A nurse is assisting with a prenatal class and a learner asks the nurse to explain what happens during a prolapsed umbilical cord.
Which of the following statements should the nurse make?

An occult cord prolapse occurs when the umbilical cord is hidden within the vagina.

An occult prolapsed cord occurs when the umbilical cord is wrapped around the fetal neck.

A compound prolapsed cord occurs when the cord is felt through the cervix inside the intact amniotic sac.

An overt prolapsed cord occurs when the umbilical cord comes through the cervix ahead of the presenting part.

Answer and Explanation

The Correct Answer is D

Choice A rationale

An occult cord prolapse occurs when the umbilical cord is hidden but not necessarily within the vagina. It is often compressed alongside the fetus, causing a risk for decreased oxygenation.

Choice B rationale

An occult prolapsed cord is not characterized by being wrapped around the fetal neck; that condition is known as a nuchal cord.

Choice C rationale

A compound prolapsed cord does not involve the cord being felt through the cervix inside an intact amniotic sac. Instead, it involves the cord alongside the fetal presenting part.

Choice D rationale

An overt prolapsed cord occurs when the umbilical cord comes through the cervix ahead of the presenting part, posing significant risk due to potential cord compression and interruption of blood flow to the fetus.

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Correct Answer is C

Explanation

Choice A rationale

An increase in serum bilirubin levels indicates worsening hyperbilirubinemia rather than improvement. Effective phototherapy should result in a decrease in bilirubin levels as it helps break down bilirubin into a form that can be excreted.

Choice B rationale

Hemoglobin and hematocrit levels are not directly affected by phototherapy. These values are more related to red blood cell count and do not indicate the effectiveness of phototherapy for treating hyperbilirubinemia.

Choice C rationale

A decrease in transcutaneous bilirubin (TcB) levels from 6 hours ago indicates effective phototherapy. Phototherapy reduces bilirubin levels in the blood by converting it to a water-soluble form that can be eliminated from the body.

Choice D rationale

Jaundice typically moves from the head to the lower body as bilirubin levels decrease. Movement from chest to groin level without a corresponding decrease in bilirubin levels does not necessarily indicate effective phototherapy. .

A. BMI of 28. B. Age of 24. C. Gestational hypertension. D. Gravida 3 Para 2.

Correct Answer is C

Explanation

Choice A rationale

A BMI of 28 is considered overweight, which can be a risk factor for preeclampsia but is not as strong an indicator as gestational hypertension. BMI alone does not automatically place someone at high risk.

Choice B rationale

Age of 24 is within the typical childbearing age range and is not considered a high-risk factor for preeclampsia. Extremes of maternal age (below 18 or above 35) are more significant risk factors.

Choice C rationale

Gestational hypertension is a significant risk factor for developing preeclampsia. It indicates elevated blood pressure during pregnancy, which can lead to preeclampsia if not managed properly.

Choice D rationale

Gravida 3 Para 2 indicates a woman who has had two previous pregnancies carried to viable gestational age. While multiparity can influence pregnancy outcomes, it is not a direct high-risk factor for preeclampsia like gestational hypertension is. .

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A nurse is assisting with a prenatal class and a learner asks the nurse to explain what happens during a prolapsed umbilical cord. Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the care of a newborn who is experiencing hyperbilirubinemia and is receiving phototherapy. Which of the following findings indicate that the phototherapy is effective?

Correct Answer is C

Explanation

A nurse is reviewing the electronic health record (EHR) of a client at 36 weeks of gestation. Which of the following findings should the nurse identify as placing the client at high risk for developing preeclampsia?

Correct Answer is C

Explanation

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A nurse is assisting with a prenatal class and a learner asks the nurse to explain what happens during a prolapsed umbilical cord.
Which of the following statements should the nurse make?