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A nurse is preparing a laboring person for a cesarean birth. What is the most important action before the procedure?
- A. administer preoperative medication
- B. administer preoperative antibiotics
- C. assist with perineal care
- D. apply pressure to the abdomen
Correct Answer: A
Rationale: The correct answer is A: administer preoperative medication. Before a cesarean birth, it is crucial to administer preoperative medication to ensure the person's comfort and safety during the procedure. This medication can include pain relief and sedatives to manage anxiety. Administering antibiotics (choice B) is important to prevent infection, but it typically occurs after preoperative medication. Assisting with perineal care (choice C) and applying pressure to the abdomen (choice D) are not necessary steps before a cesarean birth.
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Which statement accurately describes the importance of birthing person position changes during the second stage of labor?
- A. Position changes have an impact on fetal descent.
- B. Position changes can lead to support person stress.
- C. Fetal descent is solely determined by uterine contractions.
- D. Maintaining a supine position is the safest option.
Correct Answer: A
Rationale: The correct answer is A because position changes during the second stage of labor can indeed impact fetal descent. Different positions such as upright, squatting, or on hands and knees can help utilize gravity to aid in the descent of the baby through the birth canal. This can potentially speed up labor and reduce the risk of complications.
Explanation of why the other choices are incorrect:
B: Position changes are not intended to lead to support person stress, but rather to optimize the birthing process.
C: Fetal descent is influenced by a combination of factors, including uterine contractions and maternal positioning.
D: Maintaining a supine position is not always the safest option as it can compress blood vessels, potentially reducing blood flow to the baby.
A nurse is preparing a laboring person for a cesarean birth. What is the most important action the nurse should take prior to the procedure?
- A. administer a preoperative medication
- B. assist with positioning the person
- C. perform a cesarean section
- D. monitor fetal heart tones
Correct Answer: A
Rationale: The correct answer is A: administer a preoperative medication. This is the most important action because it helps prepare the laboring person for the cesarean birth by ensuring they are adequately medicated for the procedure. Administering preoperative medication can help reduce anxiety, manage pain, and ensure the person is in a suitable condition for surgery.
Summary of other choices:
B: Assisting with positioning the person is important but not the most critical action before a cesarean birth.
C: Performing a cesarean section is not a nursing responsibility and is done by the healthcare provider.
D: Monitoring fetal heart tones is important but not the most crucial action for preparing the laboring person for a cesarean birth.
A nurse is assisting a laboring person with a vacuum extraction. What is the most important nursing action to ensure a safe procedure?
- A. monitor fetal heart rate continuously
- B. prepare the person for a cesarean section
- C. monitor for signs of uterine rupture
- D. assist with positioning the person
Correct Answer: B
Rationale: The correct answer is B: prepare the person for a cesarean section. In the scenario of vacuum extraction, if there are complications or the procedure is unsuccessful, the person may need to undergo an emergency cesarean section. By preparing the person for this possibility, the nurse ensures timely intervention if needed, prioritizing the safety of both the person and the baby. Monitoring fetal heart rate continuously (A) is important but not the most crucial action in this case. Monitoring for signs of uterine rupture (C) is not directly related to vacuum extraction. Assisting with positioning (D) is important but not as critical as preparing for a potential cesarean section.
What is the priority nursing action when a nurse suspects a cord prolapse during labor?
- A. place the person in the knee-chest position
- B. administer oxygen via mask
- C. apply pressure to the cord
- D. administer an epidural
Correct Answer: A
Rationale: The correct answer is A: place the person in the knee-chest position. This is the priority nursing action because it helps relieve pressure on the cord and prevents further prolapse. Placing the person in the knee-chest position also promotes optimal fetal oxygenation. Administering oxygen via mask (choice B) is important but not the priority. Applying pressure to the cord (choice C) should never be done as it can further compromise blood flow to the fetus. Administering an epidural (choice D) is not the priority in this emergency situation.
A pregnant patient at 24 weeks gestation is concerned about gestational diabetes. Which of the following is the most important aspect of managing this condition?
- A. Increasing physical activity and monitoring blood glucose levels.
- B. Administering insulin to control blood sugar levels.
- C. Eating larger meals to prevent hypoglycemia.
- D. Limiting fluid intake to reduce blood sugar fluctuations.
Correct Answer: A
Rationale: The correct answer is A: Increasing physical activity and monitoring blood glucose levels. This is because physical activity helps improve insulin sensitivity and manage blood glucose levels in gestational diabetes. Monitoring blood glucose levels is essential to ensure they are within the target range for both the mother and baby's health. Administering insulin (B) may be necessary in some cases but is not the first-line approach. Eating larger meals (C) can lead to higher blood sugar levels and does not prevent hypoglycemia. Limiting fluid intake (D) is not recommended as it can lead to dehydration and does not directly impact blood sugar fluctuations.