A nurse is caring for a client in the second stage of labor who is experiencing shoulder dystocia. The provider instructs the nurse to perform the McRoberts maneuver.
What action should the nurse take?
Press firmly on the client’s suprapubic area.
Assist the client in pulling their knees toward their abdomen.
Apply pressure to the client’s fundus.
Move the client onto their hands and knees.
The Correct Answer is B
Choice A rationale
Applying firm pressure on the client’s suprapubic area is not part of the McRoberts maneuver. This action is more associated with the suprapubic pressure technique, which is another method used to manage shoulder dystocia.
Choice B rationale
The McRoberts maneuver involves having the client flex her hips against her abdomen. This is achieved by assisting the client in pulling her knees toward her abdomen.
Choice C rationale
Applying pressure to the client’s fundus is not part of the McRoberts maneuver and can be contraindicated as it may cause additional complications.
Choice D rationale
Moving the client onto their hands and knees is not part of the McRoberts maneuver. This position is more associated with the all-fours maneuver, also known as the Gaskin maneuver.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Step 1 is to calculate the number of tablets to administer. The prescription is for 2g of metronidazole and each tablet contains 250mg. To convert grams to milligrams, we multiply by 1000, so 2g is 2000mg. We then divide the total milligrams needed by the milligrams per tablet: (2000mg ÷ 250mg/tablet) = 8 tablets.
Correct Answer is A
Explanation
Choice A rationale
Ovulation will indeed remain the same after a tubal ligation. The procedure blocks or seals the fallopian tubes, which prevents the egg from reaching the uterus. However, the ovaries continue to release eggs.
Choice B rationale
Tubal ligation does not eliminate premenstrual tension. Hormonal changes that cause symptoms like bloating, mood swings, and breast tenderness will still occur.
Choice C rationale
Tubal ligation does not shorten the duration of menstrual periods. It has no effect on menstruation.
Choice D rationale
Hormone replacements are not needed following a tubal ligation. The ovaries continue to produce hormones as they did before the procedure.
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