31. A nurse is preparing to perform Leopold maneuvers on a client who is at 36 weeks of gestation. Identify the sequence of actions the nurse should take. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps)
Position the client supine with knees flexed and place a small rolled towel under one of their hips.
Palpate the fetal part positioned in the fundus.
Instruct the client to empty their bladder.
Palpate the fetal parts along both sides of the uterus.
Palpate the fetal part positioned above the symphysis pubis.
The Correct Answer is C,A,B,D,E
C. Instruct the client to empty their bladder.
A. Position the client supine with knees flexed and place a small rolled towel under one of their hips.
B. Palpate the fetal part positioned in the fundus.
D. Palpate the fetal parts along both sides of the uterus.
E. Palpate the fetal part positioned above the symphysis pubis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Taking daily hot baths is not typically recommended as a fertility treatment and may even have adverse effects on sperm production.
B. While using a lubricant during intercourse may help with comfort, certain lubricants can interfere with sperm motility and should be used cautiously when trying to conceive.
C. Drinking herbal tea may have some health benefits, but there is limited evidence to support its effectiveness in improving fertility.
D. Maintaining a healthy weight is important for both men and women when trying to conceive, as being underweight or overweight can affect fertility and reproductive health.
Correct Answer is {"A":{"answers":"C"},"B":{"answers":"C"},"C":{"answers":"C"},"D":{"answers":"B"},"E":{"answers":"C"}}
Explanation
Blood pressure 80/50 mm Hg: Indication of Potential Worsening Condition - A decrease in blood pressure may indicate hypovolemic shock due to ongoing or worsening postpartum hemorrhage.
Cloudy urine: Indication of Potential Worsening Condition - Cloudy urine may indicate a urinary tract infection or another complication, which can worsen the client's condition.
Moderate lochia rubra: Indication of Potential Worsening Condition - Continued moderate lochia rubra suggests ongoing or worsening postpartum hemorrhage.
Fundus firm to palpation: Indication of Potential Improvement - A firm fundus suggests effective uterine contraction and control of bleeding, indicating potential improvement.
Fundus at level of umbilicus: Indication of Potential Worsening Condition - The fundus being at the level of the umbilicus suggests uterine atony or continued bleeding, which is a worsening condition.
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