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 D
Explanation
A. Changing positions in bed: This may indicate discomfort but not necessarily pain.
B. Frequently asking for ice chips: Suggests thirst or distraction, not pain.
C. Taking deep breaths: Often part of coping strategies, not a direct indicator of unrelieved pain.
D. Facial grimacing: A non-verbal cue strongly associated with pain or discomfort.
Correct Answer is C
Explanation
A. Administer oxygen using a non-rebreather mask: Oxygen may be helpful later, but positioning improves uteroplacental perfusion first.
B. Elevate the client’s legs: This addresses maternal hypotension but is less effective for repositioning uterine pressure.
C. Place the client in the lateral position: Lateral positioning improves uteroplacental blood flow and is the priority intervention for late decelerations.
D. Increase the rate of the maintenance IV infusion: Increasing fluids may help, but positioning should be done first.
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