RN Maternal Newborn Online Practice 2019 Form C; With Complete Solution + Explanation |Verified

RN Maternal Newborn Online Practice 2019 Form C; With Complete Solution + Explanation |Verified A nurse is assisting with the care of a client who is in the first stage of labour, the nurse observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse take? {{Ans:- Apply internal upward pressure to the presenting part using two gloved fingers Place a rolled towel beneath one of the client's hips. The nurse should place a rolled towel under the client's left or right hip to alleviate some of the pressure; however, evidence-based practice indicates that the nurse should take a different action first. Apply internal upward pressure to the presenting part using two gloved fingers.MY ANSWER Using evidence-based practice, the first action the nurse should take is to apply internal upward pressure to the presenting part. Prolapse of the umbilical cord during labor can result in decreased perfusion to the fetus, which can lead to hypoxia. After calling for assistance, the nurse should relieve the compression on the umbilical cord by applying upward internal pressure on the presenting part with two gloved fingers. The nurse should not move their hand. Administer oxygen to the client via a nonrebreather mask at 10 L/min. Prolapse of the umbilical cord during labor can result in decreased perfusion to the fetus, which can lead to hypoxia. The nurse should administer oxygen via a nonrebreather mask at 10 L/min; however, evidence-based practice indicates that the nurse should take a different action first. Increase the IV infusion rate. The nurse should increase the IV infusion rate; however, evidence-based practice indicates that the nurse should take a different action first. A nurse is planning care for a client who is 2 hr postpartum. Which of the following interventions should the nurse plan to implement during the taking-hold phase of postpartum behavioural adjustment? {{Ans:- Demonstrate to the client how to perform a newborn bath Discuss contraceptive options with the client and her partner. The discussing of contraceptive options occurs during the letting-go phase. This phase focuses on moving forward as a family with interchanging members. Repeat information to ensure client understanding. The repeating of information to ensure client understanding occurs during the taking-in phase. During this phase, which is experienced on the first postpartum day, the client displays dependent and passive behaviours. Due to excitement and fatigue, the client is unable to retain information. Therefore, the nurse should repeat instructions to ensure that the client understands what is being said. Listen to the client and her partner as they reflect upon the birth experience. Listening to the client and her partner reflect upon the birth experience occurs during the taking-in phase. During this phase, the new mother is focused on herself and meeting her basic needs. There is also much excitement about the newborn and the birth experience. Therefore, the nurse should allow the client to reflect, ensuring a healthy transition and a successful adaptation into the new family unit. Demonstrate to the client how to perform a newborn bath.MY ANSWER Demonstrating to the client how to perform a newborn bath occurs during the taking-hold phase. The new parent moves from being passively dependent to taking a stronger interest in her new role as a mother. She is now focusing on the care her newborn and acquiring parenting skills. The nurse should provide positive reinforcement during this phase to give the new parent confidence and promote maternal adjustment. A nurse is teaching a client who is at 36 weeks of gestation and has a prescription for a non-stress test. Which of the following statements should be included in the teaching? {{Ans:- "You will be offered orange juice to drink during the test."