A nurse is caring for a client who is in active labor with a fetus in the occipitoposterior position. The nurse assists the client into a hands-and-knees position. Which of the following questions should the nurse ask to evaluate the effectiveness of this intervention?

"Are you feeling relief from your pelvic pressure?"

"Do your contractions feel further apart?"

"Has your back labor improved?"

"Does that lessen your suprapubic pain?"

Answer and Explanation

The Correct Answer is C

Rationale:

A. This question addresses pelvic pressure, which may not directly relate to the effectiveness of the hands-and-knees position for occipitoposterior fetal positioning.

B. The spacing of contractions is not typically affected by maternal positioning and therefore is not the most appropriate question to evaluate the effectiveness of this intervention.

C. Asking about improvement in back labor is pertinent because the hands-and-knees position can help alleviate back pain associated with occipitoposterior fetal positioning.

D. Suprapubic pain is not typically associated with occipitoposterior fetal positioning, so this question may not provide useful information regarding the effectiveness of the intervention.

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Correct Answer is B

Explanation

Rationale:

A. Allowing the medication to reach room temperature is not a specific requirement for administering a dinoprostone insert.

B. Verifying that informed consent is obtained is essential before administering any medication or procedure to ensure the client understands the risks, benefits, and alternatives.

C. Placing the client in a semi-Fowler's position after administration may not be necessary for the use of a dinoprostone insert.

D. Instructing the client to avoid urinary elimination is not necessary for the administration of a dinoprostone insert.

A. Temperature 37.4°C (99.3°F) B. WBC count 9,000/mm3 C. Scant lochia D. Uterine tenderness

Correct Answer is D

Explanation

Rationale:

A. A temperature of 37.4°C (99.3°F) may be within the normal range, but it can also indicate a fever, which is common with endometritis.

B. A WBC count of 9,000/mm3 is within the normal range, but it may be elevated in response to infection such as endometritis.

C. Scant lochia is not typically associated with endometritis; instead, clients with endometritis may have increased or foul-smelling lochia.

D. Uterine tenderness is a common finding in clients with endometritis, as the infection causes inflammation and discomfort in the uterine lining.

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A nurse is caring for a client who is in active labor with a fetus in the occipitoposterior position. The nurse assists the client into a hands-and-knees position. Which of the following questions should the nurse ask to evaluate the effectiveness of this intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting the provider to administer a dinoprostone insert to induce labor for a client. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is assessing a client who is 6 hr postpartum and has endometritis. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

A nurse is assessing a client who is 1 hr postpartum following a vaginal birth. The nurse notes that the client has excessive vaginal bleeding. Which of the following actions should the nurse take first?

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A nurse is caring for a client who is in active labor with a fetus in the occipitoposterior position. The nurse assists the client into a hands-and-knees position. Which of the following questions should the nurse ask to evaluate the effectiveness of this intervention?

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