A client in the third stage of labor has experienced placental separation and expulsion.
Why is it necessary for a nurse to massage the woman's uterus briefly until it is firm?.
To increase the boggy nature of the uterus.
To constrict the uterine blood vessels.
To lessen the chances of conducting an episiotomy.
To remove pieces left attached to the uterine wall.
The Correct Answer is B
The correct answer is choice B.
Choice A rationale:
Massaging the uterus does not increase its boggy nature, but rather helps it contract and become firm, reducing the risk of postpartum hemorrhage.
Choice B rationale:
Massaging the uterus helps constrict the uterine blood vessels, which reduces bleeding after the placenta has been expelled.
Choice C rationale:
Massaging the uterus has no effect on the likelihood of conducting an episiotomy, which is a surgical incision made during childbirth.
Choice D rationale:
Massaging the uterus does not remove pieces left attached to the uterine wall. This would require a manual or surgical procedure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice A.
Choice A rationale:
The GTPAL system stands for Gravida, Term, Preterm, Abortions, and Living children. In this case, the woman has been pregnant 4 times (Gravida 4), has had one term birth (Term 1), one preterm birth (Preterm 1), one abortion/miscarriage (Abortions 1), and one living child (Living 1). Therefore, the correct classification is 4, 1, 1, 1, 1.
Choice B rationale:
This choice incorrectly classifies the number of pregnancies (Gravida should be 4, not 3) and does not account for the preterm birth or the number of living children.
Choice C rationale:
This choice overcounts the number of term births and living children.
Choice D rationale:
This choice incorrectly classifies the number of pregnancies (Gravida should be 4, not 3) and overcounts the number of living children.
Correct Answer is ["C"]
Explanation
The correct answers are choices C, D, and E.
Choice A rationale:
Constipation is not a sign of labor. It is more commonly associated with pregnancy rather than the onset of labor.
Choice B rationale:
Weight gain is not a sign of labor. In fact, weight gain often stops as labor approaches.
Choice C rationale:
Bloody show is a sign of labor. It is the discharge of the mucus plug that seals the cervix during pregnancy.
Choice D rationale:
Lightening, or the baby dropping into the pelvis, is a sign of labor.
Choice E rationale:
Backache can be a sign of labor, as the muscles and joints stretch and shift in preparation for childbirth.
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