than the amount of fluid.

C. Macrosomia (a large baby, typically defined as a birth weight over 8 pounds 13 ounces or 4000g) is the primary risk factor for shoulder dystocia. Shoulder dystocia occurs when the baby’s shoulders become stuck during delivery, often due to the larger size of the baby. The baby’s shoulders may be too broad to pass through the birth canal easily, which increases the likelihood of this complication.

D. Preterm birth is not a significant risk factor for shoulder dystocia. Preterm babies are typically smaller and less likely to encounter the same birth canal obstruction issues associated with shoulder dystocia.

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Correct Answer is B

Explanation

A. Convection refers to the transfer of heat through air or water, such as when cool air circulates around the baby. While it can contribute to heat loss, drying the baby and changing wet linens specifically addresses evaporation.
B. Evaporation occurs when the baby's skin is wet (such as after birth or during a bath) and heat is lost as the moisture evaporates from the skin. Drying the neonate thoroughly and changing wet linens is aimed at preventing this form of heat loss.
C. Radiation is the transfer of heat from the baby to nearby cooler objects or surfaces (without direct contact), but drying and changing wet linens does not directly address this form of heat loss.
D. Conduction is the transfer of heat through direct contact with a cooler surface, such as a cold surface or metal. It would be a concern if the baby was placed on a cold surface, but drying the baby helps prevent heat loss via evaporation, not conduction

A. fluid replacement B. birth of the fetus C. oxygenation D. control of hypertension

Correct Answer is C

Explanation

A. Fluid replacement is important for maintaining maternal and fetal circulation, but it is not the priority immediately following a seizure. Oxygenation and stabilizing the mother’s condition are more critical in the acute phase.

B. Birth of the fetus may become necessary if the mother’s condition worsens, but the immediate priority is stabilizing the mother and ensuring proper oxygenation to prevent further complications for both the mother and fetus.

C. Oxygenation is the priority intervention after a seizure in eclampsia. Seizures can lead to a decrease in oxygen levels, and ensuring adequate oxygenation is crucial for both the mother and fetus. The nurse should administer oxygen to support breathing and prevent hypoxia.

D. Control of hypertension is essential in managing eclampsia, but the immediate focus should be on stabilizing the mother post-seizure, which includes ensuring adequate oxygenation first. Once stabilized, antihypertensive medications can be administered as necessary.

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The nurse knows that the occurrence of shoulder dystocia during labor is most likely related to which of the following?

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Naxlex Comprehensive Predictor Exams

The nurse dries the neonate thoroughly and promptly changes wet linens. The nurse does so to minimize heat loss via which mechanism?

Correct Answer is B

Explanation

A woman with gestational hypertension develops eclampsia and experiences a seizure. Which intervention would the nurse identify as the priority?

Correct Answer is C

Explanation

The nurse is reviewing the laboratory test results of a pregnant client. Which finding would alert the nurse to the development of HELLP syndrome?

The nurse knows that the occurrence of shoulder dystocia during labor is most likely related to which of the following?

A nurse is conducting an assessment of a woman who has experienced PROM. Which amniotic fluid finding would lead the nurse to suspect infection as the cause of a client's PROM?

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