The nurse noted that the placenta was shiny and smooth. Which side of the placenta was delivered first?
Fetal side
Anterior side
Posterior side
Maternal side
The Correct Answer is A
A. Fetal side: The shiny, smooth side is the fetal side, also called the Schultz mechanism.
B. Anterior side: Placental delivery does not differentiate between anterior or posterior uterine positioning.
C. Posterior side: Irrelevant to the description of the placental surface appearance.
D. Maternal side: The maternal side is rough and lobulated, called the Duncan mechanism.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Place the client in a lateral position: This improves uteroplacental perfusion and venous return, addressing hypotension.
B. Notify the provider: While necessary, it is not the first action.
C. Increase IV fluid rate: Fluid boluses can treat hypotension, but lateral positioning takes precedence.
D. Elevate the legs: This is helpful but secondary to lateral positioning.
Correct Answer is B
Explanation
A. "A repeat cesarean section would be safer for both you and your baby.": VBAC is often safe, depending on the uterine incision type. A blanket statement about safety is inaccurate.
B. "The primary consideration is what type of incision you had.": The type of uterine incision (e.g., low transverse) determines VBAC eligibility due to the risk of uterine rupture.
C. "There are so many variables that you'll have to ask your provider.": While consultation with a provider is important, this response lacks educational value.
D. "It's too soon for you to be worrying about that now.": This response dismisses the client’s concerns and is non-therapeutic.
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