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. To identify abnormal fetal cells: This is typically the purpose of amniocentesis earlier in pregnancy to check for genetic disorders, not at 34 weeks.

B. To detect metabolic disorders: Metabolic disorders are usually identified through newborn screening after birth rather than through late pregnancy amniocentesis.

C. To determine fetal lung maturity: At 34 weeks gestation, determining fetal lung maturity is critical, especially in cases of preeclampsia, as early delivery might be necessary.

D. To identify the sex of the fetus: The sex of the fetus is usually determined earlier in pregnancy if necessary, not at 34 weeks, and it is not the primary purpose in this context.

A. "Domestic violence affects 1 in 4 women" B. "Abuse often decreases during pregnancy C. “A woman's greatest risk for homicide is during separation or attempts to separate.” D. "Abused women often willingly go back to the abusers."

Correct Answer is B

Explanation

A. "Domestic violence affects 1 in 4 women" is correct. The prevalence of domestic violence is high, and this statistic is often used in educational materials.

B. Abuse often escalates during pregnancy due to the stress, hormonal changes, and increased dependence. It is a common misconception that abuse decreases; it actually becomes more severe during pregnancy.

C. "A woman's greatest risk for homicide is during separation or attempts to separate" is correct. The most dangerous time for women in abusive relationships is when they attempt to leave or separate from the abuser.

D. "Abused women often willingly go back to the abusers" is correct. Many women return to abusive partners due to emotional or financial dependency, or fear.

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

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Naxlex Comprehensive Predictor Exams

A patient is being prepared for an amniocentesis. The patient is a G2P1 and is 34 weeks gestation suffering from pre eclampsia. The patient asks what the purpose of this amniocentesis is. The best response from the nurse would be:

Correct Answer is C

Explanation

The nurse is giving a lecture on violence against women. The nurse knows teaching needs to be reinforced when a woman states which of the following?

Correct Answer is B

Explanation

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?

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

Place the cursor at where step #3 of Leopold's maneuver is performed.

Your patient received an epidural approximately 30 minutes ago. You notice late decelerations while evaluating the FHR tracing, Which of the following might be reasons that late decelerations occurring? (Select all that apply).

A 26 week G3 P2 has premature rupture of membranes. Which of the following orders would the nurse question?

Place cursor where you are most likely to see Mongolian spots?

The nurse is evaluating the effectiveness of breastfeeding of a neonate prior to discharge. Which of the following would be included in the LATCH score? (Select all that apply).