A client's membranes spontaneously ruptured, as evidenced by a gush of clear fluid with a contraction.

What would the nurse do next?

Notify the primary care provider immediately.

Perform a vaginal exam.

Change the linen saver pad.

Check the fetal heart rate.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Notifying the primary care provider is important but not the immediate next step. The nurse has other immediate responsibilities to ensure the safety of the mother and baby.

Choice B rationale:

A vaginal exam could introduce bacteria into the uterus and is not the immediate next step after rupture of membranes.

Choice C rationale:

Changing the linen saver pad is not the immediate next step. While it might be necessary for the comfort of the mother, it does not address the potential risks associated with rupture of membranes.

Choice D rationale:

Checking the fetal heart rate is the correct next step. This ensures that the baby is not in distress following the rupture of membranes.

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Correct Answer is A

Explanation

Choice A rationale:

Mercury, which could harm the developing fetus if eaten in large amounts, is indeed found in high levels in swordfish and tilefish. Pregnant women are advised to avoid these types of fish due to the risk of mercury poisoning.

Choice B rationale:

Excess folic acid, which could increase the risk for neural tube defects, is not typically associated with swordfish and tilefish. Folic acid is a nutrient that is actually beneficial for pregnant women.

Choice C rationale:

Low-quality protein that does not meet the woman’s requirements is not a concern with swordfish and tilefish. These fish are actually high in quality protein.

Choice D rationale:

Lactose, which leads to abdominal discomfort, gas, and diarrhea, is not found in swordfish and tilefish. Lactose is a sugar found in milk and dairy products.

A. LOP. B. ROA. C. LOA. D. ROP.

Correct Answer is B

Explanation

Answer and explanation

Choice A rationale:

LOP (Left Occiput Posterior) would mean the baby’s occiput is towards the mother’s left and facing posteriorly, which is not the case here.

Choice B rationale:

ROA (Right Occiput Anterior) would mean the baby’s occiput is towards the mother’s right and facing anteriorly, which matches the description.

Choice C rationale:

LOA (Left Occiput Anterior) would mean the baby’s occiput is towards the mother’s left and facing anteriorly, which is not the case here.

Choice D rationale:

ROP (Right Occiput Posterior) would mean the baby’s occiput is towards the mother’s right and facing posteriorly, which is not the case here.

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A client's membranes spontaneously ruptured, as evidenced by a gush of clear fluid with a contraction. What would the nurse do next?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse strongly encourages a pregnant client to avoid eating swordfish and tilefish because these fish contain which component?.

Correct Answer is A

Explanation

Correct Answer is B

Explanation

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A client's membranes spontaneously ruptured, as evidenced by a gush of clear fluid with a contraction.

What would the nurse do next?