Nokea
What should the nurse consider when the birthing person has a decrease in blood pressure after the placenta is delivered?
- A. The birthing person is in pain.
- B. Place the newborn skin-to-skin.
- C. The bladder is distended
- D. Check for possible hemorrhage.
Correct Answer: E
Rationale: It seems like option E is missing from the choices provided. Could you please provide the correct options so that I can give you a detailed explanation for the correct answer?
You may also like to solve these questions
When does the active phase of labor begin according to ACOG?
- A. 6 cm
- B. 3 cm
- C. 5 cm
- D. 10 cm
Correct Answer: A
Rationale: The active phase of labor begins at 6 cm dilation according to ACOG guidelines. At this point, the cervix is significantly dilated, signaling the transition to active labor. This stage is crucial as it signifies the acceleration of labor progress and typically involves stronger contractions leading to efficient cervical dilation. Choices B, C, and D are incorrect as they do not align with the established criteria for the active phase of labor. Choice B (3 cm) is too early for active labor, choice C (5 cm) is close but not quite at the threshold for active labor, and choice D (10 cm) is actually the full dilation stage, not the beginning of active labor. Hence, choice A (6 cm) is the correct answer.
The nurse midwife caring for a multiparous client who is 5 cm dilated requests intermittent auscultation (IA) of the fetal heart rate. The woman’s history reveals no risk factors. How often should IA be performed in this patient?
- A. Every 15 minutes
- B. Every 5 minutes
- C. Every 20 minutes
- D. Every 30 minutes
Correct Answer: A
Rationale: The correct answer is A: Every 15 minutes. During active labor, intermittent auscultation should be performed every 15 minutes for low-risk women without complications. This frequency allows for close monitoring of fetal well-being while also promoting a woman-centered approach to labor care. Choices B, C, and D are incorrect because they do not align with the standard guidelines for IA frequency during active labor. Every 5 minutes (B) is too frequent and may disrupt the woman's labor progress. Every 20 minutes (C) and every 30 minutes (D) are too far apart to ensure adequate monitoring of the fetal heart rate. Thus, choice A is the most appropriate option for this scenario.
A fetus is positioned in a longitudinal lie with its head in the fundus with both hips and knees flexed. Which presentation is this known as?
- A. Frank breech
- B. Complete breech
- C. Vertex
- D. Transverse
Correct Answer: B
Rationale: The correct answer is B: Complete breech. In a complete breech presentation, the fetus is positioned with its head in the fundus, hips flexed, and knees flexed. This position is unique to the complete breech presentation. A: Frank breech would have the hips flexed, but the knees extended. C: Vertex position is when the head is down towards the birth canal. D: Transverse is when the fetus is lying horizontally across the uterus. Therefore, based on the description provided in the question, the correct answer is B as it matches the specific presentation described.
What anticipatory guidance should the nurse provide for new parents regarding sociologic changes?
- A. Explain that roles will not change at home
- B. Explain that stresses will be over now that the newborn is born.
- C. Tell the parents not to stress over household changes.
- D. Prepare them for possible strains on relationships.
Correct Answer: D
Rationale: The correct answer is D: Prepare them for possible strains on relationships. This guidance is important as the arrival of a newborn can bring significant changes to the dynamics of a relationship. By preparing new parents for possible strains on relationships, the nurse can help them navigate challenges together.
A: Incorrect. Roles are likely to change at home with the addition of a newborn, so it is important to address this rather than dismissing it.
B: Incorrect. Stressors may actually increase with the arrival of a newborn, so it is not accurate to say stresses will be over.
C: Incorrect. Ignoring household changes can lead to added stress, so it is not advisable to tell parents not to stress over them.
In summary, option D is correct as it addresses the potential strains on relationships that new parents may face, while the other options do not acknowledge the reality of sociologic changes that can occur.
A 28-year-old woman without risk factors has now reached the second stage of labor. What is the optimal position for her at this point?
- A. Supine
- B. Lateral recumbent
- C. Lithotomy
- D. Squatting
Correct Answer: B
Rationale: The optimal position for a 28-year-old woman in the second stage of labor is the lateral recumbent position (Choice B). This position helps maximize pelvic diameter and blood flow to the uterus, facilitating labor progress. It also reduces the risk of fetal heart rate abnormalities compared to the supine position (Choice A). Lithotomy position (Choice C) can hinder the descent of the baby and increase the risk of perineal trauma. Squatting (Choice D) may be uncomfortable and less effective in promoting efficient labor progress compared to the lateral recumbent position.