Delayed cord clamping provides many benefits to the neonate and is considered a standard of care. The benefits include improvement in transitional circulation and..
Decreased iron stores during the first few months of life
Decreased in RBC volume and hemoglobin levels
Lowered incidence of necrotizing enterocolitis and intraventricular hemorrhage in preterm babies
Increased need for blood transfusions
The Correct Answer is C
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","E"]
Explanation
Choice A: Enter maneuvers (wood screw or rubin) by physician are interventions to relieve a dystocia, as they involve rotating the fetal shoulders to align them with the maternal pelvis and facilitate the delivery. The physician can perform these maneuvers by applying pressure on the fetal clavicles or scapulas through the vaginA.
Choice B: Put mother on all fours (gaskin) is an intervention to relieve a dystocia, as it involves changing the maternal position to widen the pelvic outlet and reduce the pressure on the fetal shoulders. The mother can assume this position by kneeling on the bed and resting on her elbows or hands.
Choice C: Suprapubic pressure by the nurse is an intervention to relieve a dystocia, as it involves applying firm and downward pressure on the mother's lower abdomen to dislodge the anterior fetal shoulder from behind the pubic symphysis and assist the delivery. The nurse can perform this intervention by using the heel of the hand or a fist.
Choice D: McRoberts by the nurse is an intervention to relieve a dystocia, as it involves flexing and abducting the mother's legs to her chest to increase the pelvic diameter and relax the pelvic floor muscles. The nurse can perform this intervention by holding the mother's legs or using stirrups.
Choice E: Delivery of the anterior arm by the physician is an intervention to relieve a dystocia, as it involves reaching into the vagina and sweeping the fetal arm across the chest and out of the birth canal to reduce the shoulder-to-shoulder diameter and assist the delivery. The physician can perform this intervention by using a finger or a forceps.
Choice F: Fundal pressure by the nurse is not an intervention to relieve a dystocia, as it involves pushing on the upper part of the uterus to expel the fetus. This intervention is contraindicated in shoulder dystocia, as it can worsen the impaction of the fetal shoulders and cause fetal injury or maternal traumA.
Correct Answer is A
Explanation
Choice A reason: Correct. Naegele’s Rule adds 1 year, subtracts 3 months, and adds 7 days to the LMP. May 4 → February 11.
Choice B reason: Incorrect. April 27 is too late; it suggests nearly 12 months of gestation, which exceeds the standard 280-day pregnancy.
Choice C reason: Incorrect. February 27 overshoots the EDD by 16 days. It doesn’t follow Naegele’s precise calculation.
Choice D reason: Incorrect. April 11 is far beyond the expected delivery window and reflects a miscalculation of gestational length.
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