A nurse is positioning a client for a cesarean birth. To prevent a compromise in placental blood flow during the intraoperative period, which of the following actions should the nurse take?

Insert a pillow under the client's knees.

Assist the client into the lithotomy position,

Place a wedge under one of the client's hips.

Position the client in reverse Trendelenburg.

Answer and Explanation

The Correct Answer is C

A) Insert a pillow under the client's knees: While placing a pillow under the knees may promote comfort, it can lead to increased pressure on the lower back and may not effectively address potential compression of the vena cava, which is crucial in maintaining optimal placental blood flow during surgery.

B) Assist the client into the lithotomy position: The lithotomy position can increase pressure on the abdominal vessels, potentially compromising blood flow to the placenta. This position should be used cautiously, especially in clients with concerns regarding blood flow.

C) Place a wedge under one of the client's hips: This action is appropriate as it helps to displace the uterus laterally, reducing pressure on the inferior vena cava. This maneuver improves venous return and maintains placental perfusion, which is critical during cesarean delivery.

D) Position the client in reverse Trendelenburg: Although this position elevates the upper body, it does not specifically address the potential for vena cava compression caused by the weight of the uterus. It is less effective than placing a wedge under the hips in terms of preserving placental blood flow.

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Correct Answer is C

Explanation

Understanding the problem:

Original weight: 90.7 kg

Weight lost: 6.8 kg

Calculating the percentage weight loss:

Calculate the ratio of weight lost to original weight:

6.8 kg / 90.7 kg

Convert the ratio to a percentage:

(6.8 kg / 90.7 kg) x 100%

Solving the equation:

(6.8 kg / 90.7 kg) x 100% ≈ 7.5%

A. "I can use natural-skin condoms to prevent sexually transmitted infections." B. "I can store the condoms in the drawer of my nightstand." C. "I can use petroleum jelly as a lubricant with the condom." D. "I can re-use the condom one time after initial use."

Correct Answer is B

Explanation

A) "I can use natural-skin condoms to prevent sexually transmitted infections.": This statement is incorrect. Natural-skin condoms (made from lambskin) are effective for pregnancy prevention but do not provide protection against sexually transmitted infections (STIs). For STI prevention, latex or polyurethane condoms should be used.

B) "I can store the condoms in the drawer of my nightstand.": This statement demonstrates an understanding of proper condom storage. Storing condoms in a cool, dry place, such as a drawer, helps prevent damage from heat and friction, ensuring their effectiveness when used.

C) "I can use petroleum jelly as a lubricant with the condom.": This statement is incorrect because petroleum jelly can degrade latex condoms, increasing the risk of breakage. Water-based or silicone-based lubricants are recommended for use with latex condoms to maintain their integrity.

D) "I can re-use the condom one time after initial use.": This statement is incorrect. Condoms are designed for single use only and should not be re-used. Re-using a condom increases the risk of breakage and reduces effectiveness in preventing pregnancy and STIs.

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A nurse is positioning a client for a cesarean birth. To prevent a compromise in placental blood flow during the intraoperative period, which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing weight loss with a client who is concerned about losing 6.8 kg (15 lb) from an original weight of 90.7 kg (200 lb). The nurse should identify the weight loss as which of the following total percentages?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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