A nurse palpates a woman's fundus to determine contraction intensity.
What would be most appropriate for the nurse to use for palpation?.
Back of the hand.
Finger tips.
Palm of the hand.
Finger pads.
Finger pads.
The Correct Answer is C
Choice A rationale:
The back of the hand is sensitive to temperature, not pressure, making it less suitable for assessing contraction intensity.
Choice B rationale:
Finger tips are sensitive and can detect small changes, but they may not cover a large enough area to accurately assess contraction intensity.
Choice C rationale:
The palm of the hand covers a larger area and can better gauge the overall firmness of the uterus.
Choice D rationale:
Finger pads are sensitive to texture, not pressure, making them less suitable for this task.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Notifying the primary care provider is important but not the immediate next step. The nurse has other immediate responsibilities to ensure the safety of the mother and baby.
Choice B rationale:
A vaginal exam could introduce bacteria into the uterus and is not the immediate next step after rupture of membranes.
Choice C rationale:
Changing the linen saver pad is not the immediate next step. While it might be necessary for the comfort of the mother, it does not address the potential risks associated with rupture of membranes.
Choice D rationale:
Checking the fetal heart rate is the correct next step. This ensures that the baby is not in distress following the rupture of membranes.
Correct Answer is A
Explanation
Choice A rationale:
Fundal height measurement is a common procedure during prenatal visits to monitor the baby’s growth.
Choice B rationale:
While ultrasounds are performed during pregnancy, they aren’t typically done at every prenatal visit.
Choice C rationale:
Urine cultures are important for detecting urinary tract infections, but they aren’t a routine part of every prenatal visit.
Choice D rationale:
Hemoglobin and hematocrit tests are done to check for anemia, but they aren’t typically performed at every visit.
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