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 D

Explanation

A. Keeping state records updated is a procedural part of newborn screening, but it is not the primary reason for the test.

B. ABO incompatibilities are a separate issue and are not the focus of newborn screening tests like PKU.

C. Hypoglycemia is not detected by the newborn screening tests, which focus on metabolic and genetic disorders, not immediate blood glucose levels.

D. The primary goal of newborn screening is to detect various genetic or metabolic disorders early. Early identification allows for timely treatment that can prevent serious health complications, including developmental delays or death.

A. The newborn sleeps for 6 consecutive hours during the night. B. The newborn breastfeeds every 4 to 5 hours for 5 minutes on each breast. C. The newborn has at least six to eight wet diapers per day. D. The newborn gains 1 to 2 ounces the first week.

Correct Answer is C

Explanation

A. Sleeping for 6 consecutive hours is not ideal for a 6-day-old newborn, as they should be feeding every 2-3 hours to maintain hydration and adequate nutrition.

B. Breastfeeding every 4 to 5 hours for 5 minutes per breast is too infrequent and brief for a newborn who should be feeding more often and for longer durations.

C. Six to eight wet diapers per day is a good indicator that the newborn is getting enough breast milk, as this indicates appropriate hydration and feeding.

D. Gaining 1 to 2 ounces the first week is below the expected rate of weight gain, which should typically be about 5-7 ounces per week for a newborn.

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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

When teaching parents about mandatory newborn screening, which of the following is the most important rationale for why the newborn screening test is given (often called PKU because this was the test mandated)?

Correct Answer is D

Explanation

A postpartum woman telephones about her 6 day old infant. She is not scheduled for a weight check until the infant is 10 days old and she is worried about whether the baby is getting enough mi Which of the following statements demonstrate effective breastfeeding for her newborn?

Correct Answer is C

Explanation

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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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