A laboring woman is lying in the supine position.
The most appropriate nursing action at this time is to:.

Ask her to turn to one side.

Elevate her feet and legs.

Take her blood pressure.

Determine whether fetal tachycardia is present.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Ask her to turn to one side. The supine position during labor can compress the vena cava, reducing blood flow to the uterus and potentially compromising fetal oxygenation. Turning the woman to her side, especially the left side, can relieve this pressure and improve blood flow to the uterus, ensuring adequate oxygen supply to the fetus. This position change is crucial for the well-being of both the mother and the baby during labor.

Choice B rationale:

Elevate her feet and legs. Elevating the woman's feet and legs might not be effective in relieving the pressure on the vena cava, as it does not change the orientation of the uterus in relation to the vena cava. Turning the woman to her side is a more appropriate and effective action to improve blood flow to the uterus and fetus.

Choice C rationale:

Take her blood pressure. While monitoring the woman's blood pressure is essential during labor, it is not the most appropriate action in this situation. The priority is to relieve the compression of the vena cava by changing the woman's position.

Choice D rationale:

Determine whether fetal tachycardia is present. Monitoring the fetal heart rate is crucial during labor, but the woman's position should be the immediate concern if she is lying in the supine position. Changing her position to relieve the vena cava compression takes precedence to ensure adequate oxygenation to the fetus.

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Correct Answer is C

Explanation

Choice A rationale:

Ribbon-like stools are not characteristic of intussusception. Intussusception is a medical emergency where one portion of the intestine invaginates or telescopes into another. This condition can lead to intestinal obstruction and compromised blood flow, causing severe abdominal pain, vomiting, and bloody stools. The characteristic stool appearance associated with intussusception is "currant jelly" stools. These stools contain mucus, blood, and sloughed mucosal tissue, giving them a characteristic dark, sticky, and jelly-like appearance. This occurs due to the mixture of blood and mucus within the intestines.

Choice B rationale:

Hard stools positive for guaiac indicate the presence of occult blood in the stool, but this finding is not specific to intussusception. Occult blood in the stool can be a sign of gastrointestinal bleeding from various causes, such as ulcers, gastritis, or colorectal polyps. It is not a characteristic feature of intussusception.

Choice D rationale:

Loose, foul-smelling stools are nonspecific and can occur due to various gastrointestinal disorders, dietary issues, or infections. This description does not specifically indicate intussusception.

A. "Surfactant improves the ability of your baby's lungs to exchange oxygen and carbon dioxide.". B. "The drug keeps your baby from requiring too much sedation.". C. "Surfactant is used to reduce episodes of periodic apnea.". D. "Your baby needs this medication to fight a possible respiratory tract infection.".

Correct Answer is A

Explanation

Choice A rationale:

The correct answer. Surfactant is a substance that decreases surface tension in the alveoli of the lungs, preventing them from collapsing and sticking together. By improving the ability of the baby's lungs to exchange oxygen and carbon dioxide, surfactant therapy helps the infant breathe more effectively.

Choice B rationale:

Surfactant therapy is not related to sedation. Its primary function is to assist with lung function, not sedation.

Choice C rationale:

Surfactant therapy does not specifically address apnea. Its main purpose is to enhance the respiratory function of premature infants.

Choice D rationale:

Surfactant therapy is not used to fight respiratory tract infections. It is a treatment focused on improving the respiratory distress syndrome in premature infants.

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A laboring woman is lying in the supine position.The most appropriate nursing action at this time is to:.

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Naxlex Comprehensive Predictor Exams

Which description of a stool is characteristic of intussusception?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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A laboring woman is lying in the supine position.
The most appropriate nursing action at this time is to:.