Nokea
A vaginal exam reveals a footling breech presentation. The nurse should take which of the following actions at this time?
- A. Anticipate the need for a Caesarean section
- B. Apply an internal fetal monitor
- C. Place the client in Genu Pectoral position
- D. Perform an ultrasound
Correct Answer: A
Rationale: Footling breech presentation often requires a Caesarean section due to risks of cord prolapse and delivery complications.
You may also like to solve these questions
The nurse is monitoring a client with a history of stillborn infants. The nurse is aware that a nonstress test can be ordered for this client to:
- A. Determine lung maturity
- B. Measure the fetal activity
- C. Show the effect of contractions on fetal heart rate
- D. Measure the well-being of the fetus
Correct Answer: D
Rationale: A nonstress test assesses fetal well-being by monitoring fetal heart rate in response to movement, particularly in high-risk pregnancies.
Which client is at greatest risk for complications following abdominal surgery?
- A. A 68-year-old obese client with noninsulin-dependent diabetes
- B. A 27-year-old client with a recent history of urinary tract infections
- C. A 16-year-old client who smokes a half-pack of cigarettes per day
- D. A 40-year-old client who exercises regularly, with no history of medical conditions
Correct Answer: A
Rationale: Obesity and diabetes increase the risk of surgical complications like infection and poor wound healing.
The nurse is preparing to assist with a lumbar puncture for a client with suspected meningitis. Which of the following positions should the nurse place the client in?
- A. Supine with the head elevated.
- B. Prone with the head turned to one side.
- C. Side-lying with knees flexed to the chest.
- D. Sitting with the back arched.
Correct Answer: C
Rationale: side-lying with knees flexed to the chest maximizes spinal flexion, facilitating access to the subarachnoid space
A newborn weighed 7 pounds at birth. At 6 months of age, the infant could be expected to weigh:
- A. 14 pounds
- B. 18 pounds
- C. 25 pounds
- D. 30 pounds
Correct Answer: A
Rationale: Infants typically double their birth weight by 6 months, so a 7-pound newborn would weigh approximately 14 pounds.
A preterm infant with sepsis is receiving Gentamycin (garamycin). Which physiological alteration places the preterm infant at increased risk for toxicity related to aminoglycoside therapy?
- A. Lack of subcutaneous fat deposits
- B. Immature central nervous system
- C. Presence of fetal hemoglobin
- D. Immaturity of the renal system
Correct Answer: D
Rationale: The immature renal system in preterm infants reduces the ability to excrete aminoglycosides like Gentamycin, increasing the risk of toxicity.