You do a vaginal examination and you detect a prolapsed cord. Your number one nursing priority would be to:

Place the client in a knee chest position.

Place 8L of 02 by mask, on the patient.

With your hand, during the vaginal exam, keep the fetal head from compressing the cord.

Obtain a consent for an immediate C-Section

Answer and Explanation

The Correct Answer is C

A. While positioning the patient in a knee-chest position may help, the immediate priority is to relieve pressure on the cord.

B. Administering oxygen is important but does not address the primary issue of cord compression.

C. The number one priority in managing a prolapsed cord is to relieve pressure on the cord and prevent fetal hypoxia. The nurse should manually elevate the presenting part of the fetus to reduce cord compression.

D. Obtaining consent for a C-section is important but not the immediate priority in managing a prolapsed cord.

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Correct Answer is C

Explanation

A. 3 lbs per week is too high for someone with a BMI of 16 and could lead to excessive weight gain.

B. 35-40 lbs is too broad and may not be suitable for this patient's low BMI, which typically requires a more controlled approach.

C. For a patient with a BMI of 16 (underweight), the recommended weight gain during pregnancy is generally between 28-40 pounds, but given the patient's lower weight, 15-20 lbs is a realistic goal for weight gain, allowing for healthy fetal development.

D. Less than 1lb per week could be too slow, potentially leading to insufficient fetal growth.

A. “Amniotic fluid helps maintain our baby's temperature." B. "Amniotic fluid protects the baby from injury.” C. “Amniotic fluid protects our baby from toxic substances." D. "Amniotic fluid allows our baby to move freely."

Correct Answer is C

Explanation

A. Amniotic fluid helps maintain a stable temperature for the fetus.

B. It cushions the fetus from external trauma.

C. Amniotic fluid does not protect from toxic substances, requiring clarification.

D. It enables the fetus to move, aiding musculoskeletal development.

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You do a vaginal examination and you detect a prolapsed cord. Your number one nursing priority would be to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient has a BMI 16 and weighs 96lbs and asks what the appropriate amount of weight she should gain with har pregnancy. Which of the following would be the best answer

Correct Answer is C

Explanation

Amniotic fluid is important for maintaining fetal wellbeing. The nurse knows teaching needs to be reinforced when the nurse hears a woman making which statement to her husband?

Correct Answer is C

Explanation

The nurse educator is preparing an educational workshop on fetal development. Which statement from a patient would indicate they need additional teaching or information?

The nurse is teaching a new nurse about the difference between placenta abruptio and placenta previa. Teaching was effective when the new nurse states which of the following statements

Temp 98.6 (0) Sp02 98% on RA Exhibits What three priority assessments will you make for this patient?

A newborn is diagnosed with jaundice at 48 hours when the nurse is doing the discharge teaching. The newborn is treated with a biliblanket and frequent feedings. What type of jaundice did the newborn probably have?

You are caring for a patient who is having an epidural placed for pain during labor. Which medication should be kept in the room for easy access in case the patient has hypotension?

At the beginning of the fourth stage of labor the nurse assess what four things? (Select four correct answers).

A woman is 12 weeks pregnant. She has a 5 year old son born at 38 weeks and 3 year old twin daughters that were born at 36 weeks gestation. She had one other pregnancy that terminated spontaneously at 8 weeks. You would document this as