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.

Answer and Explanation

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.

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Correct Answer is ["A","C","D"]

Explanation

Rationale:

A. Vacuum-assisted delivery increases the risk of postpartum hemorrhage due to potential trauma to the birth canal and uterus.

B. A history of human papillomavirus is not directly associated with an increased risk of postpartum hemorrhage.

C. A history of uterine atony (inability of the uterus to contract effectively after delivery) is a significant risk factor for postpartum hemorrhage.

D. Labor induction with oxytocin can lead to uterine hyperstimulation or tetanic contractions, which may contribute to uterine atony and postpartum hemorrhage.

E. Newborn weight is not a risk factor for postpartum hemorrhage.

A. BP 120/70 mm Hg B. Cool clammy skin C. Moderate lochia serosa D. Heart rate 89/min

Correct Answer is B

Explanation

Rationale:

A. A blood pressure of 120/70 mm Hg is within the normal range for a postpartum client and does not require immediate reporting to the provider.

B. Cool clammy skin may indicate hypoperfusion or inadequate blood flow, which could be a sign of hemorrhage or other circulatory issues. This finding should be reported promptly for further evaluation and intervention.

C. Moderate lochia serosa is a normal finding in the early postpartum period and does not typically require immediate reporting.

D. A heart rate of 89/min is within the normal range for a postpartum client and does not require immediate reporting to the provider.

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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)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a client who had a vaginal delivery 3 hr ago.Which of the following findings place the client at risk for postpartum hemorrhage? (Select all that apply.)

Correct Answer is ["A","C","D"]

Explanation

A nurse is assessing a client who is 3 days postpartum. Which of the following findings should the nurse report to the provider?

Correct Answer is B

Explanation

A nurse is caring for a client who is hypotensive following the administration of epidural anesthesia. Which of the following actions should the nurse take?

A nurse is teaching about clomiphene citrate to a client who is experiencing infertility. Which of the following adverse effects should the nurse include?

A nurse is caring for a client who has bladder distention following a vaginal birth. Which of the following actions should the nurse take first?

A nurse is assessing a full-term newborn upon admission to the nursery. Which of the following clinical findings should the nurse report to the provider?

A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation. Which of the following food selections has the highest fiber content per cup?

A nurse is caring for a client who is at 20 weeks of gestation and has trichomoniasis.Which of the following findings should the nurse expect?

A nurse is caring for a client who is in active labor with a fetus in the occipitoposterior position. The nurse assists the client into a hands-and-knees position. Which of the following questions should the nurse ask to evaluate the effectiveness of this intervention?

A nurse is caring for a client who reports spontaneous rupture of membranes. The nurse observes fetal bradycardia on the FHR tracing and notices that the umbilical cord is protruding. After calling for assistance and notifying the provider, which of the following actions should the nurse take next?